Brian Decastro, M.D.
NPI 1114999851 · Urology Physician · Fairfax, VA
Enrolled with Medicare as Practitioner - Urology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Brian Decastro, M.D. is a Urology Physician provider in Fairfax, VA (NPI 1114999851).
Provider details
- NPI number
- 1114999851
- Entity type
- Individual
- Primary specialty
- Urology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 0101254296 (VA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
1,331 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 482 | $138 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 154 | $182 |
| Automated Urinalysis Test81003 | 93 | $2 |
| Ultrasound Scan of Pelvic Region Through Rectum76872 | 82 | $58 |
| Diagnostic Exam of Bladder and Urethra Using an Endoscope52000 | 71 | $268 |
| Biopsy of Prostate Gland55700 | 66 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 17 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Tamsulosin Hcl | 236 | 102 |
| Finasteride | 77 | 34 |
| Nitrofurantoin Monohyd/M-Crystbrand: Nitrofurantoin Mono-Macro | 38 | 32 |
| Levofloxacin | 34 | 30 |
| Oxycodone Hcl/Acetaminophenbrand: Oxycodone-Acetaminophen | 29 | 27 |
| Solifenacin Succinate | 24 | 16 |
| Testosterone Cypionate |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$288 across 5 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-02-06
- Last updated
- 2026-04-22
- Certified
- 2026-04-22
Frequently asked questions
- What is Brian Decastro's NPI number?
- Brian Decastro's National Provider Identifier (NPI) is 1114999851, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Brian Decastro's specialty?
- Brian Decastro is listed in the NPPES registry with a primary specialty of Urology Physician (Allopathic & Osteopathic Physicians).
- Where is Brian Decastro located?
- Brian Decastro's practice location on file with NPPES is 3650 Joseph Siewick Dr Ste 305, Fairfax, VA 22033-1714.
- What is Brian Decastro's phone number?
- The practice phone number listed in the NPPES registry for Brian Decastro is (571) 472-0912.
- Does Brian Decastro accept Medicare?
- Brian Decastro is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Brian Decastro's NPI active?
- Yes — Brian Decastro's NPI (1114999851) is active in the NPPES registry as of the last update on 2026-04-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.