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DR. GREGG CENIZA CASTILLO M.D.
NPI 1508928185
Family Medicine in Houston, TX

Active since December 13, 2006PECOS EnrolledAccepts Medicare Assignment
13176 W LAKE HOUSTON PKWY, STE 4, HOUSTON, TX 77044(281) 436-0061(281) 436-1128 Get Directions Write a Review

NPPES record last updated: August 29, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 29, 2018, Aug 22, 2018 (2 updates tracked since 2018).

About Dr. Gregg Ceniza Castillo M.d. NPPES

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

DR. GREGG CENIZA CASTILLO M.D. (NPI 1508928185) is an individual family medicine provider in Houston, Texas, licensed in Texas (M4728) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Memorial Hermann Northeast Hospital, and is a graduate of University Of Texas Medical School At Houston (2004).

NPPES Registry Identity

NPI1508928185
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. GREGG CENIZA CASTILLOCredential: M.D.
Location Address13176 W LAKE HOUSTON PKWY, STE 4Houston, TX 77044
Mailing Address13176 W Lake Houston Pkwy, Ste 4Houston, TX 77044-5381 · (281) 436-0061 · Fax (281) 436-1128
Phone(281) 436-0061
Fax(281) 436-1128
Sole ProprietorYes
Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 2004
Enumeration DateDecember 13, 2006
Last NPPES UpdateAugust 29, 20182 updates tracked since enumeration
✔ NPI 1508928185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · M4728
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
13176 W LAKE HOUSTON PKWY, Houston, TX 77044
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Community Health Choice.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. Gregg Ceniza 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 ID1759450521
PECOS Enrollment IDI20080520000285
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 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.

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.
169 services82 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.
75 services56 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.
37 services37 patients

Hospital Affiliations CMS Care Compare

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

Memorial Hermann Northeast Hospital

Acute Care Hospitals · Humble, TX
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450684
Location18951 Memorial NorthHumble, TX 77338 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77044 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
80%90 patients4/55-star benchmark: 100%
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
61%28 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.
90%1,792 patients4/55-star benchmark: 100%
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…
43%44 patients2/55-star benchmark: 96%
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.
47%600 patients2/55-star benchmark: 99%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
74%104 patients3/55-star benchmark: 100%
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…
88%120 patients4/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
69%120 patients3/55-star benchmark: 100%
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…
81%600 patients4/55-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…
76%600 patients5/55-star benchmark: 59%
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.

Other Providers at the Same Location NPPES 5

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

DR. CESARIO A CASTILLO M.D.
Family Medicine
13176 W LAKE HOUSTON PKWY, SUITE 5
HOUSTON, TX 77044
Harris County (281) 436-0061
CESARIO A CASTILLO MD PA
Family Medicine
13176 W LAKE HOUSTON PKWY, SUITE 5
HOUSTON, TX 77044
Harris County (281) 436-0061
BRIAN C CASTILLO, MD PA
Family Medicine
13176 W LAKE HOUSTON PKWY, SUITE 4
HOUSTON, TX 77044
Harris County (281) 436-0061
BRIAN CASTILLO M.D.
Family Medicine
13176 W LAKE HOUSTON PKWY, STE. 5
HOUSTON, TX 77044
Harris County (281) 436-0061
ADKINS & ASSOCIATES, LLC
Chiropractor
13176 W LAKE HOUSTON PKWY
HOUSTON, TX 77044
Harris County (409) 782-5536

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 Gregg Castillo's NPI number?

The NPI number for Gregg Castillo is 1508928185. It was assigned to this individual provider in the NPPES registry on December 13, 2006.

Where is Gregg Castillo located?

Gregg Castillo practices at 13176 W Lake Houston Pkwy Ste 4, Houston, TX 77044. The listed phone number is (281) 436-0061.

What is Gregg Castillo's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Gregg Castillo enrolled in Medicare?

Yes. Gregg 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 Gregg Castillo accept?

Health plans from Blue Cross and Blue Shield of Texas and Community Health Choice list Gregg 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 Gregg Castillo affiliated with any hospitals?

According to CMS data, Gregg Castillo is affiliated with Memorial Hermann Northeast Hospital.

When was this NPI record last updated?

The NPPES record for Gregg Castillo was last updated on August 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.