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PAUL MATTHEW CASTLE
NPI 1265095236
Emergency Medicine in Sells, AZ

Active since April 16, 2019PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: January 8, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Paul Matthew Castle NPPES

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

PAUL MATTHEW CASTLE (NPI 1265095236) is an individual emergency medicine provider in Sells, Arizona, licensed in Arizona (R77326) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with P H S Indian Hospital Crow / Northern Cheyenne, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1265095236
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NamePAUL MATTHEW CASTLE
Location AddressAZ-86Sells, AZ 85634
Mailing AddressPo Box 548Sells, AZ 85634-0548 · (520) 383-7200
Phone(520) 383-7200
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateApril 16, 2019
Last NPPES UpdateJanuary 8, 2024
NPPES CertifiedJanuary 6, 2024
✔ NPI 1265095236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in AZ · R77326
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
AZ-86, Sells, AZ 85634
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc..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

Paul Matthew Castle 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 ID2163757550
PECOS Enrollment IDI20230320000376
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 Reassignments

4

Medicare enrollment records show Paul Castle reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ton Sells Hospital
Same address
Public Health or Welfare
HIGHWAY 86 AT TOPAWA ROAD
Sells, AZ 85634
  • Reassigned Medicare billing, Texas enrollment
  • 349 clinicians in this Medicare group
NPI 1487652426 (520) 383-7200
Us Health Dept Of Health & Human Services
782 mi
Public Health, Federal
BLACK COAL DRIVE, #29
Fort Washakie, WY 82514
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: U S Health Dept Of Health & Human Services
  • 306 clinicians in this Medicare group
NPI 1023174299 (307) 332-7300
Pine Ridge Indian Health Service Hospital
921 mi
General Acute Care Hospital
EAST HIGHWAY 18
Pine Ridge, SD 57770
  • Reassigned Medicare billing, Texas enrollment
  • 426 clinicians in this Medicare group
NPI 1497786412 (605) 837-3314
Phs Indian Hospital
1,412 mi
General Acute Care Hospital
HWY 1 HOSPITAL DR, BOX 497
Red Lake, MN 56671
  • Reassigned Medicare billing, Texas enrollment
  • 66 clinicians in this Medicare group
NPI 1508809765 (218) 679-3912

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 4

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
24 services24 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
16 services15 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
15 services14 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

P H S Indian Hospital Crow / Northern Cheyenne

Critical Access Hospitals · Crow Agency, MT
OwnershipGovernment - Federal
CMS Certification Number271339
Location1010 South 7650 East, Post Office Box 9Crow Agency, MT 59022 · Big Horn County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85634 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

Other Providers at the Same Location NPPES 9

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

CORNELIO NEAL GENILO PHARMD
Pharmacist
AZ-86
SELLS, AZ 85634
Pima County (520) 383-7350
ALYSSA KATZ RD
Dietitian, Registered
AZ-86
SELLS, AZ 85634
Pima County (520) 383-7200
KRISTEN FELAN LMSW
Social Worker (Clinical)
AZ-86
SELLS, AZ 85634
Pima County (520) 383-7200
JOCELYN BROWN
Pharmacist
AZ-86
SELLS, AZ 85634
Pima County (520) 383-7350
TIFFANI PALLANES RN, MSN
Registered Nurse (Ambulatory Care)
AZ-86
SELLS, AZ 85634
Pima County (520) 383-6540
ERIKA ORTEGA
Registered Nurse
AZ-86
SELLS, AZ 85634
Pima County (520) 383-7251
MS. LIZZIE LYDIA MOETI
Registered Nurse
AZ-86
SELLS, AZ 85634
Pima County (520) 383-7200
RYAN PAJARILLO RAMOS BSN RN
Registered Nurse (Medical-Surgical)
AZ-86
SELLS, AZ 85634
Pima County (520) 383-7200

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 Paul Castle's NPI number?

The NPI number for Paul Castle is 1265095236. It was assigned to this individual provider in the NPPES registry on April 16, 2019.

Where is Paul Castle located?

Paul Castle practices at Az-86, Sells, AZ 85634. The listed phone number is (520) 383-7200.

What is Paul Castle's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Paul Castle enrolled in Medicare?

Yes. Paul Castle 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 organizations bill Medicare for Paul Castle's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul Castle reassigns Medicare benefits to 4 organizations: Ton Sells Hospital (Sells, AZ), Us Health Dept Of Health & Human Services (Fort Washakie, WY), Pine Ridge Indian Health Service Hospital (Pine Ridge, SD) and Phs Indian Hospital (Red Lake, MN). Each 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 Paul Castle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Paul Castle accept?

Health plans from Blue Cross Blue Shield of Arizona and Oscar Health Plan, Inc. list Paul Castle 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 Paul Castle affiliated with any hospitals?

According to CMS data, Paul Castle is affiliated with P H S Indian Hospital Crow / Northern Cheyenne.

When was this NPI record last updated?

The NPPES record for Paul Castle was last updated on January 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.