DR. ANDREW COSTIN MD
NPI 1053475160
Internal Medicine - Cardiovascular Disease in New York, NY

NPI Status: Active since December 21, 2006

Contact Information

425 E 61ST ST FL 12
NEW YORK, NY
ZIP 10065
Phone: (646) 962-5558
Fax: (212) 746-8451

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Secondary Locations
Medicare Participation & PECOS Status
Areas of Expertise
Physician Visit Costs
Quality Reporting
Hospital Affiliations - Privileges
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Male
Years of Experience 40
Internal Medicine
Cardiovascular Disease
Accepts Medicare Approved Payment
PECOS Enrolled
Medicare Quality Reporting

About ANDREW COSTIN

This page provides the complete NPI Profile along with additional information for Andrew Costin, an internist established in New York, New York with a medical specialization in Internal Medicine, focusing in cardiovascular disease and more than 40 years of experience. He graduated from Yale University School Of Medicine in 1986. The healthcare provider is registered in the NPI registry with number 1053475160 assigned on December 2006. The practitioner's primary taxonomy code is 207RC0000X with license number 170591 (NY). The provider is registered as an individual and his NPI record was last updated February 2026.

NPI: 1053475160
Provider Name: DR. ANDREW COSTIN MD
Gender: Male
Entity Type: Individual
Location Address: 425 E 61ST ST FL 12 NEW YORK, NY 10065
Location Phone: (646) 962-5558
Location Fax: (212) 746-8451
Mailing Address: 425 E 61ST ST FL 12 NEW YORK, NY 10065
Mailing Phone: (646) 962-5558
Mailing Fax: (212) 746-8451
Medical School Name: YALE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year: 1986
Is Sole Proprietor?: No
Enumeration Date: 12-21-2006
Last Update Date: 02-06-2026
Code Navigator

An internist like Andrew Costin is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Secondary Locations

12 W 72nd St
New York, NY 10023
(646) 962-5558

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Internal Medicine Cardiovascular Disease
Taxonomy Code: 207RC0000X
Type: Allopathic & Osteopathic Physicians
License No.: 170591
License State: NY
Taxonomy Description: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Oxford Health Plans

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Aetna

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier	Type / Code	Identifier State	Identifier Issuer
1273024	OTHER (01)	NJ	UNITED-HCARE-SPECIALTY
MES081	OTHER (01)	NJ	OXFORD SPECIALTY
110137121	OTHER (01)	NJ	RAILROAD MED.-PRINCETON
0644510000	OTHER (01)	NJ	AMERI-IBC SPEC.
5572509	MEDICAID (05)	NJ
740065	OTHER (01)	NJ	AMERIHLTH ADMIN SPECIALTY
883596	OTHER (01)	NJ	AETNA-SPECIALTY
110137137	OTHER (01)	NJ	RAILROAD MED.-MONROE

Medicare Participation & PECOS Enrollment Status

Andrew Costin is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Andrew Costin is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

Is the provider registered in PECOS? Yes
PECOS PAC ID: 5991715575
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.
PECOS Enrollment ID: I20101123000413
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.
Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Blood test, basic group of blood chemicals (calcium, total)
Blood test, clotting time
Blood test, comprehensive group of blood chemicals
Blood test, lipids (cholesterol and triglycerides)
Blood test, thyroid stimulating hormone (tsh)
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
Electrocardiogram (ecg) 2-day continuous with review and report by health care professional
Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional
Established patient office or other outpatient visit, 20-29 minutes
Established patient office or other outpatient visit, 30-39 minutes
Established patient office or other outpatient visit, 40-54 minutes
Evaluation of single, dual, multiple lead or leadless pacemaker system
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician
Heart muscle strain imaging
Heart rhythm recording of continous external ekg over 8-15 days
Heart rhythm review and interpretation of continous external ekg over 8-15 days
Hemoglobin a1c level
Injection, regadenoson, 0.1 mg
Insertion of needle into vein for collection of blood sample
New patient office or other outpatient visit, 45-59 minutes
New patient office or other outpatient visit, 60-74 minutes
Nuclear medicine studies of heart muscle at rest and with stress and spect
Red blood cell sedimentation rate, to detect inflammation, non-automated
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report
Technetium tc-99m sestamibi, diagnostic, per study dose
Telephone medical discussion with physician, 11-20 minutes
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function
Ultrasound of heart with continuous electrocardiogram (ecg) during rest, exercise and/or drug induced stress with review and report

