Guarionex Joel Decastro, MD
Guarionex Joel Decastro is an Urology specialist based in New York, NY with over 22 years of clinical experience. Medicare-enrolled per CMS records and offers virtual telehealth visits.
Guarionex Joel Decastro, MD has been part of the New York medical community since 2008 in group practice. Trained at Columbia University College of Physicians and Surgeons (class of 2004), he has been practicing for over 22 years. Among his Medicare patients, common conditions include hypertension, high cholesterol, and cancer (per CMS data). CMS MIPS quality score: 100/100 (2023).
At a glance
- Prescribes opioids less than 20% of reporting doctors in New York
- Federal MIPS score higher than 77% of MIPS-scored doctors in New York
- Virtual visits available — no app or travel required
Older · 885dNPPES updated 2023-12-20 · verify NPI on CMS · Verify license at New York State Board for Medicine
Contact & Location
Practice Location
161 Fort Washington Ave Fl 11, New York, NY 10032-3729
How Does This Doctor Compare?
Based on Medicare data, this doctor scores better than 77% of doctors in New York on federal quality measures, prescribes opioid pain medications conservatively.
MIPS Score
2023100/100
New York avg: 87 · US avg: 83.6
✓ Higher than most doctors nationally(+16.4 pts)
Better than 77% of MIPS-scored doctors in New YorkHow the government rates this doctor's Medicare care quality. Scores above 75 are considered good.
Opioid Rx
↓ Lower = better2.84%
New York avg: 3.5 · US avg: 5.1
✓ Higher than most doctors nationally(-2.3 pts)
2.84% of this doctor's prescriptions are opioid pain medications. Lower means more cautious prescribing.
Medicare Patients
527
Unique beneficiaries
High volumePrescription Recipients
287
Patients prescribed
Prescriptions Written
634
Total claims
Total Medicare drug cost: $249k
Percentile rankings compared against 8,064 reporting peers in New York.
Data Note: Sourced from CMS Medicare Provider Utilization & Payment Data. Percentile rankings compare this provider against all peers with reported data in the same state. Updated annually to reflect the latest federal reporting cycle.
What This Doctor Treats Most
Based on Medicare claims data — here's what patients commonly see this doctor for
Based on Medicare data, this doctor primarily manages Hypertension, High Cholesterol, and Cancer.
High blood pressure — a leading risk factor for heart disease and stroke
US avg: 70.2%↑ More patients than average (+5%) — a focus area for this doctor
Elevated cholesterol or triglycerides that increase heart disease risk
US avg: 70.4%↑ More patients than average (+5%) — a focus area for this doctor
Diseases involving abnormal cell growth with potential to spread to other body parts
US avg: 20.8%↑ More patients than average (+20%) — a focus area for this doctor
Joint inflammation causing pain, swelling, and stiffness
US avg: 49.3%↓ Fewer patients than average (-9%) — less common here
Reduced blood flow to the heart muscle, commonly known as coronary artery disease
US avg: 31.7%↑ More patients than average (+2%) — a focus area for this doctor
A condition where the body cannot properly regulate blood sugar levels
US avg: 34.5%↓ Fewer patients than average (-1%) — less common here
Gradual loss of kidney function over time, often linked to diabetes or hypertension
US avg: 29.6%An irregular, often rapid heartbeat that increases the risk of stroke
US avg: 22%↓ Fewer patients than average (-1%) — less common here
Percentage of this provider's Medicare patients diagnosed with each condition. Source: CMS Utilization Data.
$75 received from industry
3 transactions reported in 2024 ·Low tier
Payments include consulting fees, speaking honoraria, food & beverage, travel, research support, and ownership interests from drug and medical device manufacturers. Disclosure is required by the federal Physician Payments Sunshine Act. These payments do not necessarily indicate conflicts of interest. National median: $338 across 136 000 tracked providers.
Tiers — Low: under $500 · Moderate: $500-5 000 · High: $5 000-25 000 · Very High: $25 000+. Source: CMS Open Payments 2024, attributed to Guarionex Joel Decastro's NPI.
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Background & Specialty
Education, training, and specialty classification from CMS NPPES and Medicare records.
Graduated medical school · 2004
Columbia University Vagelos College of Physicians and Surgeons
Board certified · Dec 19, 2023
Self-reported via NPPES
22 years in practice
Experienced
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Taxonomy: 208800000X
Education & Training
Columbia University College of Physicians and Surgeons (Class of 2004)
Virtual Urology Care With Guarionex Joel Decastro
NPPES records indicate this provider offers telehealth services. Contact the office to confirm availability and scheduling.
Schedule a virtual visit with Guarionex Joel Decastro for blood pressure monitoring, cholesterol management, follow-up consultations — no travel to New York required. The office sends a secure video link before your appointment. Most visits take 15–30 minutes. Medicare enrolled per CMS records.
Frequently Asked Questions
Common questions about Guarionex Joel Decastro
Dr. Decastro is listed as active in the NPI registry with telehealth listed in New York, NY. NPI status alone doesn't confirm open availability — call the office to confirm. Phone: (212) 305-0114.
Sourced from CMS NPPES · OIG LEIE · CMS QPP 2023 · CMS Medicare Part D · CMS Open Payments 2024 · CMS Physician Comparator. See Data Methodology.
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Contact Guarionex Joel Decastro
Practice Location
161 Fort Washington Ave Fl 11, New York, NY 10032-3729
Mailing Address
161 Fort Washington Ave Fl 11, New York, NY 10032-3729
This is a provider directory. Contact the office directly to schedule appointments.
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