MICHAEL JOHN COSTA MD
NPI 1033314653
Pathology - Anatomic Pathology & Clinical Pathology in Modesto, CA

Q: What is Michael Costa's NPI number?

The NPI number for Michael Costa is 1033314653. It was assigned to this individual provider in the NPPES registry on June 15, 2007.

Q: What is Michael Costa's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Q: When was this NPI record last updated?

The NPPES record for Michael Costa was last updated on May 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 15, 2007PECOS EnrolledAccepts Medicare Assignment

81.49/100

CMS Quality Rating

4301 N STAR WAY, MODESTO, CA 95356(209) 577-1200(209) 577-6517 Get Directions Write a Review

NPPES record last updated: May 12, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 12, 2026, Jun 16, 2023 (2 updates tracked since 2023).

On this page

About Michael John Costa Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL JOHN COSTA MD (NPI 1033314653) is an individual anatomic pathology & clinical pathology provider in Modesto, California, licensed in California (G71611) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS and is a graduate of University Of Maryland School Of Medicine (1984).

NPPES Registry Identity

NPI1033314653

Entity TypeIndividualMale

Primary Taxonomy207ZP0102X

Provider Legal NameMICHAEL JOHN COSTACredential: MD

Location Address4301 N STAR WAYModesto, CA 95356-9262

Mailing AddressPo Box 576768Modesto, CA 95357-6768 · (209) 577-1200 · Fax (209) 577-6517

Phone(209) 577-1200

Fax(209) 577-6517

Sole ProprietorNo

Medical School CMSUniversity Of Maryland School Of MedicineGraduated 1984

Enumeration DateJune 15, 2007

Last NPPES UpdateMay 12, 20262 updates tracked since enumeration

NPPES CertifiedMay 12, 2026

✔ NPI 1033314653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ZP0102X

License✔ Licensed in CA · G71611

Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

4301 N STAR WAY, Modesto, CA 95356

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michael John Costa Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3274586623

PECOS Enrollment IDI20050224001009

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 23

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Pathology examination of tissue using a microscope, intermediate complexity 88305

A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.

809 services364 patients

Pathology examination of tissue using a microscope, intermediate complexity 88305

531 services302 patients

Special stained specimen slides to examine tissue including interpretation and report 88313

Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.

285 services114 patients

Special stained specimen slides to examine tissue, each additional procedure 88341

Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.

227 services38 patients

Special stained specimen slides to examine tissue including interpretation and report 88313

206 services108 patients

Special stained specimen slides to examine tissue, initial procedure 88342

This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.

206 services123 patients

Special stained specimen slides to examine tissue, initial procedure 88342

178 services135 patients

Special stained specimen slides to examine tissue, each additional procedure 88341

81 services17 patients

Special stained specimen slides to identify organisms including interpretation and report 88312

This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.

80 services65 patients

Special stained specimen slides to examine tissue, each multiplex procedure 88344

Special stained specimen slides are used to study tissue in detail. This multiplex procedure involves applying different dyes to the tissue sample on a slide to highlight specific elements. These colors help identify any abnormalities in the tissue, aiding in accurate diagnosis and treatment planning.

76 services17 patients

Special stained specimen slides to identify organisms including interpretation and report 88312

60 services28 patients

Pathology examination of tissue using a microscope, moderately high complexity 88307

A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.

55 services43 patients

Evaluation of fine needle aspirate with interpretation and report 88173

This procedure involves using a thin needle to collect a small sample from an abnormal area or lump. The sample is then examined under a microscope to identify any potential issues. A report of the findings is provided for further analysis.

45 services37 patients

Pathology examination of tissue using a microscope, moderately low complexity 88304

A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.

43 services38 patients

Preparation of tissue for examination by removing any calcium present 88311

This procedure involves treating tissue samples to remove any calcium, which can interfere with the examination. The tissue is soaked in a special solution that safely dissolves the calcium, leaving the tissue intact for accurate analysis. This helps in making precise diagnoses.

40 services29 patients

Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method G0416

This procedure involves taking a small tissue sample from your gland located beneath your bladder. The sample is then examined under a microscope by a pathologist to check for any abnormalities or diseases. This is a standard method to ensure your well-being.

31 services31 patients

Cell examination of specimen, selective cellular enhancement technique 88112

Cell examination of a specimen using selective cellular enhancement technique is a lab process that improves the visibility of certain cells in a sample. It helps in identifying abnormalities or diseases. The process is non-invasive, safe, and aids in accurate diagnosis.

29 services28 patients

Microscopic genetic analysis of tumor, manual 88360

Microscopic genetic analysis of a tumor involves examining your tumor's genes under a microscope. This helps identify specific genetic changes in the tumor cells. This information can aid in diagnosing, predicting disease progression, and determining the most effective treatment options.

27 services13 patients

Cell examination of body fluid, smears 88104

Cell examination of body fluid, or smear, is a laboratory test where a sample of your body fluid is taken. It's then thinly spread on a glass slide and examined under a microscope to check for abnormalities. This can help diagnose various health conditions.

24 services20 patients

Cell examination of specimen, selective cellular enhancement technique 88112

20 services20 patients

Pathology examination of tissue using a microscope, moderately low complexity 88304

20 services19 patients

Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method G0416

13 services13 patients

Pathology examination of tissue using a microscope 88302

A pathology examination of tissue involves studying a small sample of your body's cells under a microscope. This helps identify any abnormalities or diseases, such as cancer. The process is crucial for accurate diagnosis and treatment planning.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95356 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$133.94 typical visit price

range $58.87 – $176.60

Typical copayment $33.48 (range $14.71 – $44.15)

Most-billed visit code 99204

Established Patient

$103.36 typical visit price

range $19.28 – $144.60

Typical copayment $25.84 (range $4.82 – $36.15)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.49/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

Improvement Activities

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SCOTT GOODWIN SILVEIRA M. D.

Pathology (Anatomic Pathology & Clinical Pathology)