DR. COSTA H SOUSOU MD
NPI 1225032857
Obstetrics & Gynecology in Onalaska, WI

Active since June 10, 2005PECOS EnrolledAccepts Medicare Assignment
1212 WELL ST, ONALASKA, WI 54650(608) 785-0940 Get Directions Write a Review

NPPES record last updated: January 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 7, 2022, Feb 22, 2022, Sep 15, 2020 and 3 more (6 updates tracked since 2018).

About Dr. Costa H Sousou Md NPPES

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

DR. COSTA H SOUSOU MD (NPI 1225032857) is an individual obstetrics & gynecology provider in Onalaska, Wisconsin, licensed in Oregon (CP209585) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (1988).

NPPES Registry Identity

NPI1225032857
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. COSTA H SOUSOUCredential: MD
Location Address1212 WELL STOnalaska, WI 54650-2668
Mailing AddressPo Box 1510Eau Claire, WI 54702-1510
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateJune 10, 2005
Last NPPES UpdateJanuary 25, 20246 updates tracked since enumeration
NPPES CertifiedJanuary 25, 2024
NPI 1225032857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses Licensed in OR · CP209585 Licensed in MN · 54770 Licensed in WI · 54981
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1212 WELL ST, Onalaska, WI 54650

Secondary Practice Locations 2

Location 1800 West Avenue SouthLa Crosse, WI 54601-8806 · Phone (608) 392-9866 · Fax (608) 392-7854
Location 2930 SW Abbey St Ste BNewport, OR 97365-4820 · Phone (541) 574-7235

Other Identifiers 1

Medicaid100011679WI

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. Costa H Sousou Md 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 ID244261592
PECOS Enrollment IDI20250825003442
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 54650 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

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.

Urology
1212 WELL ST
ONALASKA, WI 54650
Family Medicine
1212 WELL ST
ONALASKA, WI 54650
Obstetrics & Gynecology
1212 WELL ST
ONALASKA, WI 54650
Durable Medical Equipment & Medical Supplies
1212 WELL ST
ONALASKA, WI 54650

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 Costa Sousou's NPI number?

The NPI number for Costa Sousou is 1225032857. It was assigned to this individual provider in the NPPES registry on June 10, 2005.

Where is Costa Sousou located?

Costa Sousou practices at 1212 Well St, Onalaska, WI 54650. The listed phone number is (608) 785-0940.

What is Costa Sousou's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Costa Sousou enrolled in Medicare?

Yes. Costa Sousou 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 Costa Sousou accept?

Health plans from Blue Cross Blue Shield of Wyoming, BridgeSpan Health Company, Group Health Cooperative-SCW, Medica and Regence BlueCross BlueShield of Oregon list Costa Sousou 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.

When was this NPI record last updated?

The NPPES record for Costa Sousou was last updated on January 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.