DR. MARCIA GINA C CASTRO MD
NPI 1407934789
Internal Medicine in Wilmington, DE

Active since November 02, 2006PECOS EnrolledAccepts Medicare Assignment
2055 LIMESTONE RD, SUITE111, WILMINGTON, DE 19808(302) 999-8169(302) 999-8190 Get Directions Write a Review

NPPES record last updated: May 29, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Marcia Gina C Castro Md NPPES

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

DR. MARCIA GINA C CASTRO MD (NPI 1407934789) is an individual internal medicine provider in Wilmington, Delaware, licensed in Delaware (C10006460) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1993).

NPPES Registry Identity

NPI1407934789
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. MARCIA GINA C CASTROCredential: MD
Location Address2055 LIMESTONE RD, SUITE111Wilmington, DE 19808-5536
Mailing Address2055 Limestone Rd, Suite111Wilmington, DE 19808-5536 · (302) 999-8169 · Fax (302) 999-8190
Fax(302) 999-8190
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateNovember 2, 2006
Last NPPES UpdateMay 29, 2008
NPI 1407934789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in DE · C10006460
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2055 LIMESTONE RD, Wilmington, DE 19808

Other Identifiers 3

Medicaid0001179401DE
Medicare UPINH53990
Medicare ID-Type Unspecified008841D57

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. Marcia Gina C 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 ID1658313937
PECOS Enrollment IDI20050526000296
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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
463 services217 patients
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.
393 services205 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
184 services184 patients
Transitional care management services for problem of high complexity 99496
Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.
29 services25 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
25 services23 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19808 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
$131.15 typical visit price
range $57.12 – $173.08
Typical copayment $32.78 (range $14.28 – $43.27)
Most-billed visit code 99204
Established Patient
$100.68 typical visit price
range $18.36 – $141.05
Typical copayment $25.17 (range $4.59 – $35.26)
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.

Referred Medical Equipment & Supplies CMS DME claims 7

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
24 suppliers60 claims143 services$6.42 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
3 suppliers13 claims13 services$2.96 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
19 suppliers47 claims65 services$1.07 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
2 suppliers11 claims11 services$9.45 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers15 claims90 services$1.49 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers21 claims21 services$20.46 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.

Clinical Medical Laboratory
2055 LIMESTONE RD, STE 111
WILMINGTON, DE 19808
Ophthalmology
2055 LIMESTONE RD, SUITE 103
WILMINGTON, DE 19808
Ophthalmology
2055 LIMESTONE RD, SUITE 103
WILMINGTON, DE 19808
Ophthalmology
2055 LIMESTONE RD, STE 102
WILMINGTON, DE 19808
Internal Medicine
2055 LIMESTONE RD, SUITE 111
WILMINGTON, DE 19808
Chiropractor
2055 LIMESTONE RD, SUITE 213
WILMINGTON, DE 19808
Registered Nurse
2055 LIMESTONE RD, SUITE 200
WILMINGTON, DE 19808
Counselor (Mental Health)
2055 LIMESTONE RD, SUITE #109
WILMINGTON, DE 19808

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 Marcia Gina Castro's NPI number?

The NPI number for Marcia Gina Castro is 1407934789. It was assigned to this individual provider in the NPPES registry on November 2, 2006.

Where is Marcia Gina Castro located?

Marcia Gina Castro practices at 2055 Limestone Rd Suite111, Wilmington, DE 19808. The listed phone number is (302) 999-8169.

What is Marcia Gina Castro's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Marcia Gina Castro enrolled in Medicare?

Yes. Marcia Gina 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.

What insurance does Marcia Gina Castro accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 1 other insurer list Marcia Gina Castro 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 Marcia Gina Castro was last updated on May 29, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.