MARC LANCE COSTA MD
NPI 1184655482
Surgery in Bridgeport, WV

Active since July 05, 2006PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
527 MEDICAL PARK DR, SUITE 202, BRIDGEPORT, WV 26330(304) 933-3850(304) 933-3859 Get Directions Write a Review

NPPES record last updated: April 5, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 5, 2022, Jan 8, 2021 (2 updates tracked since 2021).

About Marc Lance Costa Md NPPES

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

MARC LANCE COSTA MD (NPI 1184655482) is an individual surgery provider in Bridgeport, West Virginia, licensed in West Virginia (19442) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with United Hospital Center, Inc, and is a graduate of Perelman School Of Med At The University Of Pennsylvania (1993).

NPPES Registry Identity

NPI1184655482
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameMARC LANCE COSTACredential: MD
Location Address527 MEDICAL PARK DR, SUITE 202Bridgeport, WV 26330-9008
Mailing Address527 Medical Park Dr, Suite 202Bridgeport, WV 26330-9008 · (304) 933-3850 · Fax (304) 933-3859
Fax(304) 933-3859
Sole ProprietorNo
Medical School CMSPerelman School Of Med At The University Of PennsylvaniaGraduated 1993
Enumeration DateJuly 5, 2006
Last NPPES UpdateApril 5, 20222 updates tracked since enumeration
NPPES CertifiedApril 5, 2022
NPI 1184655482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in WV · 19442
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedSpecialistTaxonomy 174400000X · License MD060675L (PA)
527 MEDICAL PARK DR, Bridgeport, WV 26330

Other Identifiers 10

Other319922PA · Upmc Medicare
Other000000140320PA · Unison Three Rivers
OtherG78377PA · Health Assurance
Other048032003PA · Cigna
OtherG78377PA · Advantra Medicare
OtherG78377PA · Health America
Other1531290PA · Gateway
Other3133024PA · Aetna
Medicaid0019436000001PA
Other1461312PA · Blue Cross Blue Shield

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 and accepts Medicare assignment

Marc Lance Costa Md 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 ID244216679
PECOS Enrollment IDI20120718000040
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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
83 services52 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
78 services73 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.
43 services31 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

United Hospital Center, Inc

Acute Care Hospitals · Bridgeport, WV
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510006
Location327 Medical Park DriveBridgeport, WV 26330 · Harrison County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26330 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$66.84 typical visit price
range $16.47 – $133.29
Typical copayment $16.71 (range $4.11 – $33.32)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.46
Promoting Interoperability100
Improvement Activities40

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.

Internal Medicine
527 MEDICAL PARK DR, SUITE 307
BRIDGEPORT, WV 26330
Obstetrics & Gynecology
527 MEDICAL PARK DR
BRIDGEPORT, WV 26330
Family Medicine
527 MEDICAL PARK DR, SUITE 500
BRIDGEPORT, WV 26330
Obstetrics & Gynecology
527 MEDICAL PARK DR, SUITE 104
BRIDGEPORT, WV 26330
Family Medicine
527 MEDICAL PARK DR, SUITE 500
BRIDGEPORT, WV 26330
Obstetrics & Gynecology
527 MEDICAL PARK DR, SUITE 108
BRIDGEPORT, WV 26330
Plastic Surgery
527 MEDICAL PARK DR, SUITE 203
BRIDGEPORT, WV 26330
Surgery
527 MEDICAL PARK DR, SUITE 202
BRIDGEPORT, WV 26330

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 Marc Costa's NPI number?

The NPI number for Marc Costa is 1184655482. It was assigned to this individual provider in the NPPES registry on July 5, 2006.

Where is Marc Costa located?

Marc Costa practices at 527 Medical Park Dr Suite 202, Bridgeport, WV 26330. The listed phone number is (304) 933-3850.

What is Marc Costa's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Marc Costa enrolled in Medicare?

Yes. Marc Costa 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 Marc Costa accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Marc Costa 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 Marc Costa affiliated with any hospitals?

According to CMS data, Marc Costa is affiliated with United Hospital Center, Inc.

When was this NPI record last updated?

The NPPES record for Marc Costa was last updated on April 5, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.