NPI registry status
Active
2026 NPPES data Specialist NPI 1134217086 MD
Verify on CMS → Lourdes Castano, MD
Specialist in Pinehurst, North Carolina.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 69,608 in Specialist, 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
60
Medicare Part D claims · 22 beneficiaries · Specialist avg: 1K
Generic prescribing
73%
generic claims · 27% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
94/100
▲ 11 pts above national avg 83.1 · Exceptional
Industry payments
$75.64
4 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Lourdes Castano, MD reported a CMS MIPS final score of 94/100 - above the 83.1 national average - and filed 60 Medicare Part D claims in 2023.
- 94/100
- MIPS score · +11 vs avg
- 60
- Part D claims, 2023
- 73%
- generic prescribing
- $75.64
- industry payments (Sunshine Act)
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.
Lourdes Castano, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
94 Top 25% higher than 75% of 477,587 scored providers
Each bar is a band; taller bars hold more scored providers. 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.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Lourdes Castano, MD sits
This provider among specialist peers
Across the 4,869 specialist providers who report both Medicare Part D prescribing and a MIPS quality score, Lourdes Castano, MD writes more Part D claims than 9% of them and scores higher on MIPS quality than 77% - placing this provider in the lower-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one specialist peer from a representative sample of 60; the gold marker is Lourdes Castano, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Lourdes Castano, MD?
High performer (top quartile)Primary specialty
Specialist
Medicare Part D claims
60 96% vs specialty avg
MIPS final score
94/100 10.9 pts vs avg
Specialty distribution in North Carolina
How Specialist compares to other specialties among North Carolina providers
Medicare quality performance, MIPS
Lourdes Castano, MD's 2023 MIPS final score plotted against the Specialist national average
- MIPS Final Score
- 94/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Specialist) - 94/100 vs national avg 83.1
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).
Lourdes Castano, MD appears in the CMS NPPES registry as a Specialist provider holding MD credentials at 145 APPLECROSS RD, Pinehurst, NC, 28374, with a listed phone of (910) 692-7928. NPI 1134217086 was issued on 10/10/2006.
Medicare Part D records for calendar year 2023 show 60 prescription claims written by this provider, covering 22 Medicare beneficiaries and totaling roughly $10K in drug spend, split 27% brand-name and 73% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 94/100 for the 2023 performance year (Quality 100, Cost 91), compared with the national average of 83.1.
Specialist is a high-volume specialty nationwide, with 69,608 enrolled providers across 55 states and an average of 1,474 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline.
Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist, always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.
Practice Address
Provider Details
| NPI | 1134217086 |
|---|---|
| Specialty | Specialist |
| Credentials | MD |
| Gender | Female |
| NPI Issued | 10/10/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
94.0488
Final Score
Avg: 83.1
100
Quality
90.996
Cost
87
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Lourdes Castano, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.
Mcpc-12 LLC
Pinehurst, NC
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
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 Lourdes Castano, MD. Source: openpaymentsdata.cms.gov.
Total received
$76
Largest payer
Organon Llc
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.
Brand vs generic prescribing mix · Above average
Lourdes Castano, MD - brand share 27.0%
Specialist average
27% brand-name claims vs 73% generic, on 60 2023 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 2023.
60
Total Claims
$10K
Total Drug Cost
22
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 117
- Total Day Supply
- 3,216
- Brand vs Generic
- 27% brand / 73% generic
- Brand Drug Cost
- $6K
- Generic Drug Cost
- $4K
Patient Demographics
- Average Patient Age
- 68.0 years
- Avg HCC Risk Score
- 1.05
- Gender Split
- 100% female / 0% male
Specialist Overview
How Lourdes Castano, MD fits within the Specialist landscape nationally.
69,608
Specialist Providers in US
55
States with Specialist
1,474
Avg Claims per Provider
Lourdes Castano, MD's 60 claims are below the specialty average of 1,474.
Nearby Specialist Providers in North Carolina
Other clinicians with the same primary specialty enrolled in North Carolina, drawn from the same CMS NPPES roster as Castano.
Dr. Bernadette Abadiano
PT
Winston Salem, NC
Dr. Kimberly Abraham
TRICHOLOGIST
Fayetteville, NC
Dr. Robert Abram
M.D.
Whittier, NC
Dr. Jeffrey Acree
MD
Shelby, NC
Dr. Donna Bryan Adair
COTA
Zebulon, NC
Compare Specialist nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the North Carolina medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Specialist peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
Healthcare Guides
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Medical Specialties Explained
Who treats what and how specialties differ
Understanding Medicare Claims Data
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How insurance networks affect your costs
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Explore North Carolina
Frequently Asked Questions
What is Lourdes Castano, MD's specialty? ▼
Lourdes Castano, MD specializes in Specialist and practices in Pinehurst, North Carolina. Credentials: MD.
How much does Lourdes Castano, MD prescribe under Medicare Part D? ▼
In 2023, Lourdes Castano, MD wrote 60 Medicare Part D claims totaling $10K in drug costs for 22 beneficiaries.
What is Lourdes Castano, MD's Medicare quality score? ▼
Lourdes Castano, MD has a CMS MIPS Final Score of 94/100 (Quality: 100, Cost: 91). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Lourdes Castano, MD located? ▼
Lourdes Castano, MD is located at 145 APPLECROSS RD, Pinehurst, NC, 28374. Phone: (910) 692-7928.
What is Lourdes Castano, MD's NPI number? ▼
Lourdes Castano, MD's National Provider Identifier (NPI) is 1134217086, issued on 10/10/2006.
Does Lourdes Castano, MD prescribe more brand-name or generic drugs? ▼
Lourdes Castano, MD's prescribing is 27% brand-name and 73% generic drugs by claim count, with $6K in brand drug costs.
How many Specialist providers are there in the US? ▼
There are 69,608 Specialist providers across 55 states in the US. The average Specialist provider writes 1,474 Medicare Part D claims per year.
Does Lourdes Castano, MD accept Medicare? ▼
Lourdes Castano, MD appears in CMS Medicare data with 60 Part D claims and 22 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Lourdes Castano, MD's credentials? ▼
Lourdes Castano, MD's NPI is 1134217086 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 (2023). 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 April 2026 (NPPES) / 2023 (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
Compiled from official public sources by the PlainDoctor editorial team.
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 May 2026.