DR. MARIO CASTILLO-SANG M.D.
NPI 1225293418
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Edgewood, KY

Active since July 28, 2008PECOS EnrolledAccepts Medicare Assignment
90.38/100
CMS Quality Rating
711 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017(859) 301-9010(859) 301-9018 Get Directions Write a Review

NPPES record last updated: November 4, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 4, 2021, Mar 4, 2020 (2 updates tracked since 2020).

About Dr. Mario Castillo-sang M.d. NPPES

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

DR. MARIO CASTILLO-SANG M.D. (NPI 1225293418) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Edgewood, Kentucky, licensed in Kentucky (51353) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, is affiliated with St Elizabeth Ft Thomas, and maintains a secondary practice location in Cincinnati.

NPPES Registry Identity

NPI1225293418
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameDR. MARIO CASTILLO-SANGCredential: M.D.
Location Address711 MEDICAL VILLAGE DREdgewood, KY 41017
Mailing AddressPo Box 636324Cincinnati, OH 45263-6324 · (859) 301-9010 · Fax (859) 301-9018
Fax(859) 301-9018
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJuly 28, 2008
Last NPPES UpdateNovember 4, 20212 updates tracked since enumeration
NPPES CertifiedNovember 4, 2021
NPI 1225293418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
Licenses Licensed in KY · 51353 Licensed in OH · 35126643 Licensed in SC · 34641 Licensed in MO · 2010003180
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
Also ListedSurgeryTaxonomy 208600000X · License 2010003180 (MO)
711 MEDICAL VILLAGE DR, Edgewood, KY 41017

Secondary Practice Location 1

Location 12123 Auburn Ave, Su. 139Cincinnati, OH 45219-2906 · Phone (513) 206-1170 · Fax (513) 206-1172

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. Mario Castillo-sang 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 ID5799932075
PECOS Enrollment IDI20180806001755
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.

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
29 services29 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
22 services22 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
16 services16 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
14 services14 patients
Radical reconstruction of mitral valve on heart-lung machine 33427
Radical reconstruction of the mitral valve on a heart-lung machine is a surgery to repair a damaged valve in your heart. The heart-lung machine takes over the function of your heart and lungs during the procedure. This allows the surgeon to work on a still, blood-free heart to improve its function.
12 services12 patients
Replacement of mitral valve on heart-lung machine 33430
Mitral valve replacement involves a surgeon removing a damaged or diseased mitral valve in your heart and replacing it with a new, healthy one. This is done while your body is connected to a heart-lung machine, which takes over your heart's pumping function during the procedure.
12 services12 patients

Hospital Affiliations CMS Care Compare 4

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

St Elizabeth Ft Thomas

Acute Care Hospitals · Fort Thomas, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180001
Location85 North Grand AvenueFort Thomas, KY 41075 · Campbell County
Emergency services

St Elizabeth Edgewood

Acute Care Hospitals · Edgewood, KY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180035
Location1 Medical Village DriveEdgewood, KY 41017 · Kenton County
Emergency services Birthing friendly

St Elizabeth Florence

Acute Care Hospitals · Florence, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180045
Location4900 Houston RoadFlorence, KY 41042 · Boone County
Emergency services

St Elizabeth Grant

Critical Access Hospitals · Williamstown, KY
OwnershipVoluntary non-profit - Church
CMS Certification Number181311
Location238 Barnes RoadWilliamstown, KY 41097 · Grant County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41017 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
$162.27 typical visit price
range $52.76 – $162.27
Typical copayment $40.56 (range $13.19 – $40.56)
Most-billed visit code 99205
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

90.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.76
Promoting Interoperability100
Improvement Activities40

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.

Nurse Practitioner
711 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Thoracic Surgery (Cardiothoracic Vascular Surgery)
711 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Nurse Practitioner
711 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Nurse Practitioner
711 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Physician Assistant
711 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Nurse Practitioner
711 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Thoracic Surgery (Cardiothoracic Vascular Surgery)
711 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Internal Medicine (Interventional Cardiology)
711 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017

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 Mario Castillo-sang's NPI number?

The NPI number for Mario Castillo-sang is 1225293418. It was assigned to this individual provider in the NPPES registry on July 28, 2008.

Where is Mario Castillo-sang located?

Mario Castillo-sang practices at 711 Medical Village Dr, Edgewood, KY 41017. The listed phone number is (859) 301-9010.

What is Mario Castillo-sang's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Mario Castillo-sang enrolled in Medicare?

Yes. Mario Castillo-sang 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 Mario Castillo-sang accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource and 2 other insurers list Mario Castillo-sang 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 Mario Castillo-sang affiliated with any hospitals?

According to CMS data, Mario Castillo-sang is affiliated with St Elizabeth Ft Thomas, St Elizabeth Edgewood, St Elizabeth Florence and St Elizabeth Grant.

When was this NPI record last updated?

The NPPES record for Mario Castillo-sang was last updated on November 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.