2026 NPPES data Specialist NPI 1134217086 MD
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LOURDES CASTANO, MD

Specialist in PINEHURST, North Carolina. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
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
94.0488/100
▲ 11 pts above national avg 83.1 · [object Object]
Industry payments
$75.64
4 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: LOURDES CASTANO, MD is a Specialist ([object Object]) practicing in PINEHURST, North Carolina with a Medicare Part D prescribing footprint of 60 claims across 22 beneficiaries — 27% brand-name prescribing . Their CMS MIPS Final Score of 94.0488/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $75.64 across 4 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: LOURDES CASTANO, MD reported a CMS MIPS final score of 94.0488 out of 100, above the 83.1 national average, and filed 60 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

LOURDES CASTANO, MD at a glance

High performer (top quartile)

NPI registry status

Active

Issued 10/10/2006

NPI 1134217086

Primary specialty

Specialist

High-volume

69,658 US NPIs in this specialty

Medicare Part D claims

60 96% vs specialty avg

2023 prescription claims

Specialty avg: 1,474

MIPS final score

94.0488/100 10.948800000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in North Carolina

How Specialist compares to other specialties among North Carolina providers

North Carolina providers

Specialist share within North Carolina

1. Specialist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Specialist share within North Carolina

Medicare quality performance — MIPS

LOURDES CASTANO, MD's 2023 MIPS final score plotted against the Specialist national average

High performer (top quartile)
MIPS Final Score
94.0488/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Specialist) — 94.0488/100 vs national avg 83.1

0%100%National avg83%94%
MIPS final score (Specialist) — 94.0488/100 vs national avg 83.1

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 is a Specialist provider practicing in PINEHURST, North Carolina, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1134217086. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

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. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what CASTANO most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

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. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 94.0488/100 for the 2023 performance year (Quality 100, Cost 90.996), compared with the national average of 83.1.

Specialist is a high-volume specialty nationwide, with 69,658 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

145 APPLECROSS RD
PINEHURST, NC 28374

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%
Specialty average (est.)

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.

69,658
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.

Compare Specialist nationally: see state-by-state distribution →

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 94.0488/100 (Quality: 100, Cost: 90.996). 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 69,658 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

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