2026 NPPES data Allergy & Immunology Physician NPI 1043200470 MD
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Lazaro Castillo, MD

Allergy & Immunology Physician in Cape Coral, Florida.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 3,412 in Allergy & Immunology Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.

Federal data, no proprietary rating. We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
846
Medicare Part D claims · 247 beneficiaries · Allergy & Immunology Physician avg: 788
Generic prescribing
68%
generic claims · 32% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
75/100
CMS neutral threshold · no category scores published
Industry payments
$36.52
2 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

Lazaro Castillo, MD carries the neutral CMS MIPS final score of 75/100, assigned where no category was scored - and filed 846 Medicare Part D claims in 2024.

75/100
CMS neutral score · not measured
846
Part D claims, 2024
68%
generic prescribing
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.

Federal trust snapshot

What official records show about Lazaro Castillo, MD

Federal records show an active NPI with Medicare Part D prescribing activity — verifiable registry data, not a proprietary rating.

  • Verified

    NPI registry status

    Active listing in the CMS National Provider Identifier Registry (NPI 1043200470), first enumerated 10/26/2005.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 846 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.

    Source: CMS Part D Prescriber PUF

  • Reported

    CMS quality reporting (MIPS)

    CMS assigned a neutral MIPS final score of 75/100 where no performance category was scored — not a measured quality rank.

    Source: CMS Quality Payment Program

  • Reported

    Board certification signal

    Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.

    Source: NUCC taxonomy + CMS participation heuristic

  • Reported

    Industry payment transparency

    $36.52 in reported industry payments (2 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.

    Source: CMS Open Payments

  • State context

    State board disciplinary context

    Florida statewide board action statistics are published annually — these figures describe aggregate state activity, not Lazaro Castillo, MD's individual license status. Verify directly with the state medical board.

    Source: FLDOH annual report 2023

  • Not in federal data

    Individual sanction lookup

    PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.

    Source: State medical board / FSMB

This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.

Compare Castillo with other Allergy & Immunology Physician providers

Same primary specialty, same federal CMS NPPES roster.

Also enrolled in Florida

Other specialties in Cape Coral: Behavior Technician (1,235) · Family Nurse Practitioner (174) · Pharmacist (162) · Student in an Organized Health Care Education/Training Program (105)

CMS NPPES provider registry desk

NPI 1043200470 · Allergy & Immunology Physician

NPI-10 · ENUM-LEGACY · TAX-NARROW · MIPS-NEUTRAL · RX-LIGHT · BOOK-THIN · PHOTO-ENUM

  • NPI-10 1043200470
  • ENUM-LEGACY 2005
  • TAX-NARROW 3,412
  • MIPS-NEUTRAL 75/100
  • RX-LIGHT 846
  • BOOK-THIN 204 in Florida
  • PHOTO-ENUM Holly McPherson, M. D. · 2005

Lazaro Castillo, MD's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2024, across all CMS prescribers nationally

846 ≥ 72nd percentile 72% of 1,416,883 prescribers are in lower value bands

0–200: 679,947 prescribers (48%). Below this entry. 200–400: 188,835 prescribers (13%). Below this entry. 400–600: 95,866 prescribers (7%). Below this entry. 600–800: 60,107 prescribers (4%). Below this entry. 800–1,000: 43,043 prescribers (3%). This entry sits in this band. 1,000–1,200: 33,612 prescribers (2%). Above this entry. 1,200–1,400: 27,889 prescribers (2%). Above this entry. 1,400–1,600: 23,183 prescribers (2%). Above this entry. 1,600–1,800: 19,917 prescribers (1%). Above this entry. 1,800–2,000: 17,585 prescribers (1%). Above this entry. 2K+: 226,899 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

The percentile is a conservative 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.

Source CMS Medicare Part D Prescriber Public Use File · 2024

✓
Board certification likely (heuristic, not verified)

Lazaro Castillo, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about Lazaro Castillo, MD?

CMS neutral score, not measured

NPI registry status

Active

Issued 10/26/2005

NPI 1043200470

Primary specialty

Allergy & Immunology Physician

Niche

3,412 US NPIs in this specialty

Medicare Part D claims

846 7% vs specialty avg

2024 prescription claims

Specialty avg: 788

MIPS final score

75/100

CMS neutral score, not measured

No category scores published; CMS assigned the performance threshold

Specialty distribution in Florida

How Allergy & Immunology Physician compares to other specialties among Florida providers

Florida providers
Behavior Technician16.3%Mental Health Counselor4.8%Family Nurse Practitioner4.5%Pharmacist4.1%Student in an Organized Heal…4.1%Physical Therapist3%Allergy & Immunology Physici…0%
Largest specialties in Florida (% of in-state providers)

MIPS score not measured

CMS assigned a neutral 75/100 threshold

CMS did not publish any Quality, Cost, Promoting Interoperability, or Improvement Activities category score for this clinician. This administrative threshold is not comparable with the national average of clinicians whose MIPS score was measured.

