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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: August 02, 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.

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
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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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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.

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.

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.