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

Q: 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.

Q: What is Roberto Castellon's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Roberto Castellon was last updated on November 6, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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: October 18, 2026.

On this page

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

Phone(740) 681-8300

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

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Other Identifiers 2

Medicare PIN4048431OH

Medicare UPINH35772OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Roberto Castellon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Riverview Ent Center Of Central Ohio

0.2 mi

Otolaryngology

2405 N COLUMBUS ST STE 230
Lancaster, OH 43130

Reassigned Medicare billing, Ohio enrollment
3 clinicians in this Medicare group

NPI 1093932691 (740) 681-8300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

32 services32 patients

Complex control of nose bleed 30903

Complex control of a nose bleed involves specialized medical interventions. Doctors may cauterize (seal) the bleeding vessel or insert a nasal packing. This procedure helps stop the bleeding and promotes healing. It's performed under local or general anesthesia.

31 services17 patients

Test to assess balance during warm and cool irrigation in both ears 92537

This is a test called caloric stimulation, used to check your balance function. During this procedure, warm and cool water are gently introduced into your ears. Your eye movements are then observed, as they can indicate issues with balance or inner ear function.

14 services14 patients

Test for abnormal eye movement with recording 92541

This procedure checks for unusual eye movement. It involves recording your eye movements while you follow a light or object with your eyes. This helps identify any issues with how your eyes move or focus, aiding in the diagnosis of certain conditions.

14 services14 patients

Test for abnormal eye movement using 3 positions with recording 92542

This test checks for unusual eye movements. You'll be asked to look in three different directions while a device records your eye movements. It helps identify any eye muscle or nerve issues. It's non-invasive and painless.

14 services14 patients

Test for abnormal eye movement using a moving target with recording 92544

This test involves following a moving target with your eyes while a device records your eye movements. It helps identify any irregularities in eye movement, which can indicate certain health conditions. The procedure is non-invasive and painless.

14 services14 patients

Test for abnormal eye movement using a moving target that moves back and forth with recording 92545

This test examines eye movement by tracking your eyes as they follow a moving target. It helps detect any irregularities in eye motion. A device records your eye movements to provide accurate results. This information assists in diagnosing various eye conditions.

14 services14 patients

Use of electrodes during balance testing 92547

Balance testing with electrodes involves attaching small sensors to your skin. These sensors record your body's responses to various balance tests. They help in assessing your balance and coordination by measuring your body's electrical activity as you perform specific tasks.

14 services14 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

Quality

69.76

Promoting Interoperability

Improvement Activities

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.

ROBERT L. ZEE, D.O., INC.

Internal Medicine

2405 N COLUMBUS ST
LANCASTER, OH 43130

Fairfield County (419) 565-4249

RICHARD B. SIELSKI M.D,

Family Medicine

2405 N COLUMBUS ST, SUITE 200
LANCASTER, OH 43130

Fairfield County (740) 687-0303

RIVER VIEW IMAGING CENTER LLC

Clinic/Center (Radiology)

2405 N COLUMBUS ST, SUITE 180
LANCASTER, OH 43130

Fairfield County (740) 681-5661

LANCASTER REHAB & DIAGNOSTIC CENTER

Clinic/Center (Physical Therapy)

2405 N COLUMBUS ST, SUITE 140, ROOM D
LANCASTER, OH 43130

Fairfield County (740) 687-5025

DANIEL WARREN CHASE M.D.

Otolaryngology

2405 N COLUMBUS ST, SUITE 230
LANCASTER, OH 43130

Fairfield County (740) 681-8300

JOSEPH FLETCHER P.T.

Physical Therapist

2405 N COLUMBUS ST, SUITE 120
LANCASTER, OH 43130

Fairfield County (740) 687-3346

ORTHOPEDIC & NEUROLOGICAL CONSULTANTS, INC.

Durable Medical Equipment & Medical Supplies

2405 N COLUMBUS ST, SUITE 140
LANCASTER, OH 43130

Fairfield County (614) 890-6555

TODD L HINTZ PT

Physical Therapist

2405 N COLUMBUS ST, SUITE 140
LANCASTER, OH 43130

Fairfield County (740) 687-5025

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.

Which organization bills Medicare for Roberto Castellon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Roberto Castellon reassigns Medicare benefits to Riverview Ent Center Of Central Ohio (Lancaster, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Roberto Castellon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Roberto Castellon accept?

Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource, Molina Healthcare and Oscar Health Insurance and 1 other insurer 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.