PAMELA J COSTELLO MD
NPI 1457365876
Psychiatry & Neurology - Neurology in Johnson City, TN

Active since July 28, 2006PECOS EnrolledAccepts Medicare Assignment
3915 BRISTOL HWY STE 301, JOHNSON CITY, TN 37601(423) 461-0073(234) 610-0764 Get Directions Write a Review

NPPES record last updated: October 25, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Pamela J Costello Md NPPES

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

PAMELA J COSTELLO MD (NPI 1457365876) is an individual neurology provider in Johnson City, Tennessee, licensed in Tennessee (MD0000056597) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of Rutgers R W Johnson Medical School (cam/new Bruns/pisc) (1992).

NPPES Registry Identity

NPI1457365876
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NamePAMELA J COSTELLOCredential: MD
Location Address3915 BRISTOL HWY STE 301Johnson City, TN 37601-1403
Mailing Address3915 Bristol Hwy Ste 103Johnson City, TN 37601-1400 · (423) 461-0073 · Fax (423) 461-0076
Fax(234) 610-0764
Sole ProprietorNo
Medical School CMSRutgers R W Johnson Medical School (cam/new Bruns/pisc)Graduated 1992
Enumeration DateJuly 28, 2006
Last NPPES UpdateOctober 25, 2019
NPI 1457365876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in TN · MD0000056597
Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

3915 BRISTOL HWY STE 301, Johnson City, TN 37601

Other Identifiers 1

MedicaidQ050671TN

Accepted 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

Pamela J Costello Md 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 ID4880723022
PECOS Enrollment IDI20190701002398
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37601 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

Other Providers at the Same Location NPPES 2

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

Physical Therapist
3915 BRISTOL HWY STE 301
JOHNSON CITY, TN 37601
Physical Therapist
3915 BRISTOL HWY STE 301
JOHNSON CITY, TN 37601

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 Pamela Costello's NPI number?

The NPI number for Pamela Costello is 1457365876. It was assigned to this individual provider in the NPPES registry on July 28, 2006.

Where is Pamela Costello located?

Pamela Costello practices at 3915 Bristol Hwy Ste 301, Johnson City, TN 37601. The listed phone number is (423) 461-0073.

What is Pamela Costello's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Pamela Costello enrolled in Medicare?

Yes. Pamela 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 Pamela Costello accept?

Health plans from BlueCross BlueShield of Tennessee list Pamela 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.

When was this NPI record last updated?

The NPPES record for Pamela Costello was last updated on October 25, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.