JUSTIN COSTELLO D.O.
NPI 1215235916
Radiology - Vascular & Interventional Radiology in Tyler, TX
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 Southeast Iowa Regional Medical Center, and maintains 11 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 11
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
13Medicare enrollment records show Justin Costello reassigns Medicare billing to 13 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Tyler, TX 75702
- Reassigned Medicare billing, Texas enrollment
- 2,745 clinicians in this Medicare group
Tyler, TX 75701
- Reassigned Medicare billing, Texas enrollment
- 5,299 clinicians in this Medicare group
Gravette, AR 72736
- Reassigned Medicare billing, Arkansas and Missouri enrollments
- Also billed through NPI 1114924768 (Missouri)
- 95 clinicians in this Medicare group
Omaha, NE 68154
- Reassigned Medicare billing, Texas and Washington enrollments
- 9 clinicians in this Medicare group
West Burlington, IA 52655
- Reassigned Medicare billing, Texas enrollment
- 22 clinicians in this Medicare group
Mount Pleasant, IA 52641
- Reassigned Medicare billing, Iowa and Texas enrollments
- Also billed through NPI 1871177477 (Texas)
- 142 clinicians in this Medicare group
Farmer City, IL 61842
- Reassigned Medicare billing, Illinois enrollment
- 201 clinicians in this Medicare group
Rock Valley, IA 51247
- Reassigned Medicare billing, Iowa enrollment
- 90 clinicians in this Medicare group
Travelers Rest, SC 29690
- Reassigned Medicare billing, South Carolina enrollment
- Also billed through NPI 1922243674 (South Carolina)
- 754 clinicians in this Medicare group
Sioux Falls, SD 57105
- Reassigned Medicare billing, Washington enrollment
- 8 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.
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Southeast Iowa Regional Medical Center
Acute Care Hospitals · West Burlington, IAMoberly Regional Medical Center
Acute Care Hospitals · Moberly, MOSpartanburg Medical Center
Acute Care Hospitals · Spartanburg, SCUt Health East Texas Tyler Regional Hospital
Acute Care Hospitals · Tyler, TXChristus Mother Frances Hospital
Acute Care Hospitals · Tyler, TXPhysician 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.
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.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TYLER, TX 75702
TYLER, TX 75702
TYLER, TX 75702
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.
Which organizations bill Medicare for Justin Costello's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Justin Costello reassigns Medicare benefits to 13 organizations: Christus Trinity Clinic Texas (Tyler, TX), The University Of Texas Southwestern Medical Center At Dallas (Tyler, TX), Sgoh Acquisition Inc (Gravette, AR), Diagnostic Radiology PC (Omaha, NE), Southeast Iowa Regional Medical Center, Inc. (West Burlington, IA) and 8 more organizations, listed in the Medicare section above. Each 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 Justin Costello's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Justin Costello accept?
Health plans from Avera Health Plans, Blue Cross and Blue Shield of Kansas City, Blue Cross and Blue Shield of Texas, Oscar Insurance Company and UnitedHealthcare and 2 other insurers 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 Southeast Iowa Regional Medical Center, Moberly Regional Medical Center, Spartanburg Medical Center, Ut Health East Texas Tyler Regional Hospital and Christus Mother Frances Hospital.
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 2 months 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.
# Justin Costello, D.O. · NPI 1215235916
Vascular & Interventional Radiology physician in Tyler, Texas. Individual provider, active in the CMS NPPES registry since March 3, 2011.
## Identity
- **NPI:** 1215235916 (Entity type: Individual)
- **Enumerated:** March 3, 2011
- **Primary specialty:** Radiology - Vascular & Interventional Radiology · taxonomy 2085R0204X
- **State license:** R3055 (Texas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 910 E HOUSTON ST STE 210, Tyler, TX 75702-8369
- **Phone:** (903) 705-0072 · **Fax:** (903) 705-0068
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 13 organizations under Medicare reassignment (form CMS-855R): Christus Trinity Clinic Texas (NPI 1285684225, Tyler, TX); The University Of Texas Southwestern Medical Center At Dallas (NPI 1417099599, Tyler, TX); Sgoh Acquisition Inc (NPI 1568643005, Gravette, AR); Diagnostic Radiology PC (NPI 1497713291, Omaha, NE); Southeast Iowa Regional Medical Center, Inc. (NPI 1164433884, West Burlington, IA); and 8 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** August 13, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1215235916) · Data from the CMS NPPES public registry.