DR. CAESAR CASTRO AGAGAN MD
NPI 1285610576
Internal Medicine - Pulmonary Disease in Mobile, AL

Active since December 19, 2005PECOS EnrolledAccepts Medicare Assignment
82.44/100
CMS Quality Rating
141 TUSCALOOSA ST, MOBILE, AL 36607(251) 433-3344(251) 433-4052 Get Directions Write a Review

NPPES record last updated: June 21, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 21, 2023, Oct 2, 2018, May 24, 2018 (3 updates tracked since 2018).

About Dr. Caesar Castro Agagan Md NPPES

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

DR. CAESAR CASTRO AGAGAN MD (NPI 1285610576) is an individual pulmonary disease provider in Mobile, Alabama, licensed in Alabama (23463) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1285610576
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. CAESAR CASTRO AGAGANCredential: MD
Location Address141 TUSCALOOSA STMobile, AL 36607-3422
Mailing AddressPo Box 7987Mobile, AL 36670-0987 · (251) 633-0573 · Fax (251) 633-7367
Fax(251) 433-4052
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateDecember 19, 2005
Last NPPES UpdateJune 21, 20233 updates tracked since enumeration
NPPES CertifiedJune 21, 2023
NPI 1285610576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in AL · 23463
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 23463 (AL)
141 TUSCALOOSA ST, Mobile, AL 36607

Secondary Practice Locations 4

Location 1100 Memorial Hospital Dr Ste 1AMobile, AL 36608-1128 · Phone (251) 343-6848 · Fax (251) 343-5708
Location 28725 County Road 64Daphne, AL 36526-6061 · Phone (251) 625-1370 · Fax (251) 625-1380
Location 32001 Spring Hill AveMobile, AL 36607-3326 · Phone (251) 433-3344 · Fax (251) 433-4052
Location 45955 Airport BlvdMobile, AL 36608-3135 · Phone (251) 633-0573 · Fax (251) 633-7367

Other Identifiers 15

Medicaid213145AL
Other290014606AL · Rr Medicare
Other512-05482AL · Bcbs
OtherH29012AL · Viva Health
Medicaid51507365AL
Other1987747AL · Uhc
Other7608175AL · Aetna
Medicaid213434AL
Other512-05483AL · Bcbs
Other051507365AL · Medicare
Other1003499AL · Cigna Hc
Medicaid221315AL
Other00124658MS · Ms Medicaid
Medicaid220390AL
Other515-07365AL · Bcbs

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. Caesar Castro Agagan 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 ID4789766551
PECOS Enrollment IDI20110916000139
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 28

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.
328 services167 patients
Electrocardiogram (ecg) 1 to 3 leads with review by physician only 93042
An Electrocardiogram (ECG) is a non-invasive test that records the electrical activity of your heart. 1 to 3 leads or sensors are placed on your body to capture this data. A physician then reviews the results to evaluate your heart's health.
299 services148 patients
Test to measure largest amount of air breathed in an out 94200
This test, called spirometry, measures your lung capacity. It involves taking a deep breath and then exhaling as forcefully as possible into a machine. The results help assess how well your lungs function.
285 services156 patients
Test to measure rate of airflow 94375
This test, known as spirometry, measures how much air you can breathe in and out, and how quickly you can do so. It helps assess your lung function and can be used to diagnose or monitor conditions like asthma or COPD.
285 services156 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.
278 services143 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
243 services81 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36607 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

82.44/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality95
Improvement Activities40
Cost27.99

Reported Quality Measures

Advance Care Plan
100%723 patients5/55-star benchmark: 100%
Chronic Obstructive Pulmonary Disease (COPD): Long-Acting Inhaled Bronchodilator Therapy
100%171 patients
Documentation of Current Medications in the Medical Record
100%2,500 patients5/55-star benchmark: 100%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
100%652 patients5/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 100% · 802 patients
Patients screened: 100% · 802 patients
100%158 patients5/55-star benchmark: 100%
Sleep Apnea: Severity Assessment at Initial Diagnosis
100%148 patients
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
82%400 patients3/55-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.

Referred Medical Equipment & Supplies CMS DME claims 12

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

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
3 suppliers31 claims55 services$1.63 avg. paid by Medicare
Small volume nonfiltered pneumatic nebulizer, disposable A7004
DME-Other DME · category DE000N
1 supplier15 claims30 services$1.11 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers29 claims29 services$18.48 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
3 suppliers55 claims66 services$6.78 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers16 claims16 services$48.07 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
9 suppliers111 claims111 services$89.01 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 10

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

Nurse Practitioner
141 TUSCALOOSA ST
MOBILE, AL 36607
Internal Medicine (Pulmonary Disease)
141 TUSCALOOSA ST
MOBILE, AL 36607
Internal Medicine (Pulmonary Disease)
141 TUSCALOOSA ST
MOBILE, AL 36607
Internal Medicine (Pulmonary Disease)
141 TUSCALOOSA ST
MOBILE, AL 36607
Nurse Practitioner (Acute Care)
141 TUSCALOOSA ST
MOBILE, AL 36607
Internal Medicine (Pulmonary Disease)
141 TUSCALOOSA ST
MOBILE, AL 36607
Nurse Practitioner (Gerontology)
141 TUSCALOOSA ST
MOBILE, AL 36607
Allergy & Immunology (Allergy)
141 TUSCALOOSA ST
MOBILE, AL 36607

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 Caesar Agagan's NPI number?

The NPI number for Caesar Agagan is 1285610576. It was assigned to this individual provider in the NPPES registry on December 19, 2005.

Where is Caesar Agagan located?

Caesar Agagan practices at 141 Tuscaloosa St, Mobile, AL 36607. The listed phone number is (251) 433-3344.

What is Caesar Agagan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Caesar Agagan enrolled in Medicare?

Yes. Caesar Agagan 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 Caesar Agagan accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama and 1 other insurer list Caesar Agagan 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.

When was this NPI record last updated?

The NPPES record for Caesar Agagan was last updated on June 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.