THEODORA A COSTIN DO
NPI 1609564715
Obstetrics & Gynecology in Wyandotte, MI

Q: What is Theodora Costin's NPI number?

The NPI number for Theodora Costin is 1609564715. It was assigned to this individual provider in the NPPES registry on April 26, 2023.

Q: What is Theodora Costin's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Theodora Costin was last updated on August 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 April 26, 2023PECOS Enrolled

2333 BIDDLE AVE, WYANDOTTE, MI 48192(313) 916-1601 Get Directions Write a Review

NPPES record last updated: August 17, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Theodora A Costin Do NPPES

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

THEODORA A COSTIN DO (NPI 1609564715) is an individual obstetrics & gynecology provider in Wyandotte, Michigan, licensed in Michigan (5151016357) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609564715

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameTHEODORA A COSTINCredential: DO

Location Address2333 BIDDLE AVEWyandotte, MI 48192-4668

Mailing Address2333 