DR. MICHAEL L COSTELLO DDS
NPI 1073527222
Dentist - General Practice in South Milwaukee, WI

Active since July 27, 2006PECOS Enrolled
1333 COLLEGE AVE, SUITE C, SOUTH MILWAUKEE, WI 53172(414) 764-6070(414) 764-3035 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Michael L Costello Dds NPPES

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

DR. MICHAEL L COSTELLO DDS (NPI 1073527222) is an individual general practice provider in South Milwaukee, Wisconsin, licensed in Wisconsin (2736) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073527222
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MICHAEL L COSTELLOCredential: DDS
Location Address1333 COLLEGE AVE, SUITE CSouth Milwaukee, WI 53172-1150
Mailing Address1333 College Ave, Suite CSouth Milwaukee, WI 53172-1150 · (414) 764-6070 · Fax (414) 764-3035
Fax(414) 764-3035
Sole ProprietorYes
Enumeration DateJuly 27, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1073527222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in WI · 2736
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1333 COLLEGE AVE, South Milwaukee, WI 53172

Other Identifiers 1

Medicaid38387300WI

Accepted Insurance

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. Michael L Costello Dds 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 53172 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
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 19

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

Case Management
1333 COLLEGE AVE
SOUTH MILWAUKEE, WI 53172
Registered Nurse
1333 COLLEGE AVE
SOUTH MILWAUKEE, WI 53172
Physical Therapist
1333 COLLEGE AVE, SUITE B
SOUTH MILWAUKEE, WI 53172
Registered Nurse
1333 COLLEGE AVE
SOUTH MILWAUKEE, WI 53172
Counselor (Addiction (Substance Use Disorder))
1333 COLLEGE AVE
SOUTH MILWAUKEE, WI 53172
Counselor (Addiction (Substance Use Disorder))
1333 COLLEGE AVE
SOUTH MILWAUKEE, WI 53172
Physical Therapist
1333 COLLEGE AVE, SUITE B
SOUTH MILWAUKEE, WI 53172
Counselor (Addiction (Substance Use Disorder))
1333 COLLEGE AVE
SOUTH MILWAUKEE, WI 53172

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 Michael Costello's NPI number?

The NPI number for Michael Costello is 1073527222. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Where is Michael Costello located?

Michael Costello practices at 1333 College Ave Suite C, South Milwaukee, WI 53172. The listed phone number is (414) 764-6070.

What is Michael Costello's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Michael Costello enrolled in Medicare?

Yes. Michael Costello is registered in the Medicare PECOS enrollment system.

What insurance does Michael Costello accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Delta Dental of Wisconsin, Inc. list Michael 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.

When was this NPI record last updated?

The NPPES record for Michael Costello was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.