Carlos Manuel Decastro III, M.D.
NPI 1912080169ActiveIndividual· Internal Medicine, Hematology & Oncology· Durham, NC
Internal Medicine, Hematology & Oncology (M.D.) in Durham, North Carolina, trained at University of Texas Southwestern Medical School at Dallas (class of 1985). Their prescriptions cost Medicare Part D more than their services did: $3,116,889 for 410 claims, against $27,861 paid for services in 2024. Apellis Pharmaceuticals, Inc. was the largest of 5 companies reporting payments in 2025, $12,815 in all, mostly compensation for serving as faculty or as a speaker for a me.
Overview
| NPI | 1912080169 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Oct 23, 2006 |
| Last updated in NPPES | Aug 13, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Hematology & Oncology Primary | 207RH0003X | 33980 | NC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Hematology/Oncology (NC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 161 |
|---|---|
| Services billed | 590 across 10 procedure codes |
| Paid by Medicare | $27,861 |
Part D prescriptions in 2024
| Prescriptions (claims) | 410 · 441 30-day fills |
|---|---|
| Patients | 63 |
| Total drug cost | $3,116,889 |
| Generic share | 55% of claims |
Education and affiliations
| Medical school | University of Texas Southwestern Medical School at Dallas |
|---|---|
| Graduation year | 1985 |
| Medicare specialty | Hematology/Oncology |
| Telehealth | Offers telehealth |
Medical group
- Duke Health Integrated Practice, IncDurham, NC · 3,185 clinicians
Hospital affiliations
- Duke Regional HospitalDurham, NC
- Duke University HospitalDurham, NC
Industry payments (Open Payments)
- 2025$12,815 · 21 payments from 5 companies
- 2024$17,962 · 15 payments from 5 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Apellis Pharmaceuticals, Inc. | $7,391 | 8 |
| Alexion Pharmaceuticals, Inc. | $4,645 | 9 |
| Novartis Pharmaceuticals Corporation | $710.70 | 2 |
| Incyte Corporation | $49.99 | 1 |
| Celgene Corporation | $17.89 | 1 |
What the 2025 payments were for
- Compensation for serving as faculty or as a speaker for a medical education program$5,478 · 1 payment
- Consulting Fee$4,423 · 2 payments
- Travel and Lodging$2,548 · 13 payments
- Food and Beverage$315.80 · 4 payments
- Education$49.99 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 77 hematologist-oncologists in Durham · All hematologist-oncologists in North Carolina