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PAUL STEPHEN COSTANZO PA-C
NPI 1104845239
Physician Assistant - Medical in Paw Paw, MI

Active since July 19, 2006PECOS EnrolledAccepts Medicare Assignment
404 HAZEN ST, SUITE L3, PAW PAW, MI 49079(269) 657-1595(269) 657-1534 Get Directions Write a Review

NPPES record last updated: September 27, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Paul Stephen Costanzo Pa-c NPPES

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

PAUL STEPHEN COSTANZO PA-C (NPI 1104845239) is an individual medical provider in Paw Paw, Michigan, licensed in Michigan (5601003700) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1104845239
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NamePAUL STEPHEN COSTANZOCredential: PA-C
Location Address404 HAZEN ST, SUITE L3Paw Paw, MI 49079-1040
Mailing Address601 John St, Box 42Kalamazoo, MI 49007-5341 · (269) 341-7806 · Fax (269) 341-8743
Phone(269) 657-1595
Fax(269) 657-1534
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateJuly 19, 2006
Last NPPES UpdateSeptember 27, 2010
✔ NPI 1104845239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in MI · 5601003700
404 HAZEN ST, Paw Paw, MI 49079
Open in Google Maps ↗

Other Identifiers 3

Medicare ID-Type UnspecifiedP17430001MI
Medicare PINH06012057MI
Other0H060020MI · Bcbsm

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.Insurance ›

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

Paul Stephen Costanzo Pa-c 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 ID3577455401
PECOS Enrollment IDI20040326000142
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 3

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.
124 services61 patients
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.
24 services17 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
20 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Spectrum Health

Acute Care Hospitals · Grand Rapids, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230038
Location100 Michigan St NEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 11

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

PATRICK MICHAEL LYNCH R.PH.
Pharmacist
404 HAZEN ST, SUITE 102
PAW PAW, MI 49079
Van Buren County (269) 657-4701
JEANNE LOUISE FIELDER PA C
Physician Assistant
404 HAZEN ST
PAW PAW, MI 49079
Van Buren County (269) 657-2550
HUGH M SANCHEZ MD
Internal Medicine
404 HAZEN ST
PAW PAW, MI 49079
Van Buren County (269) 657-2550
SKINNER & HANG INC
Pharmacy (Community/Retail Pharmacy)
404 HAZEN ST, SUITE 102
PAW PAW, MI 49079
Van Buren County (269) 657-4701
MRS. BARBARA L THOMPSON RPH
Pharmacist
404 HAZEN ST, SUITE 102
PAW PAW, MI 49079
Van Buren County (269) 657-4701
NADEEM M MIRZA MD
Psychiatry & Neurology (Psychiatry)
404 HAZEN ST, SUITE 104
PAW PAW, MI 49079
Van Buren County (269) 657-1595
REBECCA L THORESON M.D.
Surgery
404 HAZEN ST, SUITE 101
PAW PAW, MI 49079
Van Buren County (269) 657-4407
PAUL MARCUS KOLON LMSW
Social Worker
404 HAZEN ST
PAW PAW, MI 49079
Van Buren County (269) 657-1559

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 Paul Costanzo's NPI number?

The NPI number for Paul Costanzo is 1104845239. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Where is Paul Costanzo located?

Paul Costanzo practices at 404 Hazen St Suite L3, Paw Paw, MI 49079. The listed phone number is (269) 657-1595.

What is Paul Costanzo's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Paul Costanzo enrolled in Medicare?

Yes. Paul Costanzo 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.

What insurance does Paul Costanzo accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community, Priority Health and UnitedHealthcare list Paul Costanzo 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 Paul Costanzo affiliated with any hospitals?

According to CMS data, Paul Costanzo is affiliated with Spectrum Health.

When was this NPI record last updated?

The NPPES record for Paul Costanzo was last updated on September 27, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.