Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JUSTIN COSTELLO D.O.
NPI 1215235916
Radiology - Vascular & Interventional Radiology in Tyler, TX

Active since March 03, 2011PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
910 E HOUSTON ST STE 210, TYLER, TX 75702(903) 705-0072(903) 705-0068 Get Directions Write a Review

NPPES record last updated: August 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 13, 2026, Jun 3, 2026, Feb 2, 2022 (3 updates tracked since 2022).

About Justin Costello D.o. NPPES

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

JUSTIN COSTELLO D.O. (NPI 1215235916) is an individual vascular & interventional radiology provider in Tyler, Texas, licensed in Texas (R3055) and active in the NPI registry since March 2011. He is enrolled in Medicare PECOS, is affiliated with Methodist Jennie Edmundson, and maintains 11 additional practice locations.

NPPES Registry Identity

NPI1215235916
Entity TypeIndividualMale
Primary Taxonomy2085R0204X
Provider Legal NameJUSTIN COSTELLOCredential: D.O.
Location Address910 E HOUSTON ST STE 210Tyler, TX 75702-8369
Mailing Address3851 Roger Brooke DrSan Antonio, TX 78234-4500
Fax(903) 705-0068
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateMarch 3, 2011
Last NPPES UpdateAugust 13, 20263 updates tracked since enumeration
NPPES CertifiedAugust 13, 2026
NPI 1215235916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0204X
License Licensed in TX · R3055
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License 973 (NE), R3055 (TX)
910 E HOUSTON ST STE 210, Tyler, TX 75702

Secondary Practice Locations 11

Location 13851 Roger Brooke Drive, Fort Sam HoustonSan Antonio, TX 78234-6200 · Phone (210) 916-5545
Location 218118 Fm 344 WFlint, TX 75762-6010 · Phone (903) 825-3292 · Fax (903) 825-3151
Location 31010 N 102nd St Ste 201Omaha, NE 68114-2122 · Phone (833) 228-6889 · Fax (877) 853-0376
Location 4700 Olympic Plaza Cir Ste 100Tyler, TX 75701-1951 · Phone (903) 262-3900
Location 5117 N Winnsboro StQuitman, TX 75783-2144 · Phone (903) 763-6333
Location 62208 Three Lakes Pkwy Ste 102Tyler, TX 75703-0538 · Phone (903) 262-3900
Location 7800 E Dawson StTyler, TX 75701-2036 · Phone (903) 591-5777
Location 82701 US Highway 271 NPittsburg, TX 75686-4289 · Phone (903) 946-5365
Location 91000 S Beckham AveTyler, TX 75701-1908 · Phone (903) 596-3470
Location 101000 E 5th St Ste 300Tyler, TX 75701-3333 · Phone (903) 531-8000
Location 11409 Cottage RdCarthage, TX 75633-1466 · Phone (903) 694-4941

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

Justin Costello D.o. 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 ID5799054326
PECOS Enrollment IDI20170925002292, I20210824000789, I20220914001242, I20221221001942, I20240502001657
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 12

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
192 services171 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
112 services110 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
47 services46 patients
Ct scan of upper spine without contrast 72125
A CT scan of the upper spine without contrast is a non-invasive imaging test that uses X-rays to capture detailed images of your neck and upper back. It helps in identifying issues like fractures, tumors, or infections. No dye (contrast) is used in this scan.
36 services36 patients
Ct scan of abdomen and pelvis without contrast 74176
A CT scan of the abdomen and pelvis is a non-invasive medical test. It uses special X-ray equipment to create detailed images of your abdominal and pelvic areas. This helps doctors examine organs, tissues, and vessels. No contrast dye is used in this procedure.
34 services34 patients
Ct scan of blood vessels of chest with contrast 71275
A CT scan of the chest with contrast is a non-invasive imaging test. It uses X-rays and a special dye to get detailed images of your blood vessels in the chest. This helps in diagnosing conditions related to heart and lungs.
26 services26 patients

Hospital Affiliations CMS Care Compare 5

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

Methodist Jennie Edmundson

Acute Care Hospitals · Council Bluffs, IA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160047
Location933 East Pierce StreetCouncil Bluffs, IA 51503 · Pottawattamie County
Emergency services Birthing friendly

Southeast Iowa Regional Medical Center

Acute Care Hospitals · West Burlington, IA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160057
Location1221 South Gear AvenueWest Burlington, IA 52655 · Des Moines County
Emergency services Birthing friendly

Northeast Regional Medical Center

Acute Care Hospitals · Kirksville, MO
3/5 CMS rating
OwnershipProprietary
CMS Certification Number260022
Location315 S OsteopathyKirksville, MO 63501 · Adair County
Emergency services Birthing friendly

Moberly Regional Medical Center

Acute Care Hospitals · Moberly, MO
3/5 CMS rating
OwnershipProprietary
CMS Certification Number260074
Location1515 Union AveMoberly, MO 65270 · Randolph County
Emergency services

Spartanburg Medical Center

Acute Care Hospitals · Spartanburg, SC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420007
Location101 E Wood StSpartanburg, SC 29303 · Spartanburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75702 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Radiology (Vascular & Interventional Radiology)
910 E HOUSTON ST STE 210
TYLER, TX 75702
Radiology (Vascular & Interventional Radiology)
910 E HOUSTON ST STE 210
TYLER, TX 75702
Radiology (Vascular & Interventional Radiology)
910 E HOUSTON ST STE 210
TYLER, TX 75702

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 Justin Costello's NPI number?

The NPI number for Justin Costello is 1215235916. It was assigned to this individual provider in the NPPES registry on March 3, 2011.

Where is Justin Costello located?

Justin Costello practices at 910 E Houston St Ste 210, Tyler, TX 75702. The listed phone number is (903) 705-0072.

What is Justin Costello's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

Is Justin Costello enrolled in Medicare?

Yes. Justin Costello 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 Justin Costello accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Avera Health Plans, Blue Cross and Blue Shield of Texas and Oscar Insurance Company list Justin Costello 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 Justin Costello affiliated with any hospitals?

According to CMS data, Justin Costello is affiliated with Methodist Jennie Edmundson, Southeast Iowa Regional Medical Center, Northeast Regional Medical Center, Moberly Regional Medical Center and Spartanburg Medical Center.

When was this NPI record last updated?

The NPPES record for Justin Costello was last updated on August 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.