DR. CAROLINE M CASTILLO M.D.
NPI 1114217742
Family Medicine in San Francisco, CA

Active since April 16, 2011PECOS EnrolledAccepts Medicare Assignment
91.85/100
CMS Quality Rating
2356 SUTTER ST, SAN FRANCISCO, CA 94115(158) 857-7884 Get Directions Write a Review

NPPES record last updated: May 8, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 8, 2019, Sep 14, 2018 (2 updates tracked since 2018).

About Dr. Caroline M Castillo M.d. NPPES

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

DR. CAROLINE M CASTILLO M.D. (NPI 1114217742) is an individual family medicine provider in San Francisco, California, licensed in California (A121829) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS, maintains a secondary practice location in San Francisco, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1114217742
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. CAROLINE M CASTILLOCredential: M.D.
Location Address2356 SUTTER STSan Francisco, CA 94115
Mailing Address2356 Sutter StSan Francisco, CA 94115-3006 · (158) 857-7884
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateApril 16, 2011
Last NPPES UpdateMay 8, 20192 updates tracked since enumeration
NPI 1114217742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · A121829
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2356 SUTTER ST, San Francisco, CA 94115

Secondary Practice Location 1

Location 12356 Sutter StSan Francisco, CA 94115 · Phone (158) 857-7884

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. Caroline M Castillo M.d. 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 ID5991939134
PECOS Enrollment IDI20181012001057
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 7

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 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.
125 services76 patients
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.
52 services42 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
28 services16 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
22 services22 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
21 services21 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94115 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
Most-billed visit code 99214
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.

91.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.53
Promoting Interoperability100
Improvement Activities40
Cost68.01

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
28%25 patients2/55-star benchmark: 85%
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$62.16 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Preventive Medicine (Public Health & General Preventive Medicine)
2356 SUTTER ST
SAN FRANCISCO, CA 94115
Obstetrics & Gynecology
2356 SUTTER ST
SAN FRANCISCO, CA 94115
Obstetrics & Gynecology
2356 SUTTER ST
SAN FRANCISCO, CA 94115
Obstetrics & Gynecology
2356 SUTTER ST
SAN FRANCISCO, CA 94115
Obstetrics & Gynecology
2356 SUTTER ST
SAN FRANCISCO, CA 94115
Family Medicine
2356 SUTTER ST
SAN FRANCISCO, CA 94115
Nurse Practitioner
2356 SUTTER ST
SAN FRANCISCO, CA 94115
Family Medicine
2356 SUTTER ST
SAN FRANCISCO, CA 94115

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 Caroline Castillo's NPI number?

The NPI number for Caroline Castillo is 1114217742. It was assigned to this individual provider in the NPPES registry on April 16, 2011.

Where is Caroline Castillo located?

Caroline Castillo practices at 2356 Sutter St, San Francisco, CA 94115. The listed phone number is (158) 857-7884.

What is Caroline Castillo's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Caroline Castillo enrolled in Medicare?

Yes. Caroline Castillo 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.

When was this NPI record last updated?

The NPPES record for Caroline Castillo was last updated on May 8, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.