DR. MARLON DECASTRO M.D.
NPI 1780643270
Internal Medicine in Santa Rosa, CA

Active since March 22, 2006PECOS EnrolledAccepts Medicare Assignment
500 DOYLE PARK DR, STE. 303, SANTA ROSA, CA 95405(707) 303-8300(707) 303-8301 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 7, 2023, Oct 21, 2021, Jan 25, 2021 (3 updates tracked since 2021).

About Dr. Marlon Decastro M.d. NPPES

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

DR. MARLON DECASTRO M.D. (NPI 1780643270) is an individual internal medicine provider in Santa Rosa, California, licensed in California (C53594) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1780643270
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. MARLON DECASTROCredential: M.D.
Location Address500 DOYLE PARK DR, STE. 303Santa Rosa, CA 95405-4558
Mailing Address500 Doyle Park Dr, Ste 303Santa Rosa, CA 95405-4558 · (707) 303-8300 · Fax (707) 303-8301
Fax(707) 303-8301
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateMarch 22, 2006
Last NPPES UpdateMarch 7, 20233 updates tracked since enumeration
NPPES CertifiedOctober 21, 2021
NPI 1780643270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in CA · C53594 Licensed in SC · 23181
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.
500 DOYLE PARK DR, Santa Rosa, CA 95405

Other Identifiers 4

OtherC53594CA · Ca License
Other23181SC · State License
Other20-23181SC · Dhec
Medicaid231813SC

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. Marlon Decastro 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 ID9234131905
PECOS Enrollment IDI20100316000335
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 14

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, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
1,020 services14 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.
751 services385 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
166 services128 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
94 services93 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.
87 services82 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
83 services83 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95405 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
$142.00 typical visit price
range $63.04 – $187.01
Typical copayment $35.50 (range $15.76 – $46.75)
Most-billed visit code 99204
Established Patient
$109.88 typical visit price
range $21.02 – $153.40
Typical copayment $27.47 (range $5.25 – $38.35)
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
10 suppliers28 claims68 services$6.05 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
9 suppliers17 claims21 services$1.02 avg. paid by Medicare
Ostomy pouch, drainable, with extended wear barrier attached, (1 piece), each A4388
DME-Orthotic Devices · category DF010N
1 supplier11 claims220 services$3.37 avg. paid by Medicare
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150
Other-Enteral and Parenteral · category OB006N
1 supplier13 claims7,020 services$0.37 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
6 suppliers40 claims40 services$85.37 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
3 suppliers24 claims24 services$36.23 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.

Family Medicine
500 DOYLE PARK DR, SUITE G-04
SANTA ROSA, CA 95405
Nurse Practitioner (Family)
500 DOYLE PARK DR, SUITE 103
SANTA ROSA, CA 95405
Family Medicine
500 DOYLE PARK DR, SUITE G04
SANTA ROSA, CA 95405
Internal Medicine (Cardiovascular Disease)
500 DOYLE PARK DR, SUITE G05
SANTA ROSA, CA 95405
Internal Medicine
500 DOYLE PARK DR, SUITE 304
SANTA ROSA, CA 95405
Thoracic Surgery (Cardiothoracic Vascular Surgery)
500 DOYLE PARK DR, SUITE G-05
SANTA ROSA, CA 95405
Internal Medicine
500 DOYLE PARK DR, SUITE 300
SANTA ROSA, CA 95405
Pediatrics
500 DOYLE PARK DR, SUITE 100
SANTA ROSA, CA 95405

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 Marlon Decastro's NPI number?

The NPI number for Marlon Decastro is 1780643270. It was assigned to this individual provider in the NPPES registry on March 22, 2006.

Where is Marlon Decastro located?

Marlon Decastro practices at 500 Doyle Park Dr Ste. 303, Santa Rosa, CA 95405. The listed phone number is (707) 303-8300.

What is Marlon Decastro's specialty?

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

Is Marlon Decastro enrolled in Medicare?

Yes. Marlon 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.

When was this NPI record last updated?

The NPPES record for Marlon Decastro was last updated on March 7, 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.