DR. THOMAS MIGUEL CASTANEDA M.D.
NPI 1417489808
Emergency Medicine in Albany, NY

Active since April 03, 2017PECOS EnrolledAccepts Medicare Assignment
76.7/100
CMS Quality Rating
47 NEW SCOTLAND AVE, DEPT. OF EMERGENCY MEDICINE, ALBANY, NY 12208(518) 262-4050 Get Directions Write a Review

NPPES record last updated: June 30, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Thomas Miguel Castaneda M.d. NPPES

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

DR. THOMAS MIGUEL CASTANEDA M.D. (NPI 1417489808) is an individual emergency medicine provider in Albany, New York, licensed in New York (301465) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Albany Medical Center Hospital, and is a graduate of Albany Medical College Of Union University (2020).

NPPES Registry Identity

NPI1417489808
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. THOMAS MIGUEL CASTANEDACredential: M.D.
Location Address47 NEW SCOTLAND AVE, DEPT. OF EMERGENCY MEDICINEAlbany, NY 12208
Mailing Address47 New Scotland Ave, Dept. Of Emergency MedicineAlbany, NY 12208-3412 · (518) 262-4050
Sole ProprietorNo
Medical School CMSAlbany Medical College Of Union UniversityGraduated 2020
Enumeration DateApril 3, 2017
Last NPPES UpdateJune 30, 2020
NPPES CertifiedJune 30, 2020
✔ NPI 1417489808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in NY · 301465
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.
47 NEW SCOTLAND AVE, DEPT. OF EMERGENCY MEDICINE, Albany, NY 12208

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

Dr. Thomas Miguel Castaneda 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 ID3870838816
PECOS Enrollment IDI20200229000031
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

8

Medicare enrollment records show Thomas Miguel Castaneda reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Allergy & Immunology
47 NEW SCOTLAND AVE
Albany, NY 12208
  • Reassigned Medicare billing, New York enrollment
  • 1,640 clinicians in this Medicare group
Family Medicine
112 CHARLTON RD
Ballston Lake, NY 12019
  • Reassigned Medicare billing, New York enrollment
  • 456 clinicians in this Medicare group
Urgent Care
6 MEDICAL PARK DRIVE
Malta, NY 12020
  • Reassigned Medicare billing, New York enrollment
  • 103 clinicians in this Medicare group
Hospitalist
427 GUY PARK AVE
Amsterdam, NY 12010
  • Reassigned Medicare billing, New York enrollment
  • 63 clinicians in this Medicare group
Emergency Medicine
427 GUY PARK AVE
Amsterdam, NY 12010
  • Reassigned Medicare billing, New York enrollment
  • 64 clinicians in this Medicare group
Emergency Medicine
427 GUY PARK AVE
Amsterdam, NY 12010
  • Reassigned Medicare billing, New York enrollment
  • 65 clinicians in this Medicare group
Multi-Specialty
1 ATWELL RD
Cooperstown, NY 13326
  • Reassigned Medicare billing, New York enrollment
  • 1,052 clinicians in this Medicare group
Emergency Medicine
327 BEACH 19TH ST
Far Rockaway, NY 11691
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Island Emergency Medical Services PC
  • 290 clinicians in this Medicare group

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 3

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.

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.
297 services283 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.
118 services116 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.
50 services50 patients

Hospital Affiliations CMS Care Compare 2

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

Albany Medical Center Hospital

Acute Care Hospitals · Albany, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330013
Location43 New Scotland Avenue, Mail Code 34Albany, NY 12208 · Albany County
Emergency services Birthing friendly

Saratoga Hospital

Acute Care Hospitals · Saratoga Springs, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330222
Location211 Church StreetSaratoga Springs, NY 12866 · Saratoga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12208 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

76.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.96
Promoting Interoperability74
Improvement Activities40
Cost61.04

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 Thomas Miguel Castaneda's NPI number?

The NPI number for Thomas Miguel Castaneda is 1417489808. It was assigned to this individual provider in the NPPES registry on April 3, 2017.

Where is Thomas Miguel Castaneda located?

Thomas Miguel Castaneda practices at 47 New Scotland Ave, Dept. Of Emergency Medicine, Albany, NY 12208. The listed phone number is (518) 262-4050.

What is Thomas Miguel Castaneda's specialty?

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

Is Thomas Miguel Castaneda enrolled in Medicare?

Yes. Thomas Miguel Castaneda 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 Thomas Miguel Castaneda's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Miguel Castaneda reassigns Medicare benefits to 8 organizations: Albany Medical College (Albany, NY), Saratoga Hospital (Ballston Lake, NY), Healthcare Partners Of Saratoga Ltd (Malta, NY), Upstate Ny Doctor Of Medicine PLLC (Amsterdam, NY), Upstate Ny Physician PLLC (Amsterdam, NY) and 3 more organizations, listed in the Medicare section above. 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 Thomas Miguel Castaneda's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Thomas Miguel Castaneda affiliated with any hospitals?

According to CMS data, Thomas Miguel Castaneda is affiliated with Albany Medical Center Hospital and Saratoga Hospital.

When was this NPI record last updated?

The NPPES record for Thomas Miguel Castaneda was last updated on June 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.