JAMISON FORREST COSTELLO D.O.
NPI 1053731646
Family Medicine in Wolfeboro, NH
About Jamison Forrest Costello D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JAMISON FORREST COSTELLO D.O. (NPI 1053731646) is an individual family medicine provider in Wolfeboro, New Hampshire, licensed in New Hampshire (18414) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Concord Hospital- Laconia, and is a graduate of University Of New England, College Of Osteo Medicine (2014).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jamison Forrest Costello D.o. 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.
Medicare Billing Reassignments
3Medicare enrollment records show Jamison Costello reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Wolfeboro, NH 03894
- Reassigned Medicare billing, New Hampshire enrollment
- 43 clinicians in this Medicare group
Meredith, NH 03253
- Reassigned Medicare billing, New Hampshire enrollment
- Also billed through NPI 1760496376 (New Hampshire)
- 92 clinicians in this Medicare group
Manchester, NH 03102
- Reassigned Medicare billing, New Hampshire enrollment
- 199 clinicians in this Medicare group
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 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Concord Hospital- Laconia
Acute Care Hospitals · Laconia, NHSpeare Memorial Hospital
Critical Access Hospitals · Plymouth, NHHuggins Hospital
Critical Access Hospitals · Wolfeboro, NHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 03894 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 4
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jamison Costello's NPI number?
The NPI number for Jamison Costello is 1053731646. It was assigned to this individual provider in the NPPES registry on April 22, 2014.
Where is Jamison Costello located?
Jamison Costello practices at 240 S Main St Ste A, Wolfeboro, NH 03894. The listed phone number is (603) 569-7500.
What is Jamison Costello's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Jamison Costello enrolled in Medicare?
Yes. Jamison Costello 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.
Which organizations bill Medicare for Jamison Costello's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jamison Costello reassigns Medicare benefits to 3 organizations: Huggins Hospital (Wolfeboro, NH), Speare Memorial Hospital (Meredith, NH) and Catholic Medical Center (Manchester, NH). Each 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 Jamison Costello's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jamison Costello accept?
Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Shield and WellSense Health Plan list Jamison Costello 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 Jamison Costello affiliated with any hospitals?
According to CMS data, Jamison Costello is affiliated with Concord Hospital- Laconia, Speare Memorial Hospital and Huggins Hospital.
When was this NPI record last updated?
The NPPES record for Jamison Costello was last updated on March 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Jamison Forrest Costello, D.O. · NPI 1053731646
Family Medicine physician in Wolfeboro, New Hampshire. Individual provider, active in the CMS NPPES registry since April 22, 2014.
## Identity
- **NPI:** 1053731646 (Entity type: Individual)
- **Enumerated:** April 22, 2014
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 18414 (New Hampshire)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 240 S MAIN ST STE A, Wolfeboro, NH 03894-4411
- **Phone:** (603) 569-7500
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Huggins Hospital (NPI 1366476079, Wolfeboro, NH); Speare Memorial Hospital (NPI 1669161659, Meredith, NH); Catholic Medical Center (NPI 1427154335, Manchester, NH) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of New England, College Of Osteo Medicine, class of 2014
## Record status
- **NPPES last updated:** March 13, 2025
- **Other identifiers:** Medicaid 3109500 (NH)
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Source: [NPI Profile](https://npiprofile.com/npi/1053731646) · Data from the CMS NPPES public registry.