DR. AMY COSTELLO M.D.
NPI 1144278318
Pediatrics in Ellsworth Afb, SD

Q: What is Amy Costello's NPI number?

The NPI number for Amy Costello is 1144278318. It was assigned to this individual provider in the NPPES registry on May 4, 2006.

Q: What is Amy Costello's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Amy Costello was last updated on June 8, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 04, 2006PECOS Enrolled

2900 DOOLITTLE DR, ELLSWORTH AFB, SD 57706(605) 385-3285 Get Directions Write a Review

NPPES record last updated: June 8, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Amy Costello M.d. NPPES

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

DR. AMY COSTELLO M.D. (NPI 1144278318) is an individual pediatrics provider in Ellsworth Afb, South Dakota, licensed in Virginia (0101234865) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144278318

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. AMY COSTELLOCredential: M.D.

Location Address2900 DOOLITTLE DREllsworth Afb, SD 57706-4821

Mailing Address22839 Gateway RdBox Elder, SD 57719 · (605) 385-3285

Phone(605) 385-3285

Sole ProprietorNo

Enumeration DateMay 4, 2006

Last NPPES UpdateJune 8, 2016

✔ NPI 1144278318 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in VA · 0101234865

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

2900 DOOLITTLE DR, Ellsworth Afb, SD 57706

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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. Amy Costello M.d. 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 57706 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

$85.21 typical visit price

range $55.52 – $167.23

Typical copayment $21.30 (range $13.88 – $41.80)

Most-billed visit code 99203

Established Patient

$97.88 typical visit price

range $18.08 – $137.08

Typical copayment $24.47 (range $4.52 – $34.27)

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.

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