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MR. ANDREW COSTERISAN PA-C
NPI 1477825651
Physician Assistant in Dayton, OH

Active since February 02, 2012PECOS EnrolledAccepts Medicare Assignment
88.7/100
CMS Quality Rating
101 E ALEX BELL RD STE 190, DAYTON, OH 45459(937) 425-4030 Get Directions Write a Review

NPPES record last updated: October 1, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Andrew Costerisan Pa-c NPPES

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

MR. ANDREW COSTERISAN PA-C (NPI 1477825651) is an individual physician assistant in Dayton, Ohio, licensed in Ohio (50.008187RX) and active in the NPI registry since February 2012. He is enrolled in Medicare PECOS, is affiliated with Kettering Health Greene Memorial, and maintains a secondary practice location in Springfield.

NPPES Registry Identity

NPI1477825651
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. ANDREW COSTERISANCredential: PA-C
Location Address101 E ALEX BELL RD STE 190Dayton, OH 45459-2752
Mailing Address2801 Mathers RdSpringfield, IL 62711-7064 · (217) 789-3600
Phone(937) 425-4030
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateFebruary 2, 2012
Last NPPES UpdateOctober 1, 2025
NPPES CertifiedOctober 1, 2025
✔ NPI 1477825651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in OH · 50.008187RX✔ Licensed in FL · PA 9106409✔ Licensed in IL · 085004969
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
101 E ALEX BELL RD STE 190, Dayton, OH 45459
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Secondary Practice Location 1

Location 12801 Mathers RdSpringfield, IL 62711-7064 · Phone (217) 789-3600

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual.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

Mr. Andrew Costerisan Pa-c 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 ID4789825522
PECOS Enrollment IDI20230804003068
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 9

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.
152 services132 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.
121 services121 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
54 services49 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
32 services16 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
29 services27 patients
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.
26 services26 patients

Hospital Affiliations CMS Care Compare 2

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

Kettering Health Greene Memorial

Acute Care Hospitals · Xenia, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number360026
Location1141 North Monroe DriveXenia, OH 45385 · Greene County
Emergency services

Kettering Health Dayton

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360133
Location405 Grand AvenueDayton, OH 45405 · Montgomery County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45459 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

88.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.3
Promoting Interoperability100
Improvement Activities40
Cost93.02

Other Providers at the Same Location NPPES 5

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

MR. KENNETH LEVI MOORE III CNP
Nurse Practitioner (Family)
101 E ALEX BELL RD STE 190
DAYTON, OH 45459
Montgomery County (937) 425-4030
MEGAN WRIGHT
Physician Assistant
101 E ALEX BELL RD STE 190
DAYTON, OH 45459
Montgomery County (937) 425-4030
ANDREA N. MCKAY APRN.CNP
Nurse Practitioner (Family)
101 E ALEX BELL RD STE 190
CENTERVILLE, OH 45459
Montgomery County (937) 425-4030
CHRISTIN TAYLOR WOLFRAM NP
Nurse Practitioner (Family)
101 E ALEX BELL RD STE 190
CENTERVILLE, OH 45459
Montgomery County (937) 425-4030
SARAH ABDALLAH PA-C
Physician Assistant
101 E ALEX BELL RD STE 190
CENTERVILLE, OH 45459
Montgomery County (937) 425-4030

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 Andrew Costerisan's NPI number?

The NPI number for Andrew Costerisan is 1477825651. It was assigned to this individual provider in the NPPES registry on February 2, 2012.

Where is Andrew Costerisan located?

Andrew Costerisan practices at 101 E Alex Bell Rd Ste 190, Dayton, OH 45459. The listed phone number is (937) 425-4030.

What is Andrew Costerisan's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Andrew Costerisan enrolled in Medicare?

Yes. Andrew Costerisan 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 Andrew Costerisan accept?

Health plans from CareSource and MedMutual list Andrew Costerisan 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 Andrew Costerisan affiliated with any hospitals?

According to CMS data, Andrew Costerisan is affiliated with Kettering Health Greene Memorial and Kettering Health Dayton.

When was this NPI record last updated?

The NPPES record for Andrew Costerisan was last updated on October 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.