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EDGAR PUMAROL CASTILLO M.D.
NPI 1285981183
Hospitalist in Lafayette, LA

Active since August 09, 2012PECOS EnrolledAccepts Medicare Assignment
91.2/100
CMS Quality Rating
4600 AMBASSADOR CAFFERY PKWY, LAFAYETTE, LA 70508(337) 470-2605 Get Directions Write a Review

NPPES record last updated: October 4, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 4, 2023, Apr 17, 2019, Feb 9, 2017 (3 updates tracked since 2017).

About Edgar Pumarol Castillo M.d. NPPES

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

EDGAR PUMAROL CASTILLO M.D. (NPI 1285981183) is an individual hospitalist provider in Lafayette, Louisiana, licensed in Louisiana (208224) and active in the NPI registry since August 2012. He is enrolled in Medicare PECOS, is affiliated with Ochsner Lafayette General Medical Center, and maintains a secondary practice location in Baton Rouge.

NPPES Registry Identity

NPI1285981183
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameEDGAR PUMAROL CASTILLOCredential: M.D.
Location Address4600 AMBASSADOR CAFFERY PKWYLafayette, LA 70508-6902
Mailing Address5959 S Sherwood Forest BlvdBaton Rouge, LA 70816-6038 · (337) 470-2605 · Fax (225) 765-9196
Phone(337) 470-2605
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateAugust 9, 2012
Last NPPES UpdateOctober 4, 20233 updates tracked since enumeration
NPPES CertifiedOctober 4, 2023
✔ NPI 1285981183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in LA · 208224
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD.208224 (LA)
4600 AMBASSADOR CAFFERY PKWY, Lafayette, LA 70508
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Other Names 1

Other Name (5)Edgar Pumarol M.d.

Secondary Practice Location 1

Location 11700 Medical Center DrBaton Rouge, LA 70816-3246 · Phone (337) 261-6384

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana, UnitedHealthcare.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

Edgar Pumarol 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 ID1557502788
PECOS Enrollment IDI20151110002901
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.
583 services253 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.
332 services92 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.
204 services193 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.
187 services172 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.
115 services66 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.
94 services93 patients

Hospital Affiliations CMS Care Compare 4

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

Ochsner Lafayette General Medical Center

Acute Care Hospitals · Lafayette, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190002
Location1214 Coolidge AvenueLafayette, LA 70503 · Lafayette County
Emergency services Birthing friendly

Iberia Medical Center

Acute Care Hospitals · New Iberia, LA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190054
Location2315 E Main StreetNew Iberia, LA 70562 · Iberia County
Emergency services Birthing friendly

Our Lady Of Lourdes Regional Medical Center, Inc

Acute Care Hospitals · Lafayette, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190102
Location4801 Ambassador Caffery ParkwayLafayette, LA 70508 · Lafayette County
Emergency services Birthing friendly

Ochsner St Martin Hospital

Critical Access Hospitals · Breaux Bridge, LA
OwnershipVoluntary non-profit - Private
CMS Certification Number191302
Location210 Champagne BoulevardBreaux Bridge, LA 70517 · St. Martin County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70508 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
$124.60 typical visit price
range $53.43 – $164.73
Typical copayment $31.15 (range $13.35 – $41.18)
Most-billed visit code 99204
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
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.

91.2/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.43
Improvement Activities40
Cost91.15

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
99%90 patients4/55-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

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
3 suppliers20 claims20 services$62.83 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.

HEDGE DIAGNOSTICS, INC, APMC
Radiology (Diagnostic Radiology)
4600 AMBASSADOR CAFFERY PKWY
LAFAYETTE, LA 70508
Lafayette Parish (337) 261-5151
KARL M. VALCOURT M.D.
Pediatrics (Pediatric Critical Care Medicine)
4600 AMBASSADOR CAFFERY PKWY
LAFAYETTE, LA 70508
Lafayette Parish (337) 470-2605
NEVA DUCOTE SEAGO MD
Pediatrics (Neonatal-Perinatal Medicine)
4600 AMBASSADOR CAFFERY PKWY, WOMEN'S AND CHILDREN'S HOSPITAL
LAFAYETTE, LA 70508
Lafayette Parish (337) 521-9100
LAFAYETTE OB HOSPITALISTS LLC
Obstetrics & Gynecology
4600 AMBASSADOR CAFFERY PKWY
LAFAYETTE, LA 70508
Lafayette Parish (377) 521-9239
ELLIS NGUYEN
Pharmacist
4600 AMBASSADOR CAFFERY PKWY
LAFAYETTE, LA 70508
Lafayette Parish (337) 470-5500
ASHISH MAVJIBHAI GOTI M.D.
Hospitalist
4600 AMBASSADOR CAFFERY PKWY
LAFAYETTE, LA 70508
Lafayette Parish (337) 470-2605
THE REGIONAL HEALTH SYSTEM OF ACADIANA, LLC
General Acute Care Hospital
4600 AMBASSADOR CAFFERY PKWY
LAFAYETTE, LA 70508
Lafayette Parish (337) 521-9100
DR. EBENEZER S. BEDIAKO MD
Pediatrics
4600 AMBASSADOR CAFFERY PKWY
LAFAYETTE, LA 70508
Lafayette Parish (337) 470-5500

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 Edgar Pumarol Castillo's NPI number?

The NPI number for Edgar Pumarol Castillo is 1285981183. It was assigned to this individual provider in the NPPES registry on August 9, 2012. The provider is also known as Edgar Pumarol M.D..

Where is Edgar Pumarol Castillo located?

Edgar Pumarol Castillo practices at 4600 Ambassador Caffery Pkwy, Lafayette, LA 70508. The listed phone number is (337) 470-2605.

What is Edgar Pumarol Castillo's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Edgar Pumarol Castillo enrolled in Medicare?

Yes. Edgar Pumarol 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.

What insurance does Edgar Pumarol Castillo accept?

Health plans from Blue Cross and Blue Shield of Louisiana, HMO Louisiana and UnitedHealthcare list Edgar Pumarol Castillo 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 Edgar Pumarol Castillo affiliated with any hospitals?

According to CMS data, Edgar Pumarol Castillo is affiliated with Ochsner Lafayette General Medical Center, Iberia Medical Center, Our Lady Of Lourdes Regional Medical Center, Inc and Ochsner St Martin Hospital.

When was this NPI record last updated?

The NPPES record for Edgar Pumarol Castillo was last updated on October 4, 2023. 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.