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XIMENA M CASTRO MD
NPI 1245327386
Family Medicine in Leominster, MA

Active since October 09, 2006PECOS EnrolledAccepts Medicare Assignment
97.02/100
CMS Quality Rating
60 HOSPITAL RD, LEOMINSTER, MA 01453(978) 466-4169(978) 466-4164 Get Directions Write a Review

NPPES record last updated: October 28, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ximena M Castro Md NPPES

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

XIMENA M CASTRO MD (NPI 1245327386) is an individual family medicine provider in Leominster, Massachusetts, licensed in Massachusetts (230300) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Umass Memorial Healthalliance Hospitals, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1245327386
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameXIMENA M CASTROCredential: MD
Location Address60 HOSPITAL RDLeominster, MA 01453
Mailing AddressPo Box 415348Boston, MA 02241-5348 · (800) 225-8885
Phone(978) 466-4169
Fax(978) 466-4164
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateOctober 9, 2006
Last NPPES UpdateOctober 28, 2020
NPPES CertifiedOctober 28, 2020
✔ NPI 1245327386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MA · 230300
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.
60 HOSPITAL RD, Leominster, MA 01453
Open in Google Maps ↗

Other Identifiers 2

Other9771476MA · Medicaid Group
OtherM20928MA · Medicaid Group

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

Ximena M Castro 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 ID5890884654
PECOS Enrollment IDI20080920000061
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.

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.
520 services197 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
171 services116 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
149 services142 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.
80 services72 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.
75 services75 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
48 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Umass Memorial Healthalliance Hospitals

Acute Care Hospitals · Leominster, MA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number220001
Location60 Hospital RoadLeominster, MA 01453 · Worcester County
Emergency services

Umass Memorial Medical Center/University Campus

Acute Care Hospitals · Worcester, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220163
Location55 Lake Avenue NorthWorcester, MA 01655 · Worcester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01453 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

97.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.09
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims13 services$11.48 avg. paid by Medicare
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 supplier14 claims17 services$56.21 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$35.06 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.

DAVID J PETULLO MD
Internal Medicine
60 HOSPITAL RD
LEOMINSTER, MA 01453
Worcester County (978) 466-4169
LILLIAN RICH M.D.
Emergency Medicine
60 HOSPITAL RD, WACHUSETT EMERGENCY PHYSICIANS
LEOMINSTER, MA 01453
Worcester County (978) 466-2994
GERMAINE EARLE-CRUICKSHANKS D.O
Obstetrics & Gynecology (Hospice and Palliative Medicine)
60 HOSPITAL RD, HEALTH ALLIANCE HOSPITAL
LEOMINSTER, MA 01453
Worcester County (978) 466-2000
UMASS MEMORIAL HEALTHALLIANCE CLINTON HOSPITAL INC
General Acute Care Hospital
60 HOSPITAL RD
LEOMINSTER, MA 01453
Worcester County (978) 466-2000
BINU PATHROSE MD
Internal Medicine
60 HOSPITAL RD
LEOMINSTER, MA 01453
Worcester County (978) 466-4169
DR. JAY LOUIS GLASER MD
Internal Medicine
60 HOSPITAL RD
LEOMINSTER, MA 01453
Worcester County (978) 466-4169
COORDINATED PRIMARY CARE INC
Hospitalist
60 HOSPITAL RD
LEOMINSTER, MA 01453
Worcester County (978) 466-4169
KRISTINA M CECKOWSKI
Social Worker
60 HOSPITAL RD
LEOMINSTER, MA 01453
Worcester County (978) 728-0621

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 Ximena Castro's NPI number?

The NPI number for Ximena Castro is 1245327386. It was assigned to this individual provider in the NPPES registry on October 9, 2006.

Where is Ximena Castro located?

Ximena Castro practices at 60 Hospital Rd, Leominster, MA 01453. The listed phone number is (978) 466-4169.

What is Ximena Castro's specialty?

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

Is Ximena Castro enrolled in Medicare?

Yes. Ximena Castro 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.

Is Ximena Castro affiliated with any hospitals?

According to CMS data, Ximena Castro is affiliated with Umass Memorial Healthalliance Hospitals and Umass Memorial Medical Center/University Campus.

When was this NPI record last updated?

The NPPES record for Ximena Castro was last updated on October 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.