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MICHAEL R COSTELLO MD
NPI 1366645111
Internal Medicine - Hematology & Oncology in West Chester, PA

Active since June 08, 2007PECOS EnrolledAccepts Medicare Assignment
85.48/100
CMS Quality Rating
440 E MARSHALL ST, SUITE 201, WEST CHESTER, PA 19380(610) 738-2500 Get Directions Write a Review

NPPES record last updated: February 16, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michael R Costello Md NPPES

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

MICHAEL R COSTELLO MD (NPI 1366645111) is an individual hematology & oncology provider in West Chester, Pennsylvania, licensed in Pennsylvania (MD431871) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Lancaster General Hospital, and is a graduate of Pennsylvania State University College Of Medicine (2004).

NPPES Registry Identity

NPI1366645111
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameMICHAEL R COSTELLOCredential: MD
Location Address440 E MARSHALL ST, SUITE 201West Chester, PA 19380-5414
Mailing Address440 E Marshall St, Suite 201West Chester, PA 19380-5414 · (610) 738-2500
Phone(610) 738-2500
Sole ProprietorNo
Medical School CMSPennsylvania State University College Of MedicineGraduated 2004
Enumeration DateJune 8, 2007
Last NPPES UpdateFebruary 16, 2016
✔ NPI 1366645111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in PA · MD431871
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
440 E MARSHALL ST, West Chester, PA 19380
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Michael R 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 ID7214022276
PECOS Enrollment IDI20071005000139
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 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.
544 services303 patients
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.
218 services170 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
86 services61 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
74 services51 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
69 services56 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
37 services37 patients

Hospital Affiliations CMS Care Compare 4

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

Lancaster General Hospital

Acute Care Hospitals · Lancaster, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390100
Location555 North Duke StreetLancaster, PA 17602 · Lancaster County
Emergency services Birthing friendly

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390111
Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County
Emergency services Birthing friendly

Paoli Hospital

Acute Care Hospitals · Paoli, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390153
Location255 West Lancaster AvenuePaoli, PA 19301 · Chester County
Emergency services Birthing friendly

Chester County Hospital

Acute Care Hospitals · West Chester, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390179
Location701 East Marshall StreetWest Chester, PA 19380 · Chester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19380 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
$180.99 typical visit price
range $59.88 – $180.99
Typical copayment $45.24 (range $14.97 – $45.24)
Most-billed visit code 99205
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

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.

85.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.6
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

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

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221
DME-Other DME · category DE017N
1 supplier34 claims34 services$18.36 avg. paid by Medicare
Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) A4222
DME-Medical/Surgical Supplies · category DA000N
1 supplier38 claims38 services$35.72 avg. paid by Medicare
Injection, fluorouracil, 500 mg J9190
Treatment-Chemotherapy · category RH002N
1 supplier39 claims305 services$1.69 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 20

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

CHERYL A JOHNSON MD
Internal Medicine (Hematology & Oncology)
440 E MARSHALL ST, STE 201
WEST CHESTER, PA 19380
Chester County (610) 738-2500
MRS. JULIA L BAHN CRNP
Nurse Practitioner (Pediatrics)
440 E MARSHALL ST
WEST CHESTER, PA 19380
Chester County (610) 436-8611
AMY BAUMGARTNER AKINS M.D.
Pediatrics
440 E MARSHALL ST, THIRD FLOOR NORTH, SUITE 300
WEST CHESTER, PA 19380
Chester County (610) 436-8611
DR. GLENN A. BURKLAND DMD
Dentist (Orthodontics and Dentofacial Orthopedics)
440 E MARSHALL ST, SUITE 301
WEST CHESTER, PA 19380
Chester County (610) 918-3200
JOANNE W BOYK CRNP
Nurse Practitioner (Adult Health)
440 E MARSHALL ST, STE 201
WEST CHESTER, PA 19380
Chester County (610) 738-2500
DR. MEHER BURKI M.D.
Internal Medicine (Hematology & Oncology)
440 E MARSHALL ST, SUITE 201
WEST CHESTER, PA 19380
Chester County (610) 738-2500
DR. NOVA MONTEIRO M.D.
Pediatrics
440 E MARSHALL ST
WEST CHESTER, PA 19380
Chester County (610) 436-8611
SUSAN KUTCHINSKY CRNP
Nurse Practitioner (Perinatal)
440 E MARSHALL ST, SUITE 101
WEST CHESTER, PA 19380
Chester County (610) 738-7710

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 Michael Costello's NPI number?

The NPI number for Michael Costello is 1366645111. It was assigned to this individual provider in the NPPES registry on June 8, 2007.

Where is Michael Costello located?

Michael Costello practices at 440 E Marshall St Suite 201, West Chester, PA 19380. The listed phone number is (610) 738-2500.

What is Michael Costello's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Michael Costello enrolled in Medicare?

Yes. Michael 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.

What insurance does Michael Costello accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Michael 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 Michael Costello affiliated with any hospitals?

According to CMS data, Michael Costello is affiliated with Lancaster General Hospital, Hospital Of Univ Of Pennsylvania, Paoli Hospital and Chester County Hospital.

When was this NPI record last updated?

The NPPES record for Michael Costello was last updated on February 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.