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DR. EDGARDO CASTILLO-NIEVES MD
NPI 1508039819
Internal Medicine in Lehigh Acres, FL

Active since April 08, 2008PECOS EnrolledAccepts Medicare Assignment
1530 LEE BLVD, SUITE 1600, LEHIGH ACRES, FL 33936(239) 368-7310(239) 368-7312 Get Directions Write a Review

NPPES record last updated: January 4, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 4, 2023, Dec 16, 2016 (2 updates tracked since 2016).

About Dr. Edgardo Castillo-nieves Md NPPES

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

DR. EDGARDO CASTILLO-NIEVES MD (NPI 1508039819) is an individual internal medicine provider in Lehigh Acres, Florida, licensed in Puerto Rico (26,410-R) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1508039819
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. EDGARDO CASTILLO-NIEVESCredential: MD
Location Address1530 LEE BLVD, SUITE 1600Lehigh Acres, FL 33936-4893
Mailing Address1530 Lee Blvd Ste 1400Lehigh Acres, FL 33936-4887 · (239) 368-7310 · Fax (239) 368-7312
Phone(239) 368-7310
Fax(239) 368-7312
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateApril 8, 2008
Last NPPES UpdateJanuary 4, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 4, 2023
✔ NPI 1508039819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PR · 26,410-R
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.
1530 LEE BLVD, Lehigh Acres, FL 33936
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Other Names 1

Professional Name (2)Dr. Edgardo Castillo M.d

Other Identifiers 1

Medicaid112016700FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), 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

Dr. Edgardo Castillo-nieves 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 ID4082740782
PECOS Enrollment IDI20100406000369
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 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.

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.
196 services78 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
84 services45 patients
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.
76 services46 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.
40 services40 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33936 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
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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.

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…
95%685 patients4/55-star benchmark: 100%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
37%853 patients2/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
28%341 patients2/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
98%11,926 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
83%2,200 patients4/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
99%978 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
97%1,899 patients5/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
57%1,812 patients3/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
14%1,286 patients1/55-star benchmark: 88%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
46%1,899 patients2/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
4%1,899 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
15%1,899 patients
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 4

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
6 suppliers35 claims136 services$6.96 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
3 suppliers22 claims22 services$2.94 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers28 claims52 services$1.21 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers13 claims13 services$173.20 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 14

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

R M ORTHOPEDICS PA
Specialist
1530 LEE BLVD, #1300
LEHIGH ACRES, FL 33936
Lee County (239) 368-5777
SHEEJA A KANACHERIL D.O.
Family Medicine
1530 LEE BLVD, SUITE 1100
LEHIGH ACRES, FL 33936
Lee County (239) 368-0241
DR. MICHELLE RENEE SCHENK D.O.
Surgery
1530 LEE BLVD, STE 1100
LEHIGH ACRES, FL 33936
Lee County (239) 368-0241
LEHIGH HMA PHYSICIAN MANAGEMENT, LLC
General Practice
1530 LEE BLVD, SUITE 2300
LEHIGH ACRES, FL 33936
Lee County (239) 573-1505
LEHIGH HMA PHYSICIAN MANAGEMENT, LLC
Family Medicine
1530 LEE BLVD, SUITE 1700
LEHIGH ACRES, FL 33936
Lee County (239) 369-6115
VINCENT L. GRANT MD PLC
Surgery
1530 LEE BLVD, SUITE 2350
LEHIGH ACRES, FL 33936
Lee County (239) 368-0095
LEHIGH HMA PHYSICIAN MANAGEMENT, LLC
Family Medicine
1530 LEE BLVD, SUITE 1100
LEHIGH ACRES, FL 33936
Lee County (239) 368-0241
DR. MARIA CRISTINA LOCSIN GOIRI MD
Internal Medicine
1530 LEE BLVD, SUITE 1700
LEHIGH ACRES, FL 33936
Lee County (239) 369-6115

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 Edgardo Castillo-nieves's NPI number?

The NPI number for Edgardo Castillo-nieves is 1508039819. It was assigned to this individual provider in the NPPES registry on April 8, 2008. The provider is also known as Dr. Edgardo Castillo M.D.

Where is Edgardo Castillo-nieves located?

Edgardo Castillo-nieves practices at 1530 Lee Blvd Suite 1600, Lehigh Acres, FL 33936. The listed phone number is (239) 368-7310.

What is Edgardo Castillo-nieves's specialty?

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

Is Edgardo Castillo-nieves enrolled in Medicare?

Yes. Edgardo Castillo-nieves 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 Edgardo Castillo-nieves accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and UnitedHealthcare list Edgardo Castillo-nieves 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 Edgardo Castillo-nieves was last updated on January 4, 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.