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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. CASEY GRANT COSTA MD
NPI 1134814122
Emergency Medicine in Petersburg, VA

Active since April 06, 2023PECOS Enrolled
200 MEDICAL PARK BLVD, PETERSBURG, VA 23805(804) 765-5681 Get Directions Write a Review

NPPES record last updated: June 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 26, 2024, Apr 6, 2023 (2 updates tracked since 2023).

About Dr. Casey Grant Costa Md NPPES

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

DR. CASEY GRANT COSTA MD (NPI 1134814122) is an individual emergency medicine provider in Petersburg, Virginia, licensed in Virginia (0116037906) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1134814122
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. CASEY GRANT COSTACredential: MD
Location Address200 MEDICAL PARK BLVDPetersburg, VA 23805-9274
Mailing Address200 Medical Park BlvdPetersburg, VA 23805-9274 · (804) 765-5681
Phone(804) 765-5681
Sole ProprietorNo
Enumeration DateApril 6, 2023
Last NPPES UpdateJune 30, 20262 updates tracked since enumeration
NPPES CertifiedJune 30, 2026
✔ NPI 1134814122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in VA · 0116037906
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
200 MEDICAL PARK BLVD, Petersburg, VA 23805
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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. Casey Grant Costa Md 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 23805 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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 20

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

SARAH LIGHT
Student in an Organized Health Care Education/Training Program
200 MEDICAL PARK BLVD
PETERSBURG, VA 23805
Petersburg City (804) 765-5000
DOUGLAS COHRS PA-C
Physician Assistant
200 MEDICAL PARK BLVD
PETERSBURG, VA 23805
Petersburg City (703) 431-9975
SUDHA KODURU M.D.
Internal Medicine
200 MEDICAL PARK BLVD
PETERSBURG, VA 23805
Petersburg City (804) 765-5991
BRIAN WAYNE MCCAULEY PA-C
Physician Assistant
200 MEDICAL PARK BLVD
PETERSBURG, VA 23805
Petersburg City (804) 765-5000
DR. MICHAEL W CIESLINSKI M.D.
Emergency Medicine
200 MEDICAL PARK BLVD
PETERSBURG, VA 23805
Petersburg City (804) 765-5000
DR. BENJAMIN ROSS QUIGLEY MD
Emergency Medicine
200 MEDICAL PARK BLVD, EMERGENCY DEPARTMENT
PETESBURG, VA 23805
Petersburg City (804) 765-5000
MARIBEL K ABENIR CRNA-NP
Nurse Anesthetist, Certified Registered
200 MEDICAL PARK BLVD, SOUTHSIDE REGIONAL MEDICAL CENTER
PETERSBURG, VA 23805
Petersburg City (804) 765-5000
JULIANA NAW
Student in an Organized Health Care Education/Training Program
200 MEDICAL PARK BLVD
PETERSBURG, VA 23805
Petersburg City (804) 765-5000

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 Casey Costa's NPI number?

The NPI number for Casey Costa is 1134814122. It was assigned to this individual provider in the NPPES registry on April 6, 2023.

Where is Casey Costa located?

Casey Costa practices at 200 Medical Park Blvd, Petersburg, VA 23805. The listed phone number is (804) 765-5681.

What is Casey Costa's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Casey Costa enrolled in Medicare?

Yes. Casey Costa is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Casey Costa was last updated on June 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 38 days 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.