Physician Visit Costs

The typical physician office visit costs for Medicare beneficiaries in this area are: $37.56 for a new patient copayment and $20.36 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 10065 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

Average New Patient Price $150.24
Minimum New Patient Price $65.69
Maximum New Patient Price $198.19

Average New Patient Copayment $37.56
Minimum New Patient Copayment $16.42
Maximum New Patient Copayment $49.54

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

Average Established Patient Price $81.44
Minimum Established Patient Price $21.2
Maximum Established Patient Price $160.66

Average Established Patient Copayment $20.36
Minimum Established Patient Copayment $5.3
Maximum Established Patient Copayment $40.16

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Quality Reporting

The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure	Performance	Number of Patients
Care transition standard operational improvements	Yes	N/A
Establish standard operations to manage transitions of care that could include one or more of the following: Establish formalized lines of communication with local settings in which empaneled patients receive care to ensure documented flow of information and seamless transitions in care; and/or Partner with community or hospital-based transitional care services.
Clinical Data Registry Reporting	Yes	N/A
The MIPS eligible clinician is in active engagement to submit data to a clinical data registry. To earn a 5 % bonus in the promoting interoperability performance category score for submitting to one or more public health or clinical data registries also attest to PI_PHCDRR_5_MULTI.
Clinical Information Reconciliation	0%	4359
For at least one transition of care or referral received or patient encounter in which the MIPS eligible clinician has never before encountered the patient, the MIPS eligible clinician performs clinical information reconciliation. The MIPS eligible clinician must implement clinical information reconciliation for the following three clinical information sets: (1) Medication. Review of the patient's medication, including the name, dosage, frequency, and route of each medication. (2) Medication allergy. Review of the patient's known medication allergies. (3) Current Problem list. Review of the patient's current and active diagnoses.
Colorectal Cancer Screening	54%	1016
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
Coronary Artery Disease (CAD): Antiplatelet Therapy	93%	453
Percentage of patients aged 18 years and older with a diagnosis of coronary artery disease (CAD) seen within a 12 month period who were prescribed aspirin or clopidogrel
Engagement of patients through implementation of improvements in patient portal	Yes	N/A
Access to an enhanced patient portal that provides up to date information related to relevant chronic disease health or blood pressure control, and includes interactive features allowing patients to enter health information and/or enables bidirectional communication about medication changes and adherence.
e-Prescribing	95%	4721
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
Patient-Specific Education	0%	2322
The MIPS eligible clinician must use clinically relevant information from certified EHR technology to identify patient-specific educational resources and provide electronic access to those materials to at least one unique patient seen by the MIPS eligible clinician.
Pneumococcal Vaccination Status for Older Adults	71%	1389
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical Record	Yes	N/A
• Provide 24/7 access to MIPS eligible clinicians, groups, or care teams for advice about urgent and emergent care (e.g., MIPS eligible clinician and care team access to medical record, cross-coverage with access to medical record, or protocol-driven nurse line with access to medical record) that could include one or more of the following: • Expanded hours in evenings and weekends with access to the patient medical record (e.g., coordinate with small practices to provide alternate hour office visits and urgent care); • Use of alternatives to increase access to care team by MIPS eligible clinicians and groups, such as e-visits, phone visits, group visits, home visits and alternate locations (e.g., senior centers and assisted living centers); and/or Provision of same-day or next-day access to a consistent MIPS eligible clinician, group or care team when needed for urgent care or transition management.
Provide Patient Access	57%	2322
For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician ensures the patient's health information is available for the patient (or patient-authorized representative) to access using any application of their choice that is configured to meet the technical specifications of the Application Programing Interface (API) in the MIPS eligible clinician's certified EHR technology.
Request/Accept Summary of Care	11%	4359
For at least one transition of care or referral received or patient encounter in which the MIPS eligible clinician has never before encountered the patient, the MIPS eligible clinician receives or retrieves and incorporates into the patient's record an electronic summary of care document.
Secure Messaging	57%	2322
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of certified EHR technology to the patient (or the patient-authorized representative), or in response to a secure message sent by the patient (or the patient-authorized representative).
Security Risk Analysis	Yes	N/A
Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process.
TCPI Participation	Yes	N/A
Participation in the CMS Transforming Clinical Practice Initiative

