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Dr. Paul Henry Castello, MD

Accepting New Patients

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Specializes in: Orthopedics/Orthopedic Surgery

Vanderbilt University School of Medicine

921 N Oak Park Boulevard Suite 101
Pismo Beach, CA 93449

(805) 473-9850

Dr. Paul Henry Castello, MD is an orthopedist in Santa Maria, CA specializing in orthopedics/orthopedic surgery. He graduated from Vanderbilt University School of Medicine. Dr. Paul Henry Castello, MD is affiliated with Dignity Health, CENTRAL COAST ORTHOPEDIC MEDICAL GROUP and Marian Regional/Arroyo Grande.

Office Locations

Marian Regional/Arroyo Grande

2342 Professional Parkway Suite 200
Santa Maria, CA 93455

(805) 349-9545

(805) 349-8025

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Marian Regional/Arroyo Grande

921 N Oak Park Boulevard Suite 101
Pismo Beach, CA 93449

(805) 473-9850

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Noteworthy Medicare Patient Procedures Performed by Dr. Paul Henry Castello, MD in 2023

Click on any procedure below to see further details on volume and pricing among Medicare patients.

Top 25%

By Volume:

major joint aspiration

major joint injection

By Affordability:

arthroscopic rotator cuff repair

arthroscopic shoulder debridement

total joint replacement

In 2012, among providers in related specialties within California, Dr. Paul Henry Castello, MD performed more major joint aspiration, and major joint injection procedures for Medicare patients than 75% of them and he also had a list price for arthroscopic rotator cuff repair, arthroscopic shoulder debridement, knee replacement, rotator cuff repair, rotator cuff surgery, shoulder debridement, shoulder surgery, and total joint replacement that was lower than the list prices billed to Medicare by 75% of them. Actual amounts paid by patients can vary widely depending on a number of factors, including insurance coverage. A lower list price, however, might mean lower fees when paying without insurance.

Medicare Procedure and Patient Information

2012 Medicare Procedure Volume

The top procedures that Dr. Paul Henry Castello, MD treated as an orthopedist in Santa Maria, CA during 2012 were injections, aspiration, X-rays and musculoskeletal imaging.

Volume of procedures performed by Dr. Paul Henry Castello, MD for Medicare patients.

aspiration	691
debridement (removal of unhealthy tissue)	13
decompression surgery	19
doctor visit	921
excision	11
hip imaging	51
hospital care	33
injections	710
inpatient care	33
joint surgery	94
lower extremity surgery	39
minimally invasive procedures	74
musculoskeletal imaging	189
pelvic imaging	29
reconstructive surgery	20
spinal procedures	11
upper extremity surgery	55
X-rays	229

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

The top procedures that Dr. Paul Henry Castello, MD treated as an orthopedist in Santa Maria, CA during 2013 were aspiration, injections, X-rays and musculoskeletal imaging.

Volume of procedures performed by Dr. Paul Henry Castello, MD for Medicare patients.

aspiration	693
debridement (removal of unhealthy tissue)	13
decompression surgery	25
doctor visit	886
excision	19
hip imaging	32
hospital care	37
injections	693
inpatient care	37
joint surgery	128
lower extremity surgery	54
minimally invasive procedures	93
musculoskeletal imaging	149
pelvic imaging	21
reconstructive surgery	35
upper extremity surgery	74
X-rays	170

2013 Medicare Patient Data

Information about Medicare patients treated by Dr. Paul Henry Castello, MD.

**Gender**
Male	163
Female	351

**Ethnicity**
Non-Hispanic White	372
Black	0
Hispanic	111
Asian	13
Other	0
Native American	0

**Age**
From 65 to 74	220
From 75 to 84	167
85 and over	74
Less than 65	53

Conditions of Medicare patients treated by Dr. Paul Henry Castello, MD in 2013

Hypertension	72
High Cholesterol	58
Stroke	3
Ischemic Heart Disease	25
Depression	18
Chronic Kidney Disease	19
Asthma	5
Osteoperosis	10
Atrial Fibrilation	12
Heart Failure	21
Chronic Obstructive Pulmonary Disease	15
Diabetes	31
Dementia	9
Cancer	14

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

The top procedures that Dr. Paul Henry Castello, MD treated as an orthopedist in Santa Maria, CA during 2014 were injections, aspiration, X-rays and musculoskeletal imaging.

