GARY COSTANZO PA
NPI 1417103128
Physician Assistant - Medical in Manchester, NH

Q: What is Gary Costanzo's NPI number?

The NPI number for Gary Costanzo is 1417103128. It was assigned to this individual provider in the NPPES registry on August 13, 2008.

Q: What is Gary Costanzo's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Gary Costanzo was last updated on October 14, 2015. 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.

Active since August 13, 2008PECOS EnrolledAccepts Medicare Assignment

1 ELLIOT WAY, EMERGENCY ROOM, MANCHESTER, NH 03103(603) 663-2830(603) 663-1849 Get Directions Write a Review

NPPES record last updated: October 14, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Gary Costanzo Pa NPPES

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

GARY COSTANZO PA (NPI 1417103128) is an individual medical provider in Manchester, New Hampshire, licensed in New Hampshire (0686) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS, is affiliated with Elliot Hospital, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1417103128

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameGARY COSTANZOCredential: PA

Location Address1 ELLIOT WAY, EMERGENCY ROOMManchester, NH 03103-3502

Mailing Address250 Pleasant Street, Emergency DeptConcord, NH 03301-2598 · (603) 227-7000 · Fax (603) 230-7218

Phone(603) 663-2830

Fax(603) 663-1849

Sole ProprietorNo

Medical School CMSOtherGraduated 2008

Enumeration DateAugust 13, 2008

Last NPPES UpdateOctober 14, 2015

✔ NPI 1417103128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in NH · 0686

1 ELLIOT WAY, Manchester, NH 03103

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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

Gary Costanzo Pa 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 ID5799853685

PECOS Enrollment IDI20081006000139

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 2

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.

45 services45 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

14 services14 patients

Hospital Affiliations CMS Care Compare

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

Elliot Hospital

Acute Care Hospitals · Manchester, NH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number300012

Location1 Elliot WayManchester, NH 03103 · Hillsborough County

Emergency services Birthing friendly

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.

JUSTINA JANE VOLODZKO PA-C

Physician Assistant (Surgical)

1 ELLIOT WAY
MANCHESTER, NH 03103

Hillsborough County (603) 669-5300

ELLIOT PROFESSIONAL SERVICES

Internal Medicine (Critical Care Medicine)

1 ELLIOT WAY, ELLIOT INTENSIVIST PROGRAM
MANCHESTER, NH 03103

Hillsborough County (603) 663-2231

ELLIOT PROFESSIONAL SERVICES

Pediatrics (Neonatal-Perinatal Medicine)

1 ELLIOT WAY, NEONATOLOGY SERVICES
MANCHESTER, NH 03103

Hillsborough County (603) 663-2692

DR. BRYAN PARKER ROWE M.D.

Radiology (Radiation Oncology)

1 ELLIOT WAY
MANCHESTER, NH 03103

Hillsborough County (603) 663-1800

DR. PETER WILSON SHAW MD

Internal Medicine (Cardiovascular Disease)

1 ELLIOT WAY
MANCHESTER, NH 03103

Hillsborough County (603) 627-1669

LAURA SLASON DOBENS CRNA

Nurse Anesthetist, Certified Registered

1 ELLIOT WAY
MANCHESTER, NH 03103

Hillsborough County (603) 663-2315

DR. CHARLES BECK EASTWOOD M.D., C.M.

Anesthesiology

1 ELLIOT WAY, SUITE 200
MANCHESTER, NH 03103

Hillsborough County (603) 663-2315

MRS. ERIN HOPE FERNALD APRN

Nurse Practitioner (Family)

1 ELLIOT WAY, EMERGENCY DEPARTMENT
MANCHESTER, NH 03103

Hillsborough County (603) 663-2830

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 Gary Costanzo's NPI number?

The NPI number for Gary Costanzo is 1417103128. It was assigned to this individual provider in the NPPES registry on August 13, 2008.

Where is Gary Costanzo located?

Gary Costanzo practices at 1 Elliot Way Emergency Room, Manchester, NH 03103. The listed phone number is (603) 663-2830.

What is Gary Costanzo's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Gary Costanzo enrolled in Medicare?

Yes. Gary Costanzo 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.

Is Gary Costanzo affiliated with any hospitals?

According to CMS data, Gary Costanzo is affiliated with Elliot Hospital.

When was this NPI record last updated?

The NPPES record for Gary Costanzo was last updated on October 14, 2015. 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.