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DR. JOHN B COSTELLO M.D.
NPI 1417062563
Internal Medicine in Saint Louis, MO

Active since August 20, 2006PECOS EnrolledAccepts Medicare Assignment
2821 N BALLAS RD, SUITE 165, SAINT LOUIS, MO 63131(314) 995-9988(866) 847-8598 Get Directions Write a Review

NPPES record last updated: July 15, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. John B Costello M.d. NPPES

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

DR. JOHN B COSTELLO M.D. (NPI 1417062563) is an individual internal medicine provider in Saint Louis, Missouri, licensed in Missouri (R9162) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital St Louis, and is a graduate of Saint Louis University School Of Medicine (1977).

NPPES Registry Identity

NPI1417062563
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. JOHN B COSTELLOCredential: M.D.
Location Address2821 N BALLAS RD, SUITE 165Saint Louis, MO 63131-2321
Mailing Address2821 N Ballas Rd, Suite 165Saint Louis, MO 63131-2321 · (314) 995-9988 · Fax (866) 847-8598
Phone(314) 995-9988
Fax(866) 847-8598
Sole ProprietorYes
Medical School CMSSaint Louis University School Of MedicineGraduated 1977
Enumeration DateAugust 20, 2006
Last NPPES UpdateJuly 15, 2013
✔ NPI 1417062563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MO · R9162
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.
Also ListedInternal Medicine · RheumatologyTaxonomy 207RR0500X · License R9162 (MO)
2821 N BALLAS RD, Saint Louis, MO 63131
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Other Identifiers 8

Other87043First Health
Medicare UPINA10285MO
Other2154714Aetna Specialist
Other112155277Railroad Medicare
Other130260Ghp
Other5502Blue Cross Blue Shield Mo
Medicare ID-Type Unspecified000002229MO
Other951692Aetna

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 Sunflower Health Plan and more.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. John B Costello M.d. 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 ID1658372552
PECOS Enrollment IDI20070119000201
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

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 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.
407 services177 patients

Hospital Affiliations CMS Care Compare 3

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

Mercy Hospital St Louis

Acute Care Hospitals · Saint Louis, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260020
Location615 New Ballas RoadSaint Louis, MO 63141 · St. Louis County
Emergency services Birthing friendly

Barnes Jewish Hospital

Acute Care Hospitals · Saint Louis, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number260032
LocationOne Barnes-Jewish Hospital PlazaSaint Louis, MO 63110 · St. Louis City County
Emergency services Birthing friendly

Missouri Baptist Medical Center

Acute Care Hospitals · Town And Country, MO
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260108
Location3015 N Ballas RdTown And Country, MO 63131 · St. Louis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63131 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
$128.28 typical visit price
range $55.65 – $169.38
Typical copayment $32.07 (range $13.91 – $42.34)
Most-billed visit code 99204
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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 3

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
16 suppliers41 claims89 services$5.79 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers11 claims13 services$0.80 avg. paid by Medicare
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, with built-in convexity, each A4411
DME-Orthotic Devices · category DF010N
1 supplier14 claims140 services$4.56 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.

JOSEPH AND NINA ZEIGLER, D.M.D.S, P.C.
Dentist
2821 N BALLAS RD, SUITE 200
SAINT LOUIS, MO 63131
St. Louis County (314) 872-7590
DR. LAWRENCE JAY LEVENS DDS, MS, PC
Dentist (Orthodontics and Dentofacial Orthopedics)
2821 N BALLAS RD, SUITE 155
SAINT LOUIS, MO 63131
St. Louis County (314) 872-3218
DR. AARON JAMES CREGGER D.D.S.
Dentist
2821 N BALLAS RD
SAINT LOUIS, MO 63131
St. Louis County (314) 567-7737
ST LOUIS ORTHOPEDIC SURGERY, INC
Orthopaedic Surgery
2821 N BALLAS RD, SUITE C-15
SAINT LOUIS, MO 63131
St. Louis County (314) 983-0088
DR. KRISTINA BRAZIER D.C.
Chiropractor
2821 N BALLAS RD, SUITE 105
SAINT LOUIS, MO 63131
St. Louis County (314) 872-9955
DR. JINTANA J LATZER DC
Chiropractor
2821 N BALLAS RD, SUITE C5
ST LOUIS, MO 63131
St. Louis County (314) 432-7979
DR. JAMES ROBERT ETZKORN M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2821 N BALLAS RD
SAINT LOUIS, MO 63131
St. Louis County (314) 995-9718
MS. ROBIN LOUISE SMITH D.C.
Chiropractor
2821 N BALLAS RD, SUITE 105
SAINT LOUIS, MO 63131
St. Louis County (314) 872-9955

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 John Costello's NPI number?

The NPI number for John Costello is 1417062563. It was assigned to this individual provider in the NPPES registry on August 20, 2006.

Where is John Costello located?

John Costello practices at 2821 N Ballas Rd Suite 165, Saint Louis, MO 63131. The listed phone number is (314) 995-9988.

What is John Costello's specialty?

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

Is John Costello enrolled in Medicare?

Yes. John 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 John Costello accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 4 other insurers list John 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 John Costello affiliated with any hospitals?

According to CMS data, John Costello is affiliated with Mercy Hospital St Louis, Barnes Jewish Hospital and Missouri Baptist Medical Center.

When was this NPI record last updated?

The NPPES record for John Costello was last updated on July 15, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.