DR. CORINNE DIANNE COSTELLIC DO
NPI 1194955104
Surgery in Troy, MI

Active since July 24, 2009PECOS EnrolledAccepts Medicare Assignment
80.99/100
CMS Quality Rating
44199 DEQUINDRE RD STE 612, TROY, MI 48085(248) 964-5170(248) 964-5175 Get Directions Write a Review

NPPES record last updated: July 14, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 14, 2022, Feb 13, 2019, Sep 29, 2015 (3 updates tracked since 2015).

About Dr. Corinne Dianne Costellic Do NPPES

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

DR. CORINNE DIANNE COSTELLIC DO (NPI 1194955104) is an individual surgery provider in Troy, Michigan, licensed in Michigan (5101018177) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital Royal Oak, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1194955104
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameDR. CORINNE DIANNE COSTELLICCredential: DO
Location Address44199 DEQUINDRE RD STE 612Troy, MI 48085-1128
Mailing Address26901 Beaumont Blvd Suite 3dSouthfield, MI 48033-3849 · (947) 522-1860 · Fax (947) 522-0307
Fax(248) 964-5175
Sole ProprietorNo
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2009
Enumeration DateJuly 24, 2009
Last NPPES UpdateJuly 14, 20223 updates tracked since enumeration
NPPES CertifiedJuly 14, 2022
NPI 1194955104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in MI · 5101018177
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 ListedSurgery · Surgical OncologyTaxonomy 2086X0206X · License H0079964 (MD)
44199 DEQUINDRE RD STE 612, Troy, MI 48085

Secondary Practice Locations 2

Location 133155 Annapolis StWayne, MI 48184-2405 · Phone (734) 467-2670 · Fax (734) 467-5544
Location 233101 Annapolis StWayne, MI 48184-2405 · Phone (734) 467-2670 · Fax (734) 467-5544

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

Dr. Corinne Dianne Costellic Do 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 ID5294041588
PECOS Enrollment IDI20190215000629
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 5

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.

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
23 services23 patients
Partial removal of breast 19301
A partial removal of the breast, also known as a lumpectomy, involves taking out a portion of the breast tissue to eliminate concerning cells. It's typically performed when the problem area is limited in size. This procedure helps to preserve most of the breast's appearance while aiming to remove all the unhealthy cells.
19 services19 patients
Biopsy or removal of deep lymph nodes of underarm 38525
A biopsy or removal of deep underarm lymph nodes is a procedure where a small sample of lymph node tissue is taken for testing. This helps in diagnosing or ruling out conditions like infections or cancers. It involves a small incision and is typically done under local or general anesthesia.
14 services14 patients
Imaging of lymph nodes during surgery 38900
Imaging of lymph nodes during surgery involves taking detailed pictures of your lymph nodes to help surgeons see and assess them in real-time. This procedure can aid in detecting disease, guiding treatment, and improving surgical precision.
14 services14 patients
Incision or other operation on lymphatic channels 38308
This procedure involves making an incision or performing surgery on the lymphatic channels, which are part of your body's immune system. It's typically done to treat conditions that affect these channels, like infections or blockages. The goal is to improve your body's ability to fight disease and maintain fluid balance.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Beaumont Hospital Royal Oak

Acute Care Hospitals · Royal Oak, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230130
Location3601 W Thirteen Mile RdRoyal Oak, MI 48073 · Oakland County
Emergency services Birthing friendly

Beaumont Hospital, Troy

Acute Care Hospitals · Troy, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230269
Location44201 Dequindre RoadTroy, MI 48085 · Oakland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48085 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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.

80.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.25
Promoting Interoperability100
Improvement Activities40
Cost59.73

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 Corinne Costellic's NPI number?

The NPI number for Corinne Costellic is 1194955104. It was assigned to this individual provider in the NPPES registry on July 24, 2009.

Where is Corinne Costellic located?

Corinne Costellic practices at 44199 Dequindre Rd Ste 612, Troy, MI 48085. The listed phone number is (248) 964-5170.

What is Corinne Costellic's specialty?

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

Is Corinne Costellic enrolled in Medicare?

Yes. Corinne Costellic 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 Corinne Costellic 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 Corinne Costellic 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 Corinne Costellic affiliated with any hospitals?

According to CMS data, Corinne Costellic is affiliated with Beaumont Hospital Royal Oak and Beaumont Hospital, Troy.

When was this NPI record last updated?

The NPPES record for Corinne Costellic was last updated on July 14, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.