MATIAS M DCOSTA MD
NPI 1053374827
Internal Medicine in Port Jefferson Station, NY

Active since April 11, 2006PECOS EnrolledAccepts Medicare Assignment
931 HALLOCK AVE, PORT JEFFERSON STATION, NY 11776(631) 331-7200(631) 331-8636 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Matias M Dcosta Md NPPES

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

MATIAS M DCOSTA MD (NPI 1053374827) is an individual internal medicine provider in Port Jefferson Station, New York, licensed in California (G75168) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of State University Of New York Downstate Medical Center (1987).

NPPES Registry Identity

NPI1053374827
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMATIAS M DCOSTACredential: MD
Location Address931 HALLOCK AVEPort Jefferson Station, NY 11776-1228
Mailing Address931 Hallock AvePort Jefferson Station, NY 11776-1228 · (631) 331-7200 · Fax (631) 331-8636
Fax(631) 331-8636
Sole ProprietorNo
Medical School CMSState University Of New York Downstate Medical CenterGraduated 1987
Enumeration DateApril 11, 2006
Last NPPES UpdateSeptember 11, 2025
NPI 1053374827 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in CA · G75168
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.
Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X · License 1764091 (NY)
931 HALLOCK AVE, Port Jefferson Station, NY 11776

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

Matias M Dcosta 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 ID2860452190
PECOS Enrollment IDI20041012000970
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 7

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
137 services95 patients
Stool analysis for blood, by peroxidase activity 82272
A stool analysis for blood, by peroxidase activity, is a test to detect blood in your stool. This test helps identify bleeding in the digestive tract. It involves collecting a stool sample, which is then checked for the presence of blood using a chemical reaction.
47 services47 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
37 services31 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
32 services32 patients
Diagnostic exam of large bowel using a flexible endoscope 45378
This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.
15 services15 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
13 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11776 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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 9

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

Nurse Practitioner (Adult Health)
931 HALLOCK AVE
PORT JEFFERSON STATION, NY 11776
Internal Medicine (Gastroenterology)
931 HALLOCK AVE
PORT JEFFERSON STATION, NY 11776
Anesthesiology
931 HALLOCK AVE
PORT JEFFERSON STATION, NY 11776
Nurse Practitioner (Adult Health)
931 HALLOCK AVE
PORT JEFFERSON STATION, NY 11776
Nurse Practitioner (Adult Health)
931 HALLOCK AVE
PORT JEFFERSON STATION, NY 11776
Nurse Practitioner (Adult Health)
931 HALLOCK AVE
PORT JEFFERSON STATION, NY 11776
Specialist
931 HALLOCK AVE
PORT JEFFERSON STATION, NY 11776
Nurse Practitioner (Adult Health)
931 HALLOCK AVE
PORT JEFFERSON STATION, NY 11776

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 Matias Dcosta's NPI number?

The NPI number for Matias Dcosta is 1053374827. It was assigned to this individual provider in the NPPES registry on April 11, 2006.

Where is Matias Dcosta located?

Matias Dcosta practices at 931 Hallock Ave, Port Jefferson Station, NY 11776. The listed phone number is (631) 331-7200.

What is Matias Dcosta's specialty?

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

Is Matias Dcosta enrolled in Medicare?

Yes. Matias Dcosta is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Matias Dcosta was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.