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Andrew Costin is affiliated with the following medical facilities:

Hospital Name	Address	Phone	Hospital Type	Overall Rating
UNIVERSITY MEDICAL CENTER OF PRINCETON AT PLAINSBORO	ONE-FIVE PLAINSBORO ROAD PLAINSBORO, NJ 08536	(609) 853-6500	Acute Care Hospitals
HOSPITAL OF UNIV OF PENNSYLVANIA	34TH & SPRUCE STS PHILADELPHIA, PA 19104	(215) 662-3227	Acute Care Hospitals

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1053475160, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 50. The final step is to find the difference between that total and the next multiple of ten (50 - 50 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1

Doubled → 2

Pos 2

Unchanged

Pos 3

Doubled → 10 → 1 + 0

Pos 4

Unchanged

Pos 5

Doubled → 8

Pos 6

Unchanged

Pos 7

Doubled → 10 → 1 + 0

Pos 8

Unchanged

Pos 9

Doubled → 12 → 1 + 2

Check

Target digit

Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 4 → 8 5 → 10 → 1 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 0 + 3 + 8 + 7 + 1 + 0 + 1 + 1 + 2 + 24 = 50

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 50 is 50. The difference is the calculated check digit.

50 - 50 = 0

This NPI is valid

The calculated check digit is 0, which matches the last digit of 1053475160.

Other Providers at the Same Location

The following 3 providers are registered at the same or a nearby location.

DR. BILAL IFTIKHAR CHUGHTAI MD

Urology

425 E 61ST ST FL 12
NEW YORK, NY 10065

New York County (646) 962-4811

DR. NEIL ROBERT LIM MD

Internal Medicine

425 E 61ST ST FL 12
NEW YORK, NY 10065

New York County (646) 962-2399

UPASANA BAGARIA CHOHAN M.D.

Internal Medicine

425 E 61ST ST FL 12
NEW YORK, NY 10065

New York County (646) 962-2399

About ANDREW COSTIN

Location Map

Secondary Locations

Specialty - Primary Taxonomy

Internal Medicine Cardiovascular Disease

Insurance Plans Accepted

Additional Identifiers

Medicare Participation & PECOS Enrollment Status

Is the provider registered in PECOS? Yes

PECOS PAC ID: 5991715575

PECOS Enrollment ID: I20101123000413

Accepts Medicare Assignment? Yes

Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

Eligible to Order or Refer a Home Health Agency (HHA): Yes

Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

Blood test, basic group of blood chemicals (calcium, total)

Blood test, clotting time

Blood test, comprehensive group of blood chemicals

Blood test, lipids (cholesterol and triglycerides)

Blood test, thyroid stimulating hormone (tsh)

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count

Electrocardiogram (ecg) 2-day continuous with review and report by health care professional

Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional

Established patient office or other outpatient visit, 20-29 minutes

Established patient office or other outpatient visit, 30-39 minutes

Established patient office or other outpatient visit, 40-54 minutes

Evaluation of single, dual, multiple lead or leadless pacemaker system

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician

Heart muscle strain imaging

Heart rhythm recording of continous external ekg over 8-15 days

Heart rhythm review and interpretation of continous external ekg over 8-15 days

Hemoglobin a1c level

Injection, regadenoson, 0.1 mg

Insertion of needle into vein for collection of blood sample

New patient office or other outpatient visit, 45-59 minutes

New patient office or other outpatient visit, 60-74 minutes

Nuclear medicine studies of heart muscle at rest and with stress and spect

Red blood cell sedimentation rate, to detect inflammation, non-automated

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report

Technetium tc-99m sestamibi, diagnostic, per study dose

Telephone medical discussion with physician, 11-20 minutes

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function

Ultrasound of heart with continuous electrocardiogram (ecg) during rest, exercise and/or drug induced stress with review and report

Physician Visit Costs

New Patients Visit Costs *

Established Patients Visit Costs *

Quality Reporting

Find Provider Hospital Affiliations - Privileges

Reviews for DR. ANDREW COSTIN MD

NPI NPI Number Validation

How NPI Validation Works

Digit-by-digit view

Step 1: Double every other digit from the right

Step 2: Add all digits plus the NPI constant

Step 3: Find the amount needed to reach the next multiple of 10

Other Providers at the Same Location

Frequently Asked Questions