MRS. PHYLLIS PELFREY COSTELLO MSN
NPI 1487081261
Nurse Practitioner in Augusta, GA

Q: What is Phyllis Costello's NPI number?

The NPI number for Phyllis Costello is 1487081261. It was assigned to this individual provider in the NPPES registry on October 11, 2013.

Q: What is Phyllis Costello's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Phyllis Costello was last updated on February 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 October 11, 2013PECOS EnrolledAccepts Medicare Assignment

3647 J DEWEY GRAY CIR STE 200, AUGUSTA, GA 30909(706) 504-9712(706) 504-9703 Get Directions Write a Review

NPPES record last updated: February 9, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 9, 2022, Sep 9, 2021, Feb 25, 2020 and 2 more (5 updates tracked since 2016).

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About Mrs. Phyllis Pelfrey Costello Msn NPPES

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

MRS. PHYLLIS PELFREY COSTELLO MSN (NPI 1487081261) is an individual nurse practitioner in Augusta, Georgia, licensed in Georgia (RN158279) and active in the NPI registry since October 2013. She is enrolled in Medicare PECOS, is affiliated with Doctors Hospital, and is a graduate of Medical College Of Georgia School Of Medicine (2013).

NPPES Registry Identity

NPI1487081261

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMRS. PHYLLIS PELFREY COSTELLOCredential: MSN

Location Address3647 J DEWEY GRAY CIR STE 200Augusta, GA 30909-2205

Mailing AddressPo Box 3548Augusta, GA 30914-3548 · (706) 863-9595 · Fax (706) 868-8375

Phone(706) 504-9712

Fax(706) 504-9703

Sole ProprietorNo

Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2013

Enumeration DateOctober 11, 2013

Last NPPES UpdateFebruary 9, 20225 updates tracked since enumeration

NPPES CertifiedSeptember 9, 2021

✔ NPI 1487081261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in GA · RN158279

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License RN158279 (GA)

3647 J DEWEY GRAY CIR STE 200, Augusta, GA 30909

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.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

Mrs. Phyllis Pelfrey Costello Msn 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 ID9638302706

PECOS Enrollment IDI20140428000139

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

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 straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Doctors Hospital

Acute Care Hospitals · Augusta, GA

3/5 CMS rating

OwnershipProprietary

CMS Certification Number110177

Location3651 Wheeler RoadAugusta, GA 30909 · Richmond County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30909 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

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

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.

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.

Reported Quality Measures

Prevention of Central Venous Catheter (CVC) - Related Bloodstream Infections

Percentage of patients, regardless of age, who undergo central venous catheter (CVC) insertion for whom CVC was inserted with all elements of maximal sterile barrier technique, hand hygiene, skin preparation and, if ultrasound is used, sterile ultrasound…

100%261 patients

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 13

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

MARY KATHRYN BOGGS D.O.

Surgery