GUARIONEX JOEL DECASTRO MD
NPI 1679733463
Urology in New York, NY

Active since June 15, 2008PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
161 FORT WASHINGTON AVE FL 11, NEW YORK, NY 10032(212) 305-0114(212) 305-0116 Get Directions Write a Review

NPPES record last updated: December 20, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Guarionex Joel Decastro Md NPPES

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

GUARIONEX JOEL DECASTRO MD (NPI 1679733463) is an individual urology provider in New York, New York, licensed in New York (239539) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with New York-presbyterian Hospital, and is a graduate of Columbia University College Of Physicians And Surgeons (2004).

NPPES Registry Identity

NPI1679733463
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameGUARIONEX JOEL DECASTROCredential: MD
Location Address161 FORT WASHINGTON AVE FL 11New York, NY 10032-3729
Mailing Address161 Fort Washington Ave Fl 11New York, NY 10032-3729 · (212) 305-0114 · Fax (212) 305-0116
Fax(212) 305-0116
Sole ProprietorNo
Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 2004
Enumeration DateJune 15, 2008
Last NPPES UpdateDecember 20, 2023
NPPES CertifiedDecember 20, 2023
NPI 1679733463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in NY · 239539
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
161 FORT WASHINGTON AVE FL 11, New York, NY 10032

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

Guarionex Joel Decastro 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 ID5193859338
PECOS Enrollment IDI20110707000172
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 11

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.

Injection, docetaxel, 1 mg J9171
Docetaxel is a medication given via injection to treat various types of cancer. It works by stopping cancer cells from growing and dividing. Each injection contains 1 mg of docetaxel. Side effects can occur, so regular monitoring is essential.
960 services11 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.
305 services234 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.
164 services164 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
151 services103 patients
Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg J9201
Gemcitabine hydrochloride is a medication given via injection to treat certain types of cancer. The 200 mg dose is administered by a healthcare professional. The drug works by slowing or stopping the growth of cancer cells in the body. It's important to follow your doctor's instructions while receiving this treatment.
130 services13 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.
129 services107 patients

Hospital Affiliations CMS Care Compare

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

New York-Presbyterian Hospital

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330101
Location525 East 68th StreetNew York, NY 10065 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10032 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
Most-billed visit code 99213
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.8
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 9

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

Lubricant, individual sterile packet, each A4332
DME-Medical/Surgical Supplies · category DA000N
1 supplier12 claims2,400 services$0.11 avg. paid by Medicare
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
1 supplier13 claims2,400 services$6.21 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
3 suppliers12 claims44 services$8.04 avg. paid by Medicare
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385
DME-Orthotic Devices · category DF010N
2 suppliers11 claims280 services$4.93 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each A4407
DME-Orthotic Devices · category DF010N
1 supplier12 claims240 services$8.47 avg. paid by Medicare
Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each A4430
DME-Orthotic Devices · category DF010N
3 suppliers11 claims395 services$7.83 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 16

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

Urology
161 FORT WASHINGTON AVE FL 11
NEW YORK, NY 10032
Urology
161 FORT WASHINGTON AVE FL 11
NEW YORK, NY 10032
Physician Assistant
161 FORT WASHINGTON AVE FL 11
NEW YORK, NY 10032
Nurse Practitioner (Family)
161 FORT WASHINGTON AVE FL 11
NEW YORK, NY 10032
Student in an Organized Health Care Education/Training Program
161 FORT WASHINGTON AVE FL 11
NEW YORK, NY 10032
Urology
161 FORT WASHINGTON AVE FL 11
NEW YORK, NY 10032
Nurse Practitioner (Family)
161 FORT WASHINGTON AVE FL 11
NEW YORK, NY 10032
Student in an Organized Health Care Education/Training Program
161 FORT WASHINGTON AVE FL 11
NEW YORK, NY 10032

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 Guarionex Decastro's NPI number?

The NPI number for Guarionex Decastro is 1679733463. It was assigned to this individual provider in the NPPES registry on June 15, 2008.

Where is Guarionex Decastro located?

Guarionex Decastro practices at 161 Fort Washington Ave Fl 11, New York, NY 10032. The listed phone number is (212) 305-0114.

What is Guarionex Decastro's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Guarionex Decastro enrolled in Medicare?

Yes. Guarionex Decastro 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.

Is Guarionex Decastro affiliated with any hospitals?

According to CMS data, Guarionex Decastro is affiliated with New York-Presbyterian Hospital.

When was this NPI record last updated?

The NPPES record for Guarionex Decastro was last updated on December 20, 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.