DR. CASEY GRANT COSTA MD
NPI 1134814122
Emergency Medicine in Petersburg, VA
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, is affiliated with Bon Secours Southside Medical Center, and is a graduate of Wake Forest University School Of Medicine (2023).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Casey Grant Costa Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Casey Costa reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Culpeper, VA 22701
- Reassigned Medicare billing, Virginia enrollment
- 1,294 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
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Bon Secours Southside Medical Center
Acute Care Hospitals · Petersburg, VAPhysician 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.
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.
PETERSBURG, VA 23805
PETESBURG, VA 23805
PETERSBURG, VA 23805
PETERSBURG, VA 23805
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.
Which organization bills Medicare for Casey Costa's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Casey Costa reassigns Medicare benefits to Emergency Medicine Associates P.A., P.C. (Culpeper, VA). The 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 Casey Costa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Casey Costa affiliated with any hospitals?
According to CMS data, Casey Costa is affiliated with Bon Secours Southside Medical Center.
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 3 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.
# Dr. Casey Grant Costa, MD · NPI 1134814122
Emergency Medicine physician in Petersburg, Virginia. Individual provider, active in the CMS NPPES registry since April 6, 2023.
## Identity
- **NPI:** 1134814122 (Entity type: Individual)
- **Enumerated:** April 6, 2023
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 0116037906 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 200 MEDICAL PARK BLVD, Petersburg, VA 23805-9274
- **Phone:** (804) 765-5681
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Emergency Medicine Associates P.A., P.C. (NPI 1881559102, Culpeper, VA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Wake Forest University School Of Medicine, class of 2023
## Record status
- **NPPES last updated:** June 30, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1134814122) · Data from the CMS NPPES public registry.