DR. RYAN COSTELLO DO
NPI 1396107751
Internal Medicine in Jonesboro, AR

Active since March 24, 2016PECOS EnrolledAccepts Medicare Assignment
225 E JACKSON AVE, JONESBORO, AR 72401(870) 972-4100 Get Directions Write a Review

NPPES record last updated: January 24, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 1, 2019, Mar 24, 2016 (2 updates tracked since 2016).

About Dr. Ryan Costello Do NPPES

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

DR. RYAN COSTELLO DO (NPI 1396107751) is an individual internal medicine provider in Jonesboro, Arkansas, licensed in Arkansas (E-11969) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, is affiliated with Baptist Memorial Hospital Desoto, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1396107751
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. RYAN COSTELLOCredential: DO
Location Address225 E JACKSON AVEJonesboro, AR 72401-3119
Mailing Address965 Ridge Lake BlvdMemphis, TN 38120-9401 · (901) 227-4692
Sole ProprietorNo
Medical School CMSLincoln Memorial University Medical DepartmentGraduated 2016
Enumeration DateMarch 24, 2016
Last NPPES UpdateJanuary 24, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 24, 2024
NPI 1396107751 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in AR · E-11969 Licensed in MS · 32754 Licensed in TN · 4623
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
225 E JACKSON AVE, Jonesboro, AR 72401

Secondary Practice Locations 4

Location 18138 Country Village DrCordova, TN 38016-2029 · Phone (901) 725-8606
Location 28040 Wolf River Blvd Ste 103Germantown, TN 38138-1773 · Phone (901) 725-8606
Location 37736 Airways BlvdSouthaven, MS 38671-5306 · Phone (662) 772-3700
Location 42100 Exeter RdGermantown, TN 38138-3966 · Phone (901) 757-1350

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. Ryan Costello Do 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 ID3870828213
PECOS Enrollment IDI20240223003136, I20240227001239
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 5

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
39 services36 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.
33 services28 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.
19 services16 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
17 services17 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Baptist Memorial Hospital Desoto

Acute Care Hospitals · Southaven, MS
1/5 CMS rating
OwnershipProprietary
CMS Certification Number250141
Location7601 Southcrest ParkwaySouthaven, MS 38671 · De Soto County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72401 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
$119.36 typical visit price
range $51.36 – $157.74
Typical copayment $29.84 (range $12.84 – $39.43)
Most-billed visit code 99204
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers31 claims31 services$18.49 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers32 claims32 services$98.88 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.

Nurse Practitioner (Family)
225 E JACKSON AVE
JONESBORO, AR 72401
Obstetrics & Gynecology
225 E JACKSON AVE, MAILSLOT #83
JONESBORO, AR 72401
Emergency Medicine (Emergency Medical Services)
225 E JACKSON AVE
JONESBORO, AR 72401
Anesthesiology
225 E JACKSON AVE
JONESBORO, AR 72401
Nurse Anesthetist, Certified Registered
225 E JACKSON AVE
JONESBORO, AR 72401
Radiology (Diagnostic Radiology)
225 E JACKSON AVE
JONESBORO, AR 72401
Nurse Practitioner (Family)
225 E JACKSON AVE
JONESBORO, AR 72401
Internal Medicine
225 E JACKSON AVE
JONESBORO, AR 72401

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 Ryan Costello's NPI number?

The NPI number for Ryan Costello is 1396107751. It was assigned to this individual provider in the NPPES registry on March 24, 2016.

Where is Ryan Costello located?

Ryan Costello practices at 225 E Jackson Ave, Jonesboro, AR 72401. The listed phone number is (870) 972-4100.

What is Ryan Costello's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Ryan Costello enrolled in Medicare?

Yes. Ryan 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 Ryan Costello accept?

Health plans from Arkansas Blue Cross and Blue Shield, Blue Cross and Blue Shield of Alabama, BlueCross BlueShield of Tennessee, Health Advantage and Molina Healthcare and 3 other insurers list Ryan 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 Ryan Costello affiliated with any hospitals?

According to CMS data, Ryan Costello is affiliated with Baptist Memorial Hospital Desoto.

When was this NPI record last updated?

The NPPES record for Ryan Costello was last updated on January 24, 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.