MR. BRIAN JOHN COSTELLO PHYSICIAN ASSISTANT
NPI 1396833257
Physician Assistant - Surgical in Walnut Creek, CA

Active since October 10, 2006PECOS EnrolledAccepts Medicare Assignment
84.94/100
CMS Quality Rating
2405 SHADELANDS DR STE 300, WALNUT CREEK, CA 94598(925) 939-8585 Get Directions Write a Review

NPPES record last updated: January 23, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 23, 2023, May 25, 2021, May 18, 2021 and 2 more (5 updates tracked since 2016).

About Mr. Brian John Costello Physician Assistant NPPES

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

MR. BRIAN JOHN COSTELLO PHYSICIAN ASSISTANT (NPI 1396833257) is an individual surgical provider in Walnut Creek, California, licensed in California (PA15532) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in San Ramon, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1396833257
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. BRIAN JOHN COSTELLOCredential: PHYSICIAN ASSISTANT
Location Address2405 SHADELANDS DR STE 300Walnut Creek, CA 94598-5906
Mailing AddressPo Box 31396Walnut Creek, CA 94598-8396 · (925) 939-8585
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateOctober 10, 2006
Last NPPES UpdateJanuary 23, 20235 updates tracked since enumeration
NPPES CertifiedJanuary 23, 2023
NPI 1396833257 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in CA · PA15532
2405 SHADELANDS DR STE 300, Walnut Creek, CA 94598

Secondary Practice Location 1

Location 1200 Porter Dr, Suite 215San Ramon, CA 94583-1587 · Phone (925) 362-2166 · Fax (855) 574-3055

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

Mr. Brian John Costello Physician Assistant 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 ID3274791603
PECOS Enrollment IDI20120214000945
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.

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.

84.94/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.57
Promoting Interoperability99
Improvement Activities40
Cost72.06

Other Providers at the Same Location NPPES 16

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

Nurse Practitioner (Family)
2405 SHADELANDS DR STE 300
WALNUT CREEK, CA 94598
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2405 SHADELANDS DR STE 300
WALNUT CREEK, CA 94598
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2405 SHADELANDS DR STE 300
WALNUT CREEK, CA 94598
Physician Assistant (Surgical)
2405 SHADELANDS DR STE 300
WALNUT CREEK, CA 94598
Physician Assistant
2405 SHADELANDS DR STE 300
WALNUT CREEK, CA 94598
Nurse Practitioner (Family)
2405 SHADELANDS DR STE 300
WALNUT CREEK, CA 94598
Nurse Practitioner
2405 SHADELANDS DR STE 300
WALNUT CREEK, CA 94598
Physician Assistant (Surgical)
2405 SHADELANDS DR STE 300
WALNUT CREEK, CA 94598

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396833257, enumerated as an "individual" on October 10, 2006.

The provider is located at 2405 SHADELANDS DR STE 300 WALNUT CREEK, CA 94598 and the phone number is (925) 939-8585.

Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.