TONY CASTILLO, M.D.
Family Medicine Physician in JEFFERSON HILLS, Pennsylvania. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.
What the federal data shows
TONY CASTILLO, M.D. reported a CMS MIPS final score of 96.6685/100 — above the 83.1 national average — and filed 252 Medicare Part D claims in 2023.
- 96.6685/100
- MIPS score · +14 vs avg
- 252
- Part D claims, 2023
- 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.
TONY CASTILLO, M.D.'s MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure
97 Top 17% higher than 83% 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
TONY CASTILLO, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — 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 TONY CASTILLO, M.D.?
High performer (top quartile)Primary specialty
Medicare Part D claims
MIPS final score
Specialty distribution in Pennsylvania
How Family Medicine Physician compares to other specialties among Pennsylvania providers
Family Medicine Physician share within Pennsylvania
Family Medicine Physician is one of the more visible NUCC categories in Pennsylvania
Each bar reflects the share of in-state providers whose primary NUCC taxonomy matches the specialty. Long tail of ~690 NUCC codes folded into "Other" to keep the comparison legible.
Medicare quality performance — MIPS
TONY CASTILLO, M.D.'s 2023 MIPS final score plotted against the Family Medicine Physician national average
- MIPS Final Score
- 96.6685/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Family Medicine Physician) — 96.6685/100 vs national avg 83.1
Quality benchmarks
- National MIPS avg 2023 reporting year
- Specialty volume Family Medicine Physician US NPIs
96.6685/100 MIPS final score — 13.6 pts above the 83.1 national average
Quality, Cost, Promoting Interoperability, and Improvement Activities composite score for the 2023 performance year. Specialty: Family Medicine Physician.
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).
TONY CASTILLO, M.D. appears in the CMS NPPES registry as a Family Medicine Physician provider holding M.D. credentials at 565 COAL VALLEY RD, JEFFERSON HILLS, PA, 15025, with a listed phone of (412) 267-6810. NPI 1437380862 was issued on 08/03/2009. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what CASTILLO 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 252 prescription claims written by this provider, covering 103 Medicare beneficiaries and totaling roughly $16K in drug spend. 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 96.6685/100 for the 2023 performance year, compared with the national average of 83.1.
Family Medicine Physician is a high-volume specialty nationwide, with 147,640 enrolled providers across 56 states and an average of 3,418 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 | 1437380862 |
|---|---|
| Specialty | Family Medicine Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 08/03/2009 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm TONY CASTILLO, M.D.'s current license status, disciplinary history, and board certifications with the Pennsylvania State Board of Medicine in Pennsylvania before relying on this page for a clinical or care decision.
How we sourced this profile
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
Reporting: Group practice
Hospital and facility affiliations
Facilities where TONY CASTILLO, M.D. 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.
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
License & disciplinary context — Pennsylvania PA-BOM 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 ~45K Pennsylvania medical licensees in 2023 — they are NOT specific to TONY CASTILLO, M.D.. To verify TONY CASTILLO, M.D.'s current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
PA-BOM 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 Pennsylvania disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
Prescribing Breakdown
- 30-Day Fills
- 277
- Total Day Supply
- 5,590
- Generic Drug Cost
- $4K
- Antibiotic Claims
- 48
Patient Demographics
- Average Patient Age
- 73.4 years
- Avg HCC Risk Score
- 2.55
- Gender Split
- 54% female / 46% male
- Age Distribution
- <65: 19, 65-74: 39, 75-84: 25, 85+: 20
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What TONY CASTILLO, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Eliquis
Eliquis
16 claims
- Furosemide
Furosemide
16 claims
- Methylprednisolone
Methylprednisolone
14 claims
- Atorvastatin Calcium
Atorvastatin Calcium
13 claims
- Sulfamethoxazole-T…
Sulfamethoxazole-Trimethoprim
13 claims
- Amoxicillin-Clavul…
Amoxicillin-Clavulanate Potass
12 claims
| Drug | Claims |
|---|---|
| Eliquis Apixaban | 16 |
| Furosemide | 16 |
| Methylprednisolone | 14 |
| Atorvastatin Calcium | 13 |
| Sulfamethoxazole-Trimethoprim Sulfamethoxazole/Trimethoprim | 13 |
| Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav | 12 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Family Medicine Physician Overview
How TONY CASTILLO, M.D. fits within the Family Medicine Physician landscape nationally.
TONY CASTILLO, M.D.'s 252 claims are below the specialty average of 3,418.
Nearby Family Medicine Physician Providers in Pennsylvania
Other clinicians with the same primary specialty enrolled in Pennsylvania, drawn from the same CMS NPPES roster as CASTILLO.
Compare Family Medicine Physician nationally: see state-by-state distribution →
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Frequently Asked Questions
What is TONY CASTILLO, M.D.'s specialty? ▼
How much does TONY CASTILLO, M.D. prescribe under Medicare Part D? ▼
What is TONY CASTILLO, M.D.'s Medicare quality score? ▼
Where is TONY CASTILLO, M.D. located? ▼
What is TONY CASTILLO, M.D.'s NPI number? ▼
How many Family Medicine Physician providers are there in the US? ▼
What drugs does TONY CASTILLO, M.D. prescribe most often? ▼
Does TONY CASTILLO, M.D. accept Medicare? ▼
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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