How MIPS and board certification work

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

Practice Address

3208 CHIQUITA BLVD S STE 110
Cape Coral, FL 33914

Provider Details

NPI 1043200470
Specialty Allergy & Immunology Physician
Credentials MD
Gender Male
NPI Issued 10/26/2005

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

75
Final Score
CMS neutral threshold · not measured

Reporting: Group practice

Industry payments received (2024) - CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Lazaro Castillo, MD. Source: openpaymentsdata.cms.gov.

Total received

$37

Largest payer

AstraZeneca Pharmaceuticals LP

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

License & disciplinary context - Florida FLDOH 2023 annual report

Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~75K Florida medical licensees in 2023 - they are NOT specific to Lazaro Castillo, MD. To verify Lazaro Castillo, MD's current license status, search the FLDOH public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

480
Total board actions, Florida 2023
Across 467 cases
6.40
Actions per 1,000 licensees
Florida statewide rate
monetary fine
Most common action type
138 cases

FLDOH publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Florida disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Above average

Lazaro Castillo, MD - brand share 32.0%
Allergy & Immunology Physician average

32% brand-name claims vs 68% generic, on 846 2024 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2024.

846
Total Claims
$652K
Total Drug Cost
247
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,572.867
Total Day Supply
45,886
Brand vs Generic
32% brand / 68% generic
Brand Drug Cost
$631K
Generic Drug Cost
$21K
Antibiotic Claims
11

Patient Demographics

Average Patient Age
74.2 years
Avg HCC Risk Score
1.22
Gender Split
66% female / 34% male
Age Distribution
<65: 13, 65-74: 125, 75-84: 94, 85+: 15

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.

What Lazaro Castillo, MD prescribes most

Top Medicare Part D drugs by claim count, 2024

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2024
Drug Claims
Montelukast Sodium
206
Fluticasone Propionate
72
Albuterol Sulfate Hfa
Albuterol Sulfate
49
Ipratropium Bromide
47
Breo Ellipta
Fluticasone/Vilanterol
42
Symbicort
Budesonide/Formoterol Fumarate
42
Hizentra
Immun Glob G(Igg)/Pro/Iga 0-50
36
Pantoprazole Sodium
34
Dulera
Mometasone/Formoterol
28
Wixela Inhub
Fluticasone Propion/Salmeterol
28

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Allergy & Immunology Physician Overview

How Lazaro Castillo, MD fits within the Allergy & Immunology Physician landscape nationally.

3,412
Allergy & Immunology Physician Providers in US
52
States with Allergy & Immunology Physician
788
Avg Claims per Provider

Lazaro Castillo, MD's 846 claims are above the specialty average of 788.

Nationwide Allergy & Immunology Physician peers with similar MIPS or enrollment year

Two federal-record peer sets for Castillo, both outside Florida so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (75 here).

Same NPPES enumeration year (2005)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Nearby Allergy & Immunology Physician Providers in Florida

Other clinicians with the same primary specialty enrolled in Florida, drawn from the same CMS NPPES roster as Castillo.

One of 204 Allergy & Immunology Physician providers enrolled in Florida, 11 are shown on this page.

Compare Allergy & Immunology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is Lazaro Castillo, MD's specialty? ▼
Lazaro Castillo, MD specializes in Allergy & Immunology Physician and practices in Cape Coral, Florida. Credentials: MD.
How much does Lazaro Castillo, MD prescribe under Medicare Part D? ▼
In 2024, Lazaro Castillo, MD wrote 846 Medicare Part D claims totaling $652K in drug costs for 247 beneficiaries.
What is Lazaro Castillo, MD's Medicare quality score? ▼
Lazaro Castillo, MD has a CMS MIPS Final Score of 75/100. CMS published no Quality, Promoting Interoperability, Improvement Activity or Cost score for this clinician, so the final score is the neutral performance threshold CMS assigns rather than a measured result. The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Lazaro Castillo, MD located? ▼
Lazaro Castillo, MD is located at 3208 CHIQUITA BLVD S STE 110, Cape Coral, FL, 33914. Phone: (239) 549-1398.
What is Lazaro Castillo, MD's NPI number? ▼
Lazaro Castillo, MD's National Provider Identifier (NPI) is 1043200470, issued on 10/26/2005.
Does Lazaro Castillo, MD prescribe more brand-name or generic drugs? ▼
Lazaro Castillo, MD's prescribing is 32% brand-name and 68% generic drugs by claim count, with $631K in brand drug costs.
How many Allergy & Immunology Physician providers are there in the US? ▼
There are 3,412 Allergy & Immunology Physician providers across 52 states in the US. The average Allergy & Immunology Physician provider writes 788 Medicare Part D claims per year.
What drugs does Lazaro Castillo, MD prescribe most often? ▼
Based on 2024 Medicare Part D data, Lazaro Castillo, MD's most frequently prescribed drugs include Montelukast Sodium, Fluticasone Propionate, Albuterol Sulfate Hfa. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Lazaro Castillo, MD accept Medicare? ▼
Lazaro Castillo, MD appears in CMS Medicare data with 846 Part D claims and 247 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Lazaro Castillo, MD's credentials? ▼
Lazaro Castillo, MD's NPI is 1043200470 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

View source datasets and methodology notes
Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2024). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of August 2026 (NPPES) / 2024 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology

Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.