DR. ROBERTO J CASTELLON MD
NPI 1073599973
Otolaryngology in Lancaster, OH

Active since December 21, 2005PECOS EnrolledAccepts Medicare Assignment
81.87/100
CMS Quality Rating
2405 N COLUMBUS ST, 230, LANCASTER, OH 43130(740) 681-8300(740) 681-9095 Get Directions Write a Review

NPPES record last updated: November 6, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Roberto J Castellon Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ROBERTO J CASTELLON MD (NPI 1073599973) is an individual otolaryngology provider in Lancaster, Ohio, licensed in Ohio (35079006) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Fairfield Medical Center, and is a graduate of University Of South Florida College Of Medicine (1996).

NPPES Registry Identity

NPI1073599973
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. ROBERTO J CASTELLONCredential: MD
Location Address2405 N COLUMBUS ST, 230Lancaster, OH 43130-8186
Mailing Address7589 Glenwood AveCanal Winchester, OH 43110-8843 · (614) 920-3663 · Fax (614) 920-3663
Fax(740) 681-9095
Sole ProprietorNo
Medical School CMSUniversity Of South Florida College Of MedicineGraduated 1996
Enumeration DateDecember 21, 2005
Last NPPES UpdateNovember 6, 2007
NPI 1073599973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in OH · 35079006
Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

2405 N COLUMBUS ST, Lancaster, OH 43130

Other Identifiers 2

Medicare PIN4048431OH
Medicare UPINH35772OH

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Roberto J Castellon Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7012102346
PECOS Enrollment IDI20101112000406
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 14

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
1,193 services432 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
684 services308 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
164 services164 patients
Comprehensive hearing and speech recognition test 92557
A comprehensive hearing and speech recognition test assesses your ability to hear and understand spoken words. It includes hearing tests to check for issues with sound perception and speech tests to evaluate your word recognition. It's a crucial step in identifying any hearing or speech problems.
89 services88 patients
Test to assess middle ear function 92567
A test to assess middle ear function, also known as an impedance audiometry, helps evaluate how well your middle ear works. It measures the movement of your eardrum in response to changes in air pressure. This can help identify issues like fluid build-up, ear infections, or eardrum perforations.
89 services88 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
50 services50 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Fairfield Medical Center

Acute Care Hospitals · Lancaster, OH
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360072
Location401 North Ewing StreetLancaster, OH 43130 · Fairfield County
Emergency services Birthing friendly

Hocking Valley Community Hospital

Critical Access Hospitals · Logan, OH
OwnershipVoluntary non-profit - Other
CMS Certification Number361330
Location601 State Route 664NLogan, OH 43138 · Hocking County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43130 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.87/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality69.76
Promoting Interoperability95
Improvement Activities40

Reported Quality Measures

Acute Otitis Externa (AOE): Systemic Antimicrobial Therapy - Avoidance of Inappropriate Use
100%42 patients
Advance Care Plan
80%1,099 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
98%6,564 patients4/55-star benchmark: 100%
e-Prescribing
100%1,023 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
75%1,041 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
81%1,486 patients4/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,103 patients
Patients totalRate: 0% · 1,103 patients
0%1,103 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Surgery
2405 N COLUMBUS ST, STE 250
LANCASTER, OH 43130
Surgery
2405 N COLUMBUS ST, STE 250
LANCASTER, OH 43130
Family Medicine
2405 N COLUMBUS ST, SUITE 200
LANCASTER, OH 43130
Family Medicine
2405 N COLUMBUS ST, SUITE 200
LANCASTER, OH 43130
Physical Therapist
2405 N COLUMBUS ST, SUITE 220
LANCASTER, OH 43130
Clinic/Center (Radiology)
2405 N COLUMBUS ST, SUITE 180
LANCASTER, OH 43130
Surgery
2405 N COLUMBUS ST, SUITE 250
LANCASTER, OH 43130
Physician Assistant
2405 N COLUMBUS ST, SUITE 120
LANCASTER, OH 43130

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Roberto Castellon's NPI number?

The NPI number for Roberto Castellon is 1073599973. It was assigned to this individual provider in the NPPES registry on December 21, 2005.

Where is Roberto Castellon located?

Roberto Castellon practices at 2405 N Columbus St 230, Lancaster, OH 43130. The listed phone number is (740) 681-8300.

What is Roberto Castellon's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Roberto Castellon enrolled in Medicare?

Yes. Roberto Castellon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Roberto Castellon accept?

Health plans from CareSource, Oscar Health Insurance and UnitedHealthcare list Roberto Castellon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Roberto Castellon affiliated with any hospitals?

According to CMS data, Roberto Castellon is affiliated with Fairfield Medical Center and Hocking Valley Community Hospital.

When was this NPI record last updated?

The NPPES record for Roberto Castellon was last updated on November 6, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.