MR. BRIAN JOHN COSTELLO PHYSICIAN ASSISTANT
NPI 1396833257
Physician Assistant - Surgical in Walnut Creek, CA
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 and is a graduate of Other (2000).
NPPES Registry Identity
Specialties & Licenses
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.
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.
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.
WALNUT CREEK, CA 94598
WALNUT CREEK, CA 94598
WALNUT CREEK, CA 94598
WALNUT CREEK, CA 94598
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 Brian Costello's NPI number?
The NPI number for Brian Costello is 1396833257. It was assigned to this individual provider in the NPPES registry on October 10, 2006.
Where is Brian Costello located?
Brian Costello practices at 2405 Shadelands Dr Ste 300, Walnut Creek, CA 94598. The listed phone number is (925) 939-8585.
What is Brian Costello's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.
Is Brian Costello enrolled in Medicare?
Yes. Brian 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.
When was this NPI record last updated?
The NPPES record for Brian Costello was last updated on January 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Mr. Brian John Costello, PHYSICIAN ASSISTANT · NPI 1396833257
Surgical physician in Walnut Creek, California. Individual provider, active in the CMS NPPES registry since October 10, 2006.
## Identity
- **NPI:** 1396833257 (Entity type: Individual)
- **Enumerated:** October 10, 2006
- **Primary specialty:** Physician Assistant - Surgical · taxonomy 363AS0400X
- **State license:** PA15532 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 2405 SHADELANDS DR STE 300, Walnut Creek, CA 94598-5906
- **Phone:** (925) 939-8585
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2000
## Record status
- **NPPES last updated:** January 23, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1396833257) · Data from the CMS NPPES public registry.