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    OpenPayerNPI Medicare & MedicaidTimothy Mountcastle
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    Timothy Mountcastle — Billing Profile & Reimbursement Data

    NPI 1821015561 · Ashburn, VA · Surgery Physician

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    Timothy Mountcastle is a surgery physician provider located in Ashburn, Virginia. This profile covers 10 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationTimothy Mountcastle
    Address44095 Pipeline Plaza, Suite 430
    CityAshburn
    StateVA
    ZIP20147
    TaxonomySurgery Physician
    NPI EnumeratedJuly 17, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$94.9K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    36475In this procedure, the provider inserts a specially designed radiofrequency probe through the skin and destroys the wall of a diseased vein in an extremity. The provider reports this code for…40$850$34.9K
    14060The provider replaces the lesions in the eyelids, nose, ears, or lips, with the healthy tissues from an adjacent site. This code represents a defect of 10 cm2 or less.30$600$15.5K
    99203The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…130$80$10.5K
    14061The provider replaces the lesions in the eyelids, nose, ears, or lips, with the healthy tissues from an adjacent site. This code represents a defect of 10.1 cm2 to 30.0 cm2 in size.10$780$10.2K
    93971The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arm or leg). This is a unilateral or limited…80$90$7.7K
    93970The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arms or legs). This is a complete, bilateral…40$150$6.1K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…60$70$3.7K
    12032This CPT® code is used for the intermediate repair of wounds to the scalp, axillae, trunk and/or extremities (excluding hands and feet) that are 2.6 to 7.5 cm in size.20$200$3.1K
    12031This CPT® code is used for the intermediate repair of wounds to the scalp, axillae, trunk, and/or extremities (excluding hands and feet) that are 2.5 cm or less in size.10$170$2.2K
    11402The provider excises a noncancerous lesion, excluding a skin tag, of 1.1 to 2.0 cm in diameter, including margins, from the skin of the trunk, arms, or legs.10$70$950

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    10 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    36475103030$820$39.5K
    14061304020$730$18.2K
    14060296030$570$17K
    1203215319030$200$12.6K
    992137,99412,44090$60$10K
    9397021548040$60$4.4K
    12031345020$170$4.4K
    992034114,92030$70$3.8K
    9397114352050$40$3.2K
    11402376020$80$1.7K

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Timothy Mountcastle, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Loudoun Medical Group, PCVAInternal Medicine Physician$0$12.4M
    Alex PavidaphaVAVascular & Interventional Radiology Physician$3.5M$0
    Rachel PiechowiakVAVascular & Interventional Radiology Physician$2.4M$0
    Enrico GiangerusoVAAnatomic Pathology & Clinical Pathology Physician$1.4M$0
    Kyrollos TawfikMDVascular & Interventional Radiology Physician$1.1M$0
    Richard KimVAInternal Medicine Physician$983K$0
    Ayman BoutrosVAOphthalmology Physician$964.5K$0
    Aizenhawar MarrogiVAAnatomic Pathology & Clinical Pathology Physician$756.9K$0
    Marena PatronasVAOphthalmology Physician$744.9K$0
    Gavin GoreVADiagnostic Radiology Physician$608.4K$240

    Nearby Providers

    Other providers in the same ZIP code as Timothy Mountcastle, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Nova Adult Home Care, Inc.VAHome Health Agency$0$28.7M
    Oasis Home Healthcare, Inc.VAHome Health Agency$0$7.8M
    A Loudoun Transport IncVANon-emergency Medical Transport (VAN)$0$7.3M
    Rupinder SethiVAPediatrics Physician$0$5.6M
    Sherry MaraghVAMOHS-Micrographic Surgery Physician$637.8K$0
    Clinical Diagnostic Laboratories, LLCVAClinical Medical Laboratory$42.1K$277.7K
    Jeffrey SedgewickVAOphthalmology Physician$226.2K$0
    Gauthami GondyVAInternal Medicine Physician$210.6K$0
    Jee Eun Lee KarlVAFamily Medicine Physician$206.5K$0
    Michael AntonisVASports Medicine (Emergency Medicine) Physician$185.3K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Virginia Distribution
    Timothy Mountcastle — 0 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia