NPPES file of Aug 9, 2026

Guarionex Joel Decastro, MD

Urology Physician · New York, NY

Guarionex Joel Decastro, MD is a urology physician with a practice address in New York, New York, and NPI 1679733463, issued on Jun 15, 2008. Check the license (New York 239539, as entered in NPPES) on the NYS Education Department, Office of the Professions; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1679733463
Name
Guarionex Joel Decastro
Credential
MD
Primary taxonomy
Urology Physician 208800000X
License number
239539 NY
Self-reported in NPPES; status is on the state search
Practice location
161 Fort Washington Ave FL 11, New York, NY 10032
Phone
(212) 305-0114
Enumerated
Jun 15, 2008
Record last updated
Dec 20, 2023
Fax
(212) 305-0116
Medicare enrollment
Enrolled (PECOS I20110707000172); accepts Medicare assignment
Medical or professional school
Columbia University College Of Physicians And Surgeons, 2004
Telehealth
Offers telehealth (CMS)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 161 Fort Washington Ave FL 11

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Joseph Alukal, M.D.Urology Physician1003084203
  2. Harry Anastos, MDUrology Physician1851895353
  3. Richard BermanStudent in an Organized Health Care Education/Training Program1245172014
  4. Aaron Brant, MDUrology Physician1407211709
  5. Jenny Cherian, DNPFamily Nurse Practitioner1205770948
  6. Mark Cogburn, MDUrology Physician1164788691

Verify Guarionex Joel Decastro in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersNYS Education Department, Office of the Professions
    Search for license 239539
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the New York license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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46% fewer Medicare Part D claims than the average urology physician in 2024

723 Medicare Part D claims for 310 beneficiaries, against an average of 1,340 among the 10,782 providers of this specialty who prescribed in Part D. 13 claims were for opioids.

  1. Guarionex Decastro723
  2. Specialty average1,340

Most prescribed

  1. Tamsulosin Hcl270 claims
  2. Levofloxacin109 claims
  3. Finasteride87 claims
  4. Oxybutynin Chloride Er45 claims
  5. Bcg (Tice Strain)21 claims
  6. Lupron Depot16 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The MIPS final score for 2023 (Medicare payment program): 100 of 100

The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score86.8
  2. Costnot scored (reweighted)
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $74.98

3 payments; by number, the most common kind was food and beverage; the largest payer was Astellas Pharma US Inc. The 9,340 providers of this specialty with any payment received $3,800.04 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Guarionex Decastro$74.98
  2. Specialty average$3,800.04

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Trustees OF Columbia University IN The City OF New YorkNew York, NY

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Guarionex Joel Decastro among 1,091 urology physician records in New York

Guarionex Joel Decastro, MD is one of 1,091 urology physician records with a practice address in New York. 80% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2008, is newer than 58% of them.

  • NPI issued2008 · 58% of these records are older, 35% newer
  • In a Medicare fileYes · 80% of these records are
  • In the CMS Doctors and Clinicians fileYes · 67% of these records are
  • Graduated2004 · median 2000 among the 735 with a school on file
  • Record last updated2023 · 66% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208800000X and a New York practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Urology Physician providers in New York

There are 1,091 urology physician records in New York.

The 8 urology physician records with the nearest ZIP codes

  1. Joseph Alukal, M.D.New York, NY 100321003084203
  2. Ketan Badani, M.D.New York, NY 100321700084985
  3. Mitchell Benson, MDNew York, NY 100321518060425
  4. John Birkhoff, M.D.New York, NY 100321992866933
  5. Kimberly Cooper, MDNew York, NY 100321881703890
  6. Brian Davis-Joseph, MDNew York, NY 100321376575464
  7. Gerald Hoke, MDNew York, NY 100321407951593
  8. James McKiernan, MDNew York, NY 100321891804746

Common questions

What is Guarionex Joel Decastro, MD's NPI number?

Guarionex Joel Decastro, MD's National Provider Identifier (NPI) is 1679733463, issued on Jun 15, 2008. An NPI identifies a provider in billing; it is not a license.

Where is Guarionex Joel Decastro, MD located?

The NPPES record lists a practice address at 161 Fort Washington Ave FL 11, New York, NY, 10032. Phone: (212) 305-0114. Providers update this record themselves, so call before visiting.

How can I verify Guarionex Joel Decastro, MD's license?

NPPES lists New York license number 239539, as entered by the provider. Search the NYS Education Department, Office of the Professions at https://www.op.nysed.gov/services/verifications/online-verification-searches. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Guarionex Joel Decastro, MD prescribe under Medicare Part D?

In 2024, Guarionex Joel Decastro, MD had 723 Medicare Part D claims for 310 beneficiaries; the average among urology physician prescribers was 1,340. Part D covers Medicare prescriptions only.

What is Guarionex Joel Decastro, MD's MIPS final score?

The 2023 MIPS final score is 100 of 100. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.