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DEREK COSTA M.D.
NPI 1215082359
Family Medicine in Port Orchard, WA

Active since January 25, 2007PECOS Enrolled
1400 POTTERY AVE, PORT ORCHARD, WA 98366(360) 895-5000 Get Directions Write a Review

NPPES record last updated: April 5, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 5, 2021, Mar 13, 2017 (2 updates tracked since 2017).

About Derek Costa M.d. NPPES

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

DEREK COSTA M.D. (NPI 1215082359) is an individual family medicine provider in Port Orchard, Washington, licensed in Washington (MD00024310) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215082359
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDEREK COSTACredential: M.D.
Location Address1400 POTTERY AVEPort Orchard, WA 98366-3711
Mailing Address1400 Pottery AvePort Orchard, WA 98366-3711 · (360) 895-5000 · Fax (360) 895-5034
Phone(360) 895-5000
Sole ProprietorNo
Enumeration DateJanuary 25, 2007
Last NPPES UpdateApril 5, 20212 updates tracked since enumeration
NPPES CertifiedApril 5, 2021
✔ NPI 1215082359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WA · MD00024310
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1400 POTTERY AVE, Port Orchard, WA 98366
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Other Identifiers 1

Medicaid8111726WA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Derek Costa 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 98366 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

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.

KAISER FOUNDATION HEALTH PLAN OF WASHINGTON
Clinic/Center (Multi-Specialty)
1400 POTTERY AVE
PORT ORCHARD, WA 98366
Kitsap County (360) 895-5000
BARBARA T HEPFER ARNP
Nurse Practitioner (Family)
1400 POTTERY AVE, OC MED
PORT ORCHARD, WA 98366
Kitsap County (253) 895-5000
CHRISTINE AGBAYANI LOMOTAN M.D.
Family Medicine
1400 POTTERY AVE
PORT ORCHARD, WA 98366
Kitsap County (360) 895-5000
DR. CHRISTOPHER MATHIAS GUNAWAN MD
Pediatrics
1400 POTTERY AVE
PORT ORCHARD, WA 98366
Kitsap County (360) 895-5000
MRS. REBECCA ABAGAIL HUNT M.S.
Counselor (Mental Health)
1400 POTTERY AVE
PORT ORCHARD, WA 98366
Kitsap County (360) 895-5000
DR. GREGORY HOWARD CAIN MD
Pediatrics
1400 POTTERY AVE
PORT ORCHARD, WA 98366
Kitsap County (360) 895-5000
RONALD C PURBAUGH
Pharmacist
1400 POTTERY AVE
PORT ORCHARD, WA 98366
Kitsap County (360) 895-5000
EMILY ASSAVAPISITKUL
Family Medicine
1400 POTTERY AVE
PORT ORCHARD, WA 98366
Kitsap County (360) 895-5000

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 Derek Costa's NPI number?

The NPI number for Derek Costa is 1215082359. It was assigned to this individual provider in the NPPES registry on January 25, 2007.

Where is Derek Costa located?

Derek Costa practices at 1400 Pottery Ave, Port Orchard, WA 98366. The listed phone number is (360) 895-5000.

What is Derek Costa's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Derek Costa enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Derek Costa was last updated on April 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.