Pablo Castillo, MD
Pulmonary Disease · Jacksonville, FLNPI 1740388024
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $392 of the $437 with a category attached, or 89.7%. 5 manufacturers reported payments, led by Jazz Pharmaceuticals Inc. at 52.9% of the total. Reporting peaked in 2023 at $153 and has fallen 55.9% since, to $67 in 2025. That places this record below the midpoint for pulmonary disease clinicians in FL, where the typical reported total is $2,936.
Across 8 payments — averaging $54.64 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Jazz Pharmaceuticals Inc.$231
- Boston Scientific$112
- Harmony Biosciences LLC$45
- Novartis$26
- Avadel CNS Pharmaceuticals, LLC$23
Across 1 payment — averaging $1250.00 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Harmony Biosciences LLC$1K
What the payments were for
- Food & beverage$39290%
- Education$4510%
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 |
|---|---|---|
| Jazz Pharmaceuticals Inc. | 4 | $231 |
| Boston Scientific | 1 | $112 |
| Harmony Biosciences LLC | 1 | $45 |
| Novartis | 1 | $26 |
| Avadel CNS Pharmaceuticals, LLC | 1 | $23 |
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.
- XYWAV$125
- GENERAL DBS$112
How this compares
$437 in reported general payments places this provider in the 20th percentile of 953 pulmonary disease providers in Florida.
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 |
|---|---|---|
| Doxepin Hcl | 12 | $5,496 |
| Modafinil | 15 | $1,827 |
| Armodafinil | 11 | $433 |
| Trazodone Hcl | 18 | $219 |
| Pramipexole DihydrochloridePramipexole Di-Hcl | 14 | $209 |
| Zaleplon | 15 | $25 |
Paid to pharmacies, not to this prescriber.
Other pulmonary disease in Jacksonville
- Jennifer FultonJacksonville$665K
- Jose Soto SotoJacksonville$504K
- Jorge MalleaJacksonville$457K
- Abubakr BajwaJacksonville$414K
- Bryan HustaJacksonville$283K
- Sebastian Fernandez-BussyJacksonville$257K
- Peter NassarJacksonville$141K
- Charles BurgerJacksonville$124K
- Daniel WyzanJacksonville$100K
- David Abia TrujilloJacksonville$68K
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.