LARISSA GOUVEA JOSE FELICIO DA COSTA MD
NPI 1497533517
Ophthalmology in Charleston, SC

Active since September 19, 2023PECOS EnrolledAccepts Medicare Assignment
167 ASHLEY AVE, CHARLESTON, SC 29425(843) 792-2020 Get Directions Write a Review

NPPES record last updated: August 5, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Larissa Gouvea Jose Felicio Da Costa Md NPPES

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

LARISSA GOUVEA JOSE FELICIO DA COSTA MD (NPI 1497533517) is an individual ophthalmology provider in Charleston, South Carolina, licensed in South Carolina (MMD90902AL) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS, is affiliated with Musc Medical Center, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1497533517
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameLARISSA GOUVEA JOSE FELICIO DA COSTACredential: MD
Location Address167 ASHLEY AVECharleston, SC 29425-8905
Mailing Address167 Ashley AveCharleston, SC 29425-8905
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateSeptember 19, 2023
Last NPPES UpdateAugust 5, 2024
NPPES CertifiedAugust 5, 2024
NPI 1497533517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in SC · MMD90902AL
Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Also ListedOphthalmology · Pediatric Ophthalmology and Strabismus SpecialistTaxonomy 207WX0110X · License MMD90902AL (SC)
Also ListedOphthalmology · Cornea and External Diseases SpecialistTaxonomy 207WX0120X · License MMD90902AL (SC)
167 ASHLEY AVE, Charleston, SC 29425

Other Names 1

Professional Name (2)Larissa Gouvea Md

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

Larissa Gouvea Jose Felicio Da Costa 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 ID6103272208
PECOS Enrollment IDI20231025003831
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 4

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.
54 services35 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
21 services21 patients
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.
16 services14 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.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Musc Medical Center

Acute Care Hospitals · Charleston, SC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420004
Location169 Ashley AveCharleston, SC 29425 · Charleston County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29425 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
$124.04 typical visit price
range $53.57 – $163.84
Typical copayment $31.01 (range $13.39 – $40.96)
Most-billed visit code 99204
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
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 20

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

Anesthesiology
167 ASHLEY AVE, SUITE 301
CHARLESTON, SC 29425
Anesthesiology
167 ASHLEY AVE, SUITE 301
CHARLESTON, SC 29425
Ophthalmology
167 ASHLEY AVE
CHARLESTON, SC 29425
Anesthesiology
167 ASHLEY AVE, SUITE 301, MSC 912
CHARLESTON, SC 29425
Anesthesiology
167 ASHLEY AVE, SUITE 301
CHARLESTON, SC 29425
Anesthesiology (Pain Medicine)
167 ASHLEY AVE
CHARLESTON, SC 29425
Ophthalmology
167 ASHLEY AVE
CHARLESTON, SC 29425
Anesthesiology
167 ASHLEY AVE
CHARLESTON, SC 29425

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 Larissa Gouvea Jose Felicio Da Costa's NPI number?

The NPI number for Larissa Gouvea Jose Felicio Da Costa is 1497533517. It was assigned to this individual provider in the NPPES registry on September 19, 2023. The provider is also known as Larissa Gouvea MD.

Where is Larissa Gouvea Jose Felicio Da Costa located?

Larissa Gouvea Jose Felicio Da Costa practices at 167 Ashley Ave, Charleston, SC 29425. The listed phone number is (843) 792-2020.

What is Larissa Gouvea Jose Felicio Da Costa's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Larissa Gouvea Jose Felicio Da Costa enrolled in Medicare?

Yes. Larissa Gouvea Jose Felicio Da Costa 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 Larissa Gouvea Jose Felicio Da Costa accept?

Health plans from BlueCross BlueShield of South Carolina list Larissa Gouvea Jose Felicio Da Costa 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 Larissa Gouvea Jose Felicio Da Costa affiliated with any hospitals?

According to CMS data, Larissa Gouvea Jose Felicio Da Costa is affiliated with Musc Medical Center.

When was this NPI record last updated?

The NPPES record for Larissa Gouvea Jose Felicio Da Costa was last updated on August 5, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.