Shelley Castle
Adult Health · Hagerstown, MDNPI 1073646931
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 99.6% of the total across 288 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. 24 manufacturers reported payments, led by Salix Pharmaceuticals, A Division Of Bausch Health US, LLC at 29.1% of the total. Reporting peaked in 2023 at $1,237 and has fallen 58.8% since, to $509 in 2025. Among adult health clinicians in MD with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 288 payments — averaging $15.27 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Salix Pharmaceuticals, A Division Of Bausch Health US, LLC$1K
- Collegium Pharmaceutical, Inc.$751
- Vertos Medical, Inc.$742
- Boston Scientific$248
- Mallinckrodt Hospital Products Inc.$245
- Averitas Pharma Inc.$143
- plus $989 from 18 others
What the payments were for
- Travel & lodging$190%
- Food & beverage$4,377100%
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 |
|---|---|---|
| Salix Pharmaceuticals, A Division Of Bausch Health US, LLC | 158 | $1,278 |
| Collegium Pharmaceutical, Inc. | 42 | $751 |
| Vertos Medical, Inc. | 17 | $742 |
| Boston Scientific | 8 | $248 |
| Mallinckrodt Hospital Products Inc. | 10 | $245 |
| Averitas Pharma Inc. | 6 | $143 |
| Stryker | 4 | $143 |
| GRT US Holding, Inc. | 5 | $117 |
| Scilex Pharmaceuticals Inc. | 5 | $111 |
| AbbVie(2 entities) | 4 | $91 |
| Biotronik NRO, Inc. | 4 | $72 |
| Vertex | 4 | $71 |
| Stimwave Technologies Incorporated | 4 | $52 |
| Medtronic | 3 | $50 |
| Forte Bio-pharma LLC | 1 | $47 |
| Valinor Pharma, LLC | 3 | $44 |
| Nevro Corp. | 2 | $33 |
| Biohaven Pharmaceutical Holding Company Ltd. | 2 | $33 |
| MML US, Inc. | 1 | $29 |
| Cumberland Pharmaceuticals, Inc. | 1 | $29 |
| Ferring Pharmaceuticals Inc. | 1 | $21 |
| Radius Health, Inc. | 1 | $20 |
| Protega Pharmaceutials Inc | 1 | $14 |
| Fidia Pharma USA Inc. | 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.
- mild Device Kit$115
How this compares
$4,397 in reported general payments places this provider in the 90th percentile of 542 adult health providers in Maryland.
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 |
|---|---|---|
| Xtampza ErOxycodone Myristate | 101 | $54,068 |
| OxycontinOxycodone Hcl | 76 | $34,770 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 364 | $10,798 |
| Hysingla ErHydrocodone Bitartrate | 16 | $8,312 |
| LyricaPregabalin | 12 | $6,853 |
| Fentanyl | 50 | $5,835 |
| Oxycodone Hcl | 351 | $5,492 |
| Morphine Sulfate ErMorphine Sulfate | 223 | $5,191 |
| Lidocaine | 31 | $2,979 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 106 | $1,925 |
| Methadone Hcl | 70 | $1,619 |
| Tramadol Hcl | 114 | $1,509 |
| Tramadol Hcl ErTramadol Hcl | 13 | $1,321 |
| Gabapentin | 156 | $1,279 |
| Pregabalin | 101 | $903 |
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 |
|---|---|---|
| Collegium Pharmaceutical, Inc.Xtampza Er | $751 | $54,068101 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 90th percentile of 542 adult health providers in Maryland.
Other adult health in Hagerstown
- Lucia NovakCamp Springs$473K
- Caroline RuhlAnnapolis$315K
- Joyce MiskovicHighland$264K
- Christopher RobersonBaltimore$180K
- Amit DhirBaltimore$97K
- Morgan JoliatSykesville$92K
- Brendon BowerBaltimore$64K
- Caitlin NassBaltimore$46K
- Jane KapustinClarksville$44K
- Sarah RileyBaltimore$24K
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.