1. Home
  2. Directory
  3. Montana
  4. Plains
  5. Nurse Practitioner
  6. NPI Profile

MR. DAVID SIMEON COSTNER APRN NP-BC
NPI 1346542867
Nurse Practitioner in Plains, MT

Active since December 04, 2010Opted out of Medicare · through Apr 1, 2028
406 W RAILROAD AVE, PLAINS, MT 59859(406) 540-5757(833) 906-2418 Get Directions Write a Review

NPPES record last updated: April 24, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 24, 2026, Feb 11, 2025, Feb 5, 2025 and 2 more (5 updates tracked since 2021).

About Mr. David Simeon Costner Aprn Np-bc NPPES

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

MR. DAVID SIMEON COSTNER APRN NP-BC (NPI 1346542867) is an individual nurse practitioner in Plains, Montana, licensed in Montana (102425) and active in the NPI registry since December 2010. He has opted out of Medicare through April 1, 2028 and remains eligible to order and refer, is affiliated with St. Patrick Hospital, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1346542867
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameMR. DAVID SIMEON COSTNERCredential: APRN NP-BC
Location Address406 W RAILROAD AVEPlains, MT 59859-9597
Mailing Address406 W Railroad AvePlains, MT 59859-9597 · (406) 540-5757 · Fax (833) 906-2418
Phone(406) 540-5757
Fax(833) 906-2418
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateDecember 4, 2010
Last NPPES UpdateApril 24, 20265 updates tracked since enumeration
NPPES CertifiedApril 24, 2026
✔ NPI 1346542867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses✔ Licensed in MT · 102425✔ Licensed in MT · NUR-APRN-LIC-102425
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
406 W RAILROAD AVE, Plains, MT 59859
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mr. David Simeon Costner Aprn Np-bc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2026 through April 1, 2028.

Opt-Out Effective DateApril 1, 2026
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Areas of Expertise CMS Part B claims 10

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
455 services189 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
162 services162 patients
Blood test, clotting time 85610
A clotting time blood test helps determine how quickly your blood forms clots, a process crucial to stop bleeding. During the test, a small blood sample is taken from your arm. The sample is then analyzed in a lab to see how long it takes for a clot to form.
48 services11 patients
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
43 services17 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
39 services29 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.
38 services24 patients

Hospital Affiliations CMS Care Compare 2

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

St. Patrick Hospital

Acute Care Hospitals · Missoula, MT
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number270014
Location500 W BroadwayMissoula, MT 59806 · Missoula County
Emergency services Birthing friendly

Clark Fork Valley Hospital

Critical Access Hospitals · Plains, MT
OwnershipVoluntary non-profit - Private
CMS Certification Number271323
Location10 Kruger RdPlains, MT 59859 · Sanders County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59859 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
$87.97 typical visit price
range $56.81 – $172.26
Typical copayment $21.99 (range $14.20 – $43.06)
Most-billed visit code 99203
Established Patient
$100.16 typical visit price
range $18.24 – $140.32
Typical copayment $25.04 (range $4.56 – $35.08)
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.

Referred Medical Equipment & Supplies CMS DME claims 15

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers26 claims82 services$6.30 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
2 suppliers24 claims24 services$102.66 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
2 suppliers54 claims57 services$42.11 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
1 supplier12 claims23 services$17.35 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
2 suppliers19 claims19 services$21.84 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
2 suppliers28 claims28 services$21.98 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

COSTNER CARE FAMILY CLINIC, LLC
Nurse Practitioner (Family)
406 W RAILROAD AVE
PLAINS, MT 59859
Sanders County (406) 223-7966

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 David Costner's NPI number?

The NPI number for David Costner is 1346542867. It was assigned to this individual provider in the NPPES registry on December 4, 2010.

Where is David Costner located?

David Costner practices at 406 W Railroad Ave, Plains, MT 59859. The listed phone number is (406) 540-5757.

What is David Costner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is David Costner enrolled in Medicare?

No. David Costner has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does David Costner accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 7 other insurers list David Costner 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 David Costner affiliated with any hospitals?

According to CMS data, David Costner is affiliated with St. Patrick Hospital and Clark Fork Valley Hospital.

When was this NPI record last updated?

The NPPES record for David Costner was last updated on April 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.