1. Home
  2. Directory
  3. Georgia
  4. Athens
  5. Surgery
  6. NPI Profile

DR. MARK JOHN COSTANTINO MD
NPI 1447247523
Surgery - Vascular Surgery in Athens, GA

Active since October 04, 2005PECOS Enrolled
195 KING AVE, ATHENS, GA 30606(706) 549-8306(706) 549-8351 Get Directions Write a Review

NPPES record last updated: September 28, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Mark John Costantino Md NPPES

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

DR. MARK JOHN COSTANTINO MD (NPI 1447247523) is an individual vascular surgery provider in Athens, Georgia, licensed in Georgia (15361) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1447247523
Entity TypeIndividualMale
Primary Taxonomy2086S0129X
Provider Legal NameDR. MARK JOHN COSTANTINOCredential: MD
Location Address195 KING AVEAthens, GA 30606-2963
Mailing Address195 King AveAthens, GA 30606-2963 · (706) 549-8306 · Fax (706) 549-8351
Phone(706) 549-8306
Fax(706) 549-8351
Sole ProprietorNo
Enumeration DateOctober 4, 2005
Last NPPES UpdateSeptember 28, 2011
✔ NPI 1447247523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License✔ Licensed in GA · 15361
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
195 KING AVE, Athens, GA 30606
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mark John Costantino Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Billing Reassignment

Medicare enrollment records show Mark Costantino reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Surgical Associates Of Athens
4.8 mi
Specialist
1357 OCONEE CONNECTOR BLDG 300
Watkinsville, GA 30677
  • Reassigned Medicare billing, Georgia enrollment
  • 9 clinicians in this Medicare group
NPI 1861500183 (706) 549-8306

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30606 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 15

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

LISA BARTLOW
Physician Assistant (Surgical)
195 KING AVE
ATHENS, GA 30606
Clarke County (706) 549-8306
TEAKAY MERIT, INC.
Anesthesiology
195 KING AVE
ATHENS, GA 30606
Clarke County (706) 543-6261
ERIN BOYER KILZI PAC
Physician Assistant
195 KING AVE
ATHENS, GA 30606
Clarke County (706) 549-8306
THOMPSON GYNECOLOGY PC
Obstetrics & Gynecology (Gynecology)
195 KING AVE
ATHENS, GA 30606
Clarke County (706) 353-2727
JACQUELINE POTTIER APRN
Nurse Practitioner (Psychiatric/Mental Health)
195 KING AVE
ATHENS, GA 30606
Clarke County (706) 296-7114
DR. ROBERT A PAYNE M.D.
Specialist
195 KING AVE
ATHENS, GA 30606
Clarke County (706) 543-3429
CARLTON GUTHRIE CRNA
Nurse Anesthetist, Certified Registered
195 KING AVE
ATHENS, GA 30606
Clarke County (706) 549-8306
ATHENS VEIN CLINIC, PC
Specialist
195 KING AVE
ATHENS, GA 30606
Clarke County (706) 353-2727

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 Mark Costantino's NPI number?

The NPI number for Mark Costantino is 1447247523. It was assigned to this individual provider in the NPPES registry on October 4, 2005.

Where is Mark Costantino located?

Mark Costantino practices at 195 King Ave, Athens, GA 30606. The listed phone number is (706) 549-8306.

What is Mark Costantino's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Mark Costantino enrolled in Medicare?

Yes. Mark Costantino is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mark Costantino's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Costantino reassigns Medicare benefits to University Surgical Associates Of Athens (Watkinsville, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mark Costantino's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mark Costantino was last updated on September 28, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.