Volume of procedures performed by Dr. Paul Henry Castello, MD for Medicare patients.

aspiration	581
debridement (removal of unhealthy tissue)	13
decompression surgery	19
doctor visit	1005
excision	15
hip imaging	34
hospital care	36
immobilization	15
injections	593
inpatient care	36
joint surgery	124
lower extremity surgery	62
minimally invasive procedures	94
musculoskeletal imaging	184
pelvic imaging	20
reconstructive surgery	30
synovectomy	11
upper extremity surgery	62
X-rays	221

2014 Medicare Patient Data

Information about Medicare patients treated by Dr. Paul Henry Castello, MD.

**Gender**
Male	202
Female	356

**Ethnicity**
Non-Hispanic White	394
Black	0
Hispanic	133
Asian	0
Other	13
Native American	0

**Age**
From 65 to 74	232
From 75 to 84	204
85 and over	78
Less than 65	44

Conditions of Medicare patients treated by Dr. Paul Henry Castello, MD in 2014

Hypertension	70
High Cholesterol	59
Stroke	3
Ischemic Heart Disease	22
Depression	16
Chronic Kidney Disease	21
Asthma	6
Osteoperosis	11
Atrial Fibrilation	12
Heart Failure	21
Chronic Obstructive Pulmonary Disease	13
Diabetes	33
Dementia	7
Cancer	12

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

The top procedures that Dr. Paul Henry Castello, MD treated as an orthopedist in Santa Maria, CA during 2015 were injections, aspiration, X-rays and musculoskeletal imaging.

Volume of procedures performed by Dr. Paul Henry Castello, MD for Medicare patients.

aspiration	617
decompression surgery	30
doctor visit	1110
excision	21
hip imaging	38
hospital care	15
injections	630
inpatient care	15
joint surgery	103
lower extremity surgery	29
minimally invasive procedures	74
musculoskeletal imaging	190
pelvic imaging	35
reconstructive surgery	29
upper extremity surgery	74
X-rays	225

2015 Medicare Patient Data

Information about Medicare patients treated by Dr. Paul Henry Castello, MD.

**Gender**
Male	430
Female	764

**Ethnicity**
Non-Hispanic White	842
Black	0
Hispanic	278
Asian	0
Other	30
Native American	0

**Age**
From 65 to 74	530
From 75 to 84	414
85 and over	146
Less than 65	104

Conditions of Medicare patients treated by Dr. Paul Henry Castello, MD in 2015

Hypertension	68
High Cholesterol	59
Stroke	5
Ischemic Heart Disease	23
Depression	18
Chronic Kidney Disease	21
Asthma	9
Osteoperosis	10
Atrial Fibrilation	13
Heart Failure	19
Chronic Obstructive Pulmonary Disease	10
Diabetes	32
Dementia	8
Cancer	11

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

The top procedures that Dr. Paul Henry Castello, MD treated as an orthopedist in Santa Maria, CA during 2016 were aspiration, injections, joint surgery and musculoskeletal imaging.

Volume of procedures performed by Dr. Paul Henry Castello, MD for Medicare patients.

aspiration	617
decompression surgery	27
doctor visit	1082
excision	25
hospital care	20
injections	617
inpatient care	20
joint surgery	138
lower extremity surgery	64
minimally invasive procedures	96
musculoskeletal imaging	130
reconstructive surgery	42
upper extremity surgery	74
X-rays	130

2016 Medicare Patient Data

Information about Medicare patients treated by Dr. Paul Henry Castello, MD.

**Gender**
Male	235
Female	354

**Ethnicity**
Non-Hispanic White	421
Black	0
Hispanic	131
Asian	16
Other	0
Native American	0

**Age**
From 65 to 74	245
From 75 to 84	214
85 and over	84
Less than 65	46

Conditions of Medicare patients treated by Dr. Paul Henry Castello, MD in 2016

Hypertension	71
High Cholesterol	62
Stroke	5
Ischemic Heart Disease	27
Depression	20
Chronic Kidney Disease	24
Asthma	17
Osteoperosis	13
Atrial Fibrilation	12
Heart Failure	20
Chronic Obstructive Pulmonary Disease	15
Diabetes	31
Dementia	8
Cancer	12

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

The top procedures that Dr. Paul Henry Castello, MD treated as an orthopedist in Santa Maria, CA during 2017 were injections, aspiration, X-rays and musculoskeletal imaging.

Volume of procedures performed by Dr. Paul Henry Castello, MD for Medicare patients.

aspiration	630
decompression surgery	12
doctor visit	1180
hospital care	15
injections	644
inpatient care	15
joint surgery	55
lower extremity surgery	29
minimally invasive procedures	26
musculoskeletal imaging	199
pelvic imaging	12
reconstructive surgery	29
upper extremity surgery	26
X-rays	211

2017 Medicare Patient Data

Information about Medicare patients treated by Dr. Paul Henry Castello, MD.

**Gender**
Male	229
Female	371

**Ethnicity**
Non-Hispanic White	418
Black	12
Hispanic	140
Asian	17
Other	13
Native American	0

**Age**
From 65 to 74	286
From 75 to 84	175
85 and over	88
Less than 65	51

Conditions of Medicare patients treated by Dr. Paul Henry Castello, MD in 2017

Hypertension	73
High Cholesterol	55
Stroke	4
Ischemic Heart Disease	28
Depression	20
Chronic Kidney Disease	29
Asthma	6
Osteoperosis	14
Atrial Fibrilation	13
Heart Failure	16
Chronic Obstructive Pulmonary Disease	12
Diabetes	35
Dementia	8
Cancer	9

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

The top procedures that Dr. Paul Henry Castello, MD treated as an orthopedist in Santa Maria, CA during 2018 were injections, aspiration, musculoskeletal imaging and X-rays.

Volume of procedures performed by Dr. Paul Henry Castello, MD for Medicare patients.

aspiration	489
debridement (removal of unhealthy tissue)	11
decompression surgery	13
doctor visit	1202
excision	13
hospital care	22
injections	505
inpatient care	22
joint surgery	114
lower extremity surgery	65
minimally invasive procedures	65
musculoskeletal imaging	249
reconstructive surgery	49
upper extremity surgery	49
X-rays	249

2018 Medicare Patient Data

Information about Medicare patients treated by Dr. Paul Henry Castello, MD.

**Gender**
Male	221
Female	388

**Ethnicity**
Non-Hispanic White	404
Black	13
Hispanic	172
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	284
From 75 to 84	202
85 and over	73
Less than 65	50

Conditions of Medicare patients treated by Dr. Paul Henry Castello, MD in 2018

Hypertension	73
High Cholesterol	66
Stroke	3
Ischemic Heart Disease	24
Depression	20
Chronic Kidney Disease	30
Asthma	7
Osteoperosis	14
Atrial Fibrilation	12
Heart Failure	14
Chronic Obstructive Pulmonary Disease	12
Diabetes	34
Dementia	8
Cancer	8

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

The top procedures that Dr. Paul Henry Castello, MD treated as an orthopedist in Santa Maria, CA during 2019 were injections, aspiration, X-rays and musculoskeletal imaging.

Volume of procedures performed by Dr. Paul Henry Castello, MD for Medicare patients.

aspiration	539
debridement (removal of unhealthy tissue)	13
decompression surgery	16
doctor visit	1142
excision	15
injections	554
joint surgery	138
lower extremity surgery	74
minimally invasive procedures	92
musculoskeletal imaging	190
reconstructive surgery	46
upper extremity surgery	64
X-rays	190

2019 Medicare Patient Data

Information about Medicare patients treated by Dr. Paul Henry Castello, MD.

**Gender**
Male	208
Female	380

**Ethnicity**
Non-Hispanic White	374
Black	0
Hispanic	175
Asian	17
Other	0
Native American	0

**Age**
From 65 to 74	278
From 75 to 84	197
85 and over	62
Less than 65	51

Conditions of Medicare patients treated by Dr. Paul Henry Castello, MD in 2019

Hypertension	72
High Cholesterol	68
Stroke	3
Ischemic Heart Disease	26
Depression	25
Chronic Kidney Disease	29
Asthma	9
Osteoperosis	13
Atrial Fibrilation	10
Heart Failure	11
Chronic Obstructive Pulmonary Disease	11
Diabetes	33
Dementia	7
Cancer	8

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

The top procedures that Dr. Paul Henry Castello, MD treated as an orthopedist in Santa Maria, CA during 2020 were injections, aspiration, musculoskeletal imaging and X-rays.

Volume of procedures performed by Dr. Paul Henry Castello, MD for Medicare patients.

aspiration	484
decompression surgery	19
doctor visit	1091
hospital care	21
immobilization	17
injections	499
inpatient care	21
joint surgery	93
lower extremity surgery	52
minimally invasive procedures	66
musculoskeletal imaging	136
reconstructive surgery	27
upper extremity surgery	41
X-rays	136

2020 Medicare Patient Data

Information about Medicare patients treated by Dr. Paul Henry Castello, MD.

**Gender**
Male	200
Female	361

**Ethnicity**
Non-Hispanic White	374
Black	0
Hispanic	154
Asian	15
Other	0
Native American	0

**Age**
From 65 to 74	267
From 75 to 84	176
85 and over	74
Less than 65	44

Conditions of Medicare patients treated by Dr. Paul Henry Castello, MD in 2020

Hypertension	71
High Cholesterol	61
Stroke	5
Ischemic Heart Disease	25
Depression	24
Chronic Kidney Disease	28
Asthma	8
Osteoperosis	14
Atrial Fibrilation	12
Heart Failure	15
Chronic Obstructive Pulmonary Disease	10
Diabetes	30
Dementia	6
Cancer	10

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

The top procedures that Dr. Paul Henry Castello, MD treated as an orthopedist in Santa Maria, CA during 2021 were aspiration, injections, X-rays and musculoskeletal imaging.

Volume of procedures performed by Dr. Paul Henry Castello, MD for Medicare patients.

aspiration	419
debridement (removal of unhealthy tissue)	16
decompression surgery	14
doctor visit	1079
injections	419
joint surgery	94
lower extremity surgery	39
minimally invasive procedures	70
musculoskeletal imaging	121
reconstructive surgery	24
upper extremity surgery	55
X-rays	121

2021 Medicare Patient Data

Information about Medicare patients treated by Dr. Paul Henry Castello, MD.

**Gender**
Male	205
Female	358

**Ethnicity**
Non-Hispanic White	363
Black	0
Hispanic	162
Asian	14
Other	0
Native American	0

**Age**
From 65 to 74	288
From 75 to 84	157
85 and over	79
Less than 65	39

Conditions of Medicare patients treated by Dr. Paul Henry Castello, MD in 2021

Hypertension	69
High Cholesterol	66
Stroke	4
Ischemic Heart Disease	26
Depression	22
Chronic Kidney Disease	32
Asthma	9
Osteoperosis	15
Atrial Fibrilation	10
Heart Failure	14
Chronic Obstructive Pulmonary Disease	9
Diabetes	30
Dementia	7
Cancer	11

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

The top procedures that Dr. Paul Henry Castello, MD treated as an orthopedist in Santa Maria, CA during 2022 were injections, aspiration, X-rays and musculoskeletal imaging.

Volume of procedures performed by Dr. Paul Henry Castello, MD for Medicare patients.

aspiration	315
debridement (removal of unhealthy tissue)	17
doctor visit	775
injections	336
joint surgery	49
lower extremity surgery	16
minimally invasive procedures	33
musculoskeletal imaging	92
reconstructive surgery	16
upper extremity surgery	33
X-rays	92

2022 Medicare Patient Data

Information about Medicare patients treated by Dr. Paul Henry Castello, MD.

**Gender**
Male	170
Female	266

**Ethnicity**
Non-Hispanic White	268
Black	0
Hispanic	141
Asian	11
Other	0
Native American	0

**Age**
From 65 to 74	221
From 75 to 84	130
85 and over	48
Less than 65	37

Conditions of Medicare patients treated by Dr. Paul Henry Castello, MD in 2022

Hypertension	73
High Cholesterol	75
Stroke	5
Ischemic Heart Disease	17
Depression	23
Chronic Kidney Disease	21
Asthma	11
Osteoperosis	19
Atrial Fibrilation	15
Heart Failure	12
Chronic Obstructive Pulmonary Disease	12
Diabetes	32
Dementia	3
Cancer	12

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2012 - 2022

Volume of procedures performed by Dr. Paul Henry Castello, MD for Medicare patients.

The highest averages for the top procedures that Dr. Paul Henry Castello, MD treated as an orthopedist in Santa Maria, CA were injections, aspiration, X-rays and musculoskeletal imaging.

aspiration	552
debridement (removal of unhealthy tissue)	13
decompression surgery	19
doctor visit	1043
excision	17
hip imaging	38
hospital care	24
immobilization	16
injections	563
inpatient care	24
joint surgery	102
lower extremity surgery	47
minimally invasive procedures	71
musculoskeletal imaging	166
pelvic imaging	23
reconstructive surgery	31
spinal procedures	11
synovectomy	11
upper extremity surgery	55
X-rays	179

Average Medicare Patient Data From 2012 - 2022

Information about Medicare patients treated by Dr. Paul Henry Castello, MD.

**Gender**
Male	205
Female	359

**Ethnicity**
Black / African American	2
Asian / Pacific Islander	9
Non-Hispanic White	384
Native American / Alaskan Native	0
Hispanic	145
Other	5

**Age**
75 to 84	185
85 and over	73
Less than 65	47
65 to 74	259

Average of Total of Conditions of Medicare patients treated by Dr. Paul Henry Castello, MD From 2012 - 2022

The highest averages of the most common conditions of Medicare patients that Dr. Paul Henry Castello, MD treated were hypertension, high cholesterol, diabetes and chronic kidney disease.

Hypertension	64
High Cholesterol	57
Stroke	3
Ischemic Heart Disease	22
Depression	18
Chronic Kidney Disease	23
Asthma	7
Osteoporosis	12
Heart Failure	14
Chronic Obstructive Pulmonary Disease	10
Diabetes	29
Atrial Fibrillation	11
Dementia	6
Cancer	9

Education & Training

Dr. Paul Henry Castello, MD graduated from Vanderbilt University School of Medicine. He is certified by the Orthopaedic Surgery and has a state license in California.

Medical School: Vanderbilt University School of Medicine

Board Certification: Orthopaedic Surgery

Licensed In: California

Affiliations & Hospitals

Dr. Paul Henry Castello, MD is associated with these hospitals and organizations:

Dignity Health

CENTRAL COAST ORTHOPEDIC MEDICAL GROUP

Marian Regional/Arroyo Grande

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General Payments

These charts describe general payments received by Dr. Paul Henry Castello, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
Zimmer Biomet Holdings, Inc.	$281 Equivabone $109	Centrifuge Biologics $85	Juggerknot $45	AccuFill $42
Smith+Nephew, Inc.	$126 Regeneten $126
Heron Therapeutics, Inc.	$96 Zynrelef $96
Ethicon US, LLC	$24 DERMABOND Portfolio $24
Ceterix Orthopaedics, Inc.	$22 NovoStitch $22
Other	$15 PENNSAID $15

**Types of Payments**
Food and Beverage	$565

Biography

Dr. Paul Castello's specialty is orthopedics/orthopedic surgery. He is a graduate of Vanderbilt University School of Medicine. He speaks German. Dr. Castello is professionally affiliated with Dignity Health. Dignity Health reports that he is accepting new patients at his office in Pismo Beach, CA.