DR. TIMOTHY D COSTELLO MD
NPI 1235195785
Emergency Medicine in Harrison, AR

Q: What is Timothy Costello's NPI number?

The NPI number for Timothy Costello is 1235195785. It was assigned to this individual provider in the NPPES registry on April 25, 2006.

Q: What is Timothy Costello's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Timothy Costello was last updated on November 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.

Active since April 25, 2006PECOS EnrolledAccepts Medicare Assignment

620 NORTH MAIN, HARRISON, AR 72601(870) 365-2000 Get Directions Write a Review

NPPES record last updated: November 25, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Timothy D Costello Md NPPES

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

DR. TIMOTHY D COSTELLO MD (NPI 1235195785) is an individual emergency medicine provider in Harrison, Arkansas, licensed in Arkansas (E-7237) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Ascension Sacred Heart Bay, and is a graduate of Loyola University Of Chicago, Stritch School Of Medicine (2003).

NPPES Registry Identity

NPI1235195785

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameDR. TIMOTHY D COSTELLOCredential: MD

Location Address620 NORTH MAINHarrison, AR 72601-2926

Mailing Address2080 Child StJacksonville, FL 32214-5005 · (904) 542-3500

Phone(870) 365-2000

Sole ProprietorNo

Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 2003

Enumeration DateApril 25, 2006

Last NPPES UpdateNovember 25, 2024

NPPES CertifiedNovember 25, 2024

✔ NPI 1235195785 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Licenses✔ Licensed in AR · E-7237✔ Licensed in FL · ME137708✔ Licensed in MO · 2011003498

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedGeneral PracticeTaxonomy 208D00000X · License 0101236812 (VA)

620 NORTH MAIN, Harrison, AR 72601

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Other Identifiers 2

Medicaid190603001AR

Other51228Ar Blue Cross

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Health Advantage, Medica and more.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. Timothy D Costello 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 ID5294914230

PECOS Enrollment IDI20200820001669

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 4

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

336 services326 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

186 services183 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

79 services76 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

39 services39 patients

Hospital Affiliations CMS Care Compare 4

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

Ascension Sacred Heart Bay

Acute Care Hospitals · Panama City, FL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100026

Location615 N Bonita AvePanama City, FL 32401 · Bay County

Emergency services

Hca Florida Twin Cities Hospital

Acute Care Hospitals · Niceville, FL

4/5 CMS rating

OwnershipProprietary

CMS Certification Number100054

Location2190 Hwy 85 NNiceville, FL 32578 · Okaloosa County

Emergency services

Hca Florida Gulf Coast Hospital

Acute Care Hospitals · Panama City, FL

3/5 CMS rating

OwnershipProprietary

CMS Certification Number100242

Location449 W 23rd StPanama City, FL 32405 · Bay County

Emergency services Birthing friendly

Ascension Sacred Heart Gulf

Acute Care Hospitals · Port Saint Joe, FL

OwnershipVoluntary non-profit - Private

CMS Certification Number100313

Location3801 E Hwy 98Port Saint Joe, FL 32456 · Gulf County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72601 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

$79.72 typical visit price

range $51.36 – $157.74

Typical copayment $19.93 (range $12.84 – $39.43)

Most-billed visit code 99203

Established Patient

$91.63 typical visit price

range $16.16 – $128.77

Typical copayment $22.90 (range $4.04 – $32.19)

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 8

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

JOSEPH LEE THOMAS ANP

Nurse Practitioner