DR. ANTHONY COSTALES M.D.
NPI 1578828703
Obstetrics & Gynecology - Gynecologic Oncology in Houston, TX

Active since July 13, 2012PECOS EnrolledAccepts Medicare Assignment
84.05/100
CMS Quality Rating
1919 OLD SPANISH TRL FL 7, HOUSTON, TX 77054(713) 798-1999 Get Directions Write a Review

NPPES record last updated: July 1, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 1, 2024, Nov 13, 2020, Jun 3, 2019 (3 updates tracked since 2019).

About Dr. Anthony Costales M.d. NPPES

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

DR. ANTHONY COSTALES M.D. (NPI 1578828703) is an individual gynecologic oncology provider in Houston, Texas, licensed in Texas (S2006) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS, is affiliated with Chi St Luke's Health Baylor College Of Medicine Me, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1578828703
Entity TypeIndividualMale
Primary Taxonomy207VX0201X
Provider Legal NameDR. ANTHONY COSTALESCredential: M.D.
Location Address1919 OLD SPANISH TRL FL 7Houston, TX 77054-2003
Mailing Address2000 Lambert CtPlano, TX 75075-2901 · (214) 728-5940
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 2012
Enumeration DateJuly 13, 2012
Last NPPES UpdateJuly 1, 20243 updates tracked since enumeration
NPPES CertifiedJuly 1, 2024
NPI 1578828703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyObstetrics & Gynecology · Gynecologic OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207VX0201X
License Licensed in TX · S2006
Definition
An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License S2006 (TX)
1919 OLD SPANISH TRL FL 7, Houston, TX 77054

Secondary Practice Locations 3

Location 11504 Taub LoopHouston, TX 77030-1608 · Phone (713) 526-4243
Location 26720 Bertner AveHouston, TX 77030-2604 · Phone (713) 798-1000
Location 36431 Fannin St, Suite 3.214Houston, TX 77030-1501 · Phone (713) 500-6397 · Fax (713) 500-0798

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. Anthony Costales M.d. 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 ID3779870852
PECOS Enrollment IDI20190622000048
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.
35 services20 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Chi St Luke's Health Baylor College Of Medicine Me

Acute Care Hospitals · Houston, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450193
Location6720 Bertner Ave, Ste Mc1-266Houston, TX 77030 · Harris County
Emergency services

Harris Health System

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450289
Location2525 Holly HallHouston, TX 77054 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77054 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
$176.98 typical visit price
range $58.24 – $176.98
Typical copayment $44.24 (range $14.56 – $44.24)
Most-billed visit code 99205
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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.

84.05/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.49
Improvement Activities40
Cost54.39

Other Providers at the Same Location NPPES

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

Obstetrics & Gynecology (Gynecologic Oncology)
1919 OLD SPANISH TRL FL 7
HOUSTON, TX 77054

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 Anthony Costales's NPI number?

The NPI number for Anthony Costales is 1578828703. It was assigned to this individual provider in the NPPES registry on July 13, 2012.

Where is Anthony Costales located?

Anthony Costales practices at 1919 Old Spanish Trl Fl 7, Houston, TX 77054. The listed phone number is (713) 798-1999.

What is Anthony Costales's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecologic Oncology, with taxonomy code 207VX0201X.

Is Anthony Costales enrolled in Medicare?

Yes. Anthony Costales 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 Anthony Costales accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 7 other insurers list Anthony Costales 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 Anthony Costales affiliated with any hospitals?

According to CMS data, Anthony Costales is affiliated with Chi St Luke's Health Baylor College Of Medicine Me and Harris Health System.

When was this NPI record last updated?

The NPPES record for Anthony Costales was last updated on July 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.