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DR. RYDER LANE COSTA DO
NPI 1053005751
Internal Medicine in Corinth, MS

Active since June 06, 2023PECOS Enrolled
611 ALCORN DR, CORINTH, MS 38834(662) 293-1143 Get Directions Write a Review

NPPES record last updated: June 7, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Ryder Lane Costa Do NPPES

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

DR. RYDER LANE COSTA DO (NPI 1053005751) is an individual internal medicine provider in Corinth, Mississippi, licensed in Mississippi (COST-GQ4B33) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS, is affiliated with Magnolia Regional Health Center, and is a graduate of Alabama College Of Osteopathic Medicine (2023).

NPPES Registry Identity

NPI1053005751
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. RYDER LANE COSTACredential: DO
Location Address611 ALCORN DRCorinth, MS 38834-9388
Mailing Address611 Alcorn DrCorinth, MS 38834-9388
Phone(662) 293-1143
Sole ProprietorNo
Medical School CMSAlabama College Of Osteopathic MedicineGraduated 2023
Enumeration DateJune 6, 2023
Last NPPES UpdateJune 7, 2023
NPPES CertifiedJune 7, 2023
✔ NPI 1053005751 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MS · COST-GQ4B33
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
611 ALCORN DR, Corinth, MS 38834
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ryder Lane Costa Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1850855438
PECOS Enrollment IDI20260714005062
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.

Medicare Billing Reassignment

Medicare enrollment records show Ryder Costa reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Keller Hospitalist Services
50 mi
Hospitalist
1300 S MONTGOMERY AVE
Sheffield, AL 35660
  • Reassigned Medicare billing, Alabama enrollment
  • 21 clinicians in this Medicare group
NPI 1235797200 (256) 386-4550

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Magnolia Regional Health Center

Acute Care Hospitals · Corinth, MS
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number250009
Location611 Alcorn DriveCorinth, MS 38834 · Alcorn County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38834 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
$120.41 typical visit price
range $51.65 – $159.18
Typical copayment $30.10 (range $12.91 – $39.79)
Most-billed visit code 99204
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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.

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.

JESSICA SUZANNE JENSEN MD
Internal Medicine
611 ALCORN DR
CORINTH, MS 38834
Alcorn County (662) 293-1000
CHRISTOPHER TAYLOR SMITH DO
Internal Medicine
611 ALCORN DR
CORINTH, MS 38834
Alcorn County (662) 293-7686
MRS. BROOKE NAPIER HATCHELL DNP, CRNA
Nurse Anesthetist, Certified Registered
611 ALCORN DR
CORINTH, MS 38834
Alcorn County (662) 293-1000
AUSTIN WINEGAR
Internal Medicine
611 ALCORN DR
CORINTH, MS 38834
Alcorn County (208) 550-2969
MR. CHRISTOPHER HARRISON WRIGHT CRNA
Nurse Anesthetist, Certified Registered
611 ALCORN DR
CORINTH, MS 38834
Alcorn County (662) 664-3731
MAGNOLIA REGIONAL BEHAVIORAL HEALTH SERVICES
Psychiatry & Neurology (Psychiatry)
611 ALCORN DR
CORINTH, MS 38834
Alcorn County (662) 293-1000
JOHN WAYNE PRATHER M.D.
Internal Medicine (Cardiovascular Disease)
611 ALCORN DR, SUITE 230
CORINTH, MS 38834
Alcorn County (662) 287-5218
AMANDA C JOHNSON CRNA
Nurse Anesthetist, Certified Registered
611 ALCORN DR
CORINTH, MS 38834
Alcorn County (662) 293-1440

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ryder Costa's NPI number?

The NPI number for Ryder Costa is 1053005751. It was assigned to this individual provider in the NPPES registry on June 6, 2023.

Where is Ryder Costa located?

Ryder Costa practices at 611 Alcorn Dr, Corinth, MS 38834. The listed phone number is (662) 293-1143.

What is Ryder Costa's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Ryder Costa enrolled in Medicare?

Yes. Ryder Costa is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ryder Costa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ryder Costa reassigns Medicare benefits to Keller Hospitalist Services (Sheffield, AL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ryder Costa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ryder Costa accept?

Health plans from Blue Cross and Blue Shield of Alabama and Molina Healthcare list Ryder Costa as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Ryder Costa affiliated with any hospitals?

According to CMS data, Ryder Costa is affiliated with Magnolia Regional Health Center.

When was this NPI record last updated?

The NPPES record for Ryder Costa was last updated on June 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.