DEREK COSTA M.D.
NPI 1215082359
Family Medicine in Port Orchard, WA
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
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Derek Costa M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Derek Costa reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Seattle, WA 98109
- Reassigned Medicare billing, Washington enrollment
- 2,678 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.
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.
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.
PORT ORCHARD, WA 98366
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.
Which organization bills Medicare for Derek Costa's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Derek Costa reassigns Medicare benefits to Kaiser Foundation Health Plan Of Washington (Seattle, WA). 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 Derek Costa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Derek Costa, M.D. · NPI 1215082359
Family Medicine physician in Port Orchard, Washington. Individual provider, active in the CMS NPPES registry since January 25, 2007.
## Identity
- **NPI:** 1215082359 (Entity type: Individual)
- **Enumerated:** January 25, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** MD00024310 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 1400 POTTERY AVE, Port Orchard, WA 98366-3711
- **Phone:** (360) 895-5000
## 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:** Kaiser Foundation Health Plan Of Washington (NPI 1396810701, Seattle, WA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 5, 2021
- **Other identifiers:** Medicaid 8111726 (WA)
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Source: [NPI Profile](https://npiprofile.com/npi/1215082359) · Data from the CMS NPPES public registry.