Myrelle Castro, MD
Internal Medicine · Cornwall, NYNPI 1639216179
Payments from drug & device makers
Across 67 payments — averaging $18.76 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Novo Nordisk$286
- GSK$170
- Antares Pharma, Inc.$112
- AbbVie$100
- Regeneron Healthcare Solutions, Inc.$66
- Novartis$55
- plus $467 from 16 others
What the payments were for
- Food & beverage$1,257100%
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 |
|---|---|---|
| Novo Nordisk | 19 | $286 |
| GSK | 9 | $170 |
| Antares Pharma, Inc. | 5 | $112 |
| AbbVie | 3 | $100 |
| Regeneron Healthcare Solutions, Inc. | 3 | $66 |
| Novartis | 3 | $55 |
| Abbott | 3 | $49 |
| AstraZeneca | 3 | $45 |
| Boehringer Ingelheim | 2 | $43 |
| Lilly USA, LLC | 2 | $40 |
| Amarin Pharma, Inc. | 2 | $38 |
| Kaleo, Inc. | 2 | $37 |
| Johnson & Johnson | 2 | $37 |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $34 |
| Amgen | 1 | $23 |
| Amneal Pharmaceuticals LLC | 1 | $22 |
| Medtronic | 1 | $21 |
| Bayer | 1 | $20 |
| Insulet Corporation | 1 | $19 |
| ARS Pharmaceuticals Operations, Inc. | 1 | $17 |
| CSL Behring | 1 | $12 |
| Merck | 1 | $11 |
How this compares
$1,257 in reported general payments places this provider in the 75th percentile of 9,771 internal medicine providers in New York.
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 |
|---|---|---|
| PrivigenImmun Glob G(Igg)/Pro/Iga 0-50 | 13 | $94,563 |
| OzempicSemaglutide | 31 | $59,692 |
| JardianceEmpagliflozin | 34 | $53,254 |
| TrulicityDulaglutide | 15 | $25,344 |
| FarxigaDapagliflozin Propanediol | 18 | $21,253 |
| Epinephrine | 13 | $2,142 |
| Levothyroxine Sodium | 132 | $1,856 |
| Nano 2nd Gen Pen NeedlePen Needle, Diabetic | 11 | $1,059 |
| SynthroidLevothyroxine Sodium | 13 | $733 |
| Glimepiride | 42 | $389 |
| Glipizide ErGlipizide | 28 | $309 |
| Metformin Hcl ErMetformin Hcl | 23 | $304 |
| Metformin Hcl | 31 | $243 |
| Levocetirizine Dihydrochloride | 17 | $212 |
| Alendronate Sodium | 14 | $43 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| CSL BehringPrivigen | $12 | $94,56313 claims |
| Novo NordiskOzempic | $286 | $59,69231 claims |
| Boehringer IngelheimJardiance | $43 | $53,25434 claims |
| Lilly USA, LLCTrulicity | $40 | $25,34415 claims |
| AstraZenecaFarxiga | $45 | $21,25318 claims |
| Amneal Pharmaceuticals LLCLevothyroxine Sodium | $22 | $1,856132 claims |
| AbbVieSynthroid | $100 | $73313 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 75th percentile of 9,771 internal medicine providers in New York.
Other internal medicine in Cornwall
- Helena YuNew York$50.9M
- Neha KordeNew York$21.2M
- Karen AutioNew York$18.5M
- Ingo MellinghoffNew York$16.1M
- Gopakumar IyerNew York$12.4M
- David DoveEast Hampton$12.3M
- Robert CupeloEast Syracuse$10.6M
- Patrick ReaganRochester$9.4M
- Sally LauNew York$8.4M
- Angela BrancheRochester$7.9M
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.