Charles Castiglione, MD
Plastic and Reconstructive Surgery · Farmington, CTNPI 1154321461
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 20 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 11 manufacturers reported payments, led by Mentor Worldwide LLC at 29.5% of the total. Reporting peaked in 2022 at $432 and has fallen 92.0% since, to $35 in 2025.
Across 20 payments — averaging $56.44 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Mentor Worldwide LLC$333
- Stryker$241
- Merz North America, Inc.$195
- Johnson & Johnson$126
- Sientra, Inc.$91
- Musculoskeletal Transplant Foundation Inc.$49
- plus $95 from 5 others
What the payments were for
- Food & beverage$1,129100%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| Mentor Worldwide LLC | 5 | $333 |
| Stryker | 2 | $241 |
| Merz North America, Inc. | 2 | $195 |
| Johnson & Johnson | 2 | $126 |
| Sientra, Inc. | 2 | $91 |
| Musculoskeletal Transplant Foundation Inc. | 2 | $49 |
| Solventum Corporation | 1 | $24 |
| Kls-martin L.p. | 1 | $23 |
| AbbVie | 1 | $20 |
| Axogen | 1 | $14 |
| Zimmer Biomet | 1 | $14 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
How this compares
$1,129 in reported general payments places this provider in the 60th percentile of 41 plastic and reconstructive surgery providers in Connecticut.
See all plastic and reconstructive surgery providers in Connecticut →
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Cephalexin | 27 | $155 |
| Oxycodone Hcl | 23 | $58 |
Paid to pharmacies, not to this prescriber.
Other plastic and reconstructive surgery in Farmington
- Daniella VegaFarmington$6K
- Jillian FortierFarmington$3K
- Alan BabigianFarmington$746
- Brian AllenFarmington$724
- Orlando DeluciaFarmington$694
- Steven SmithFarmington$545
- Christopher HughesFarmington$464
- Alex CechFarmington$153
- Andrew ChenFarmington$102
- Mark MelendezShelton$64K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.