DR. MARISSA KRISTEN COSTELLO MD
NPI 1467071860
Family Medicine in Canton, MI

Active since April 15, 2020PECOS EnrolledAccepts Medicare Assignment
2050 N HAGGERTY RD STE 100, CANTON, MI 48187(734) 446-9760 Get Directions Write a Review

NPPES record last updated: June 16, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 16, 2023, Apr 15, 2020 (2 updates tracked since 2020).

About Dr. Marissa Kristen Costello Md NPPES

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

DR. MARISSA KRISTEN COSTELLO MD (NPI 1467071860) is an individual family medicine provider in Canton, Michigan, licensed in Michigan (4301509137) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital - Dearborn, and maintains a secondary practice location in Wayne.

NPPES Registry Identity

NPI1467071860
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MARISSA KRISTEN COSTELLOCredential: MD
Location Address2050 N HAGGERTY RD STE 100Canton, MI 48187-3796
Mailing Address26901 Beaumont Blvd Ste 3dSouthfield, MI 48033-3849 · (947) 522-1848 · Fax (947) 522-0307
Sole ProprietorNo
Medical School CMSMichigan State University College Of Human MedicineGraduated 2020
Enumeration DateApril 15, 2020
Last NPPES UpdateJune 16, 20232 updates tracked since enumeration
NPPES CertifiedJune 16, 2023
NPI 1467071860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in MI · 4301509137 Licensed in MI · 4352001003
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2050 N HAGGERTY RD STE 100, Canton, MI 48187

Secondary Practice Location 1

Location 133155 Annapolis StWayne, MI 48184-2405 · Phone (734) 467-4000

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

Dr. Marissa Kristen 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 ID7416378872
PECOS Enrollment IDI20230710000150
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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
30 services15 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Beaumont Hospital - Dearborn

Acute Care Hospitals · Dearborn, MI
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230020
Location18101 Oakwood BlvdDearborn, MI 48124 · Wayne County
Emergency services Birthing friendly

Beaumont Hospital Royal Oak

Acute Care Hospitals · Royal Oak, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230130
Location3601 W Thirteen Mile RdRoyal Oak, MI 48073 · Oakland County
Emergency services Birthing friendly

Corewell Health Wayne Hospital

Acute Care Hospitals · Wayne, MI
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230142
Location33155 Annapolis AveWayne, MI 48184 · Wayne County
Emergency services Birthing friendly

Beaumont Hospital - Taylor

Acute Care Hospitals · Taylor, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230270
Location10000 Telegraph RoadTaylor, MI 48180 · Wayne County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48187 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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

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

Nurse Practitioner (Acute Care)
2050 N HAGGERTY RD STE 100
CANTON, MI 48187

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 Marissa Costello's NPI number?

The NPI number for Marissa Costello is 1467071860. It was assigned to this individual provider in the NPPES registry on April 15, 2020.

Where is Marissa Costello located?

Marissa Costello practices at 2050 N Haggerty Rd Ste 100, Canton, MI 48187. The listed phone number is (734) 446-9760.

What is Marissa Costello's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Marissa Costello enrolled in Medicare?

Yes. Marissa 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 Marissa Costello accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 3 other insurers list Marissa 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 Marissa Costello affiliated with any hospitals?

According to CMS data, Marissa Costello is affiliated with Beaumont Hospital - Dearborn, Beaumont Hospital Royal Oak, Corewell Health Wayne Hospital and Beaumont Hospital - Taylor.

When was this NPI record last updated?

The NPPES record for Marissa Costello was last updated on June 16, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.