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DR. THEODORE GERARD COSTICH M.D.
NPI 1245331818
Obstetrics & Gynecology in Williamsville, NY

Active since September 26, 2006PECOS EnrolledAccepts Medicare Assignment
41 MAPLE RD, WILLIAMSVILLE, NY 14221(716) 631-1045(716) 631-1365 Get Directions Write a Review

NPPES record last updated: September 4, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Theodore Gerard Costich M.d. NPPES

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

DR. THEODORE GERARD COSTICH M.D. (NPI 1245331818) is an individual obstetrics & gynecology provider in Williamsville, New York, licensed in New York (187420) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Kaleida Health, and is a graduate of Other (1987).

NPPES Registry Identity

NPI1245331818
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. THEODORE GERARD COSTICHCredential: M.D.
Location Address41 MAPLE RDWilliamsville, NY 14221-2918
Mailing Address41 Maple RdWilliamsville, NY 14221-2918 · (716) 631-1045 · Fax (716) 631-1365
Phone(716) 631-1045
Fax(716) 631-1365
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateSeptember 26, 2006
Last NPPES UpdateSeptember 4, 2009
✔ NPI 1245331818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in NY · 187420
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.
41 MAPLE RD, Williamsville, NY 14221
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Other Identifiers 7

Other10109001NY · Fidelis Provider #
Medicaid01406720NY
Medicare ID-Type UnspecifiedBB4991NM · Medicare Provider Number
Medicare UPINF04493NY
Other0709667NY · Independent Health Provid
Other00020006503NY · Univera Healthcare Provid
Other005250881NY · Bc/bs Ofwny Provider #

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. Theodore Gerard Costich M.d. 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 ID7517965585
PECOS Enrollment IDI20101105000565
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 6

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
62 services62 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
35 services25 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
29 services23 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
23 services23 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
20 services20 patients
Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830
An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Kaleida Health

Acute Care Hospitals · Buffalo, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330005
Location100 High StreetBuffalo, NY 14210 · Erie County
Emergency services Birthing friendly

Sisters Of Charity Hospital

Acute Care Hospitals · Buffalo, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330078
Location2157 Main StreetBuffalo, NY 14214 · Erie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14221 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

MS. MARGARET LEE WEED CNM
Nurse Practitioner (Women's Health)
41 MAPLE RD
WILLIAMSVILLE, NY 14221
Erie County (716) 631-1045
REBECCA L STOCK N.P.
Nurse Practitioner (Women's Health)
41 MAPLE RD
WILLIAMSVILLE, NY 14221
Erie County (716) 631-1045
MS. STACIE L WIER NP
Nurse Practitioner (Women's Health)
41 MAPLE RD, MAPLE MEDICAL SERVICES, P.C.
WILLIAMSVILLE, NY 14221
Erie County (716) 631-1045
MAPLE MEDICAL SERVICES, P.C.
Obstetrics & Gynecology (Obstetrics)
41 MAPLE RD
WILLIAMSVILLE, NY 14221
Erie County (716) 631-1045

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 Theodore Costich's NPI number?

The NPI number for Theodore Costich is 1245331818. It was assigned to this individual provider in the NPPES registry on September 26, 2006.

Where is Theodore Costich located?

Theodore Costich practices at 41 Maple Rd, Williamsville, NY 14221. The listed phone number is (716) 631-1045.

What is Theodore Costich's specialty?

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

Is Theodore Costich enrolled in Medicare?

Yes. Theodore Costich 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.

Is Theodore Costich affiliated with any hospitals?

According to CMS data, Theodore Costich is affiliated with Kaleida Health and Sisters Of Charity Hospital.

When was this NPI record last updated?

The NPPES record for Theodore Costich was last updated on September 4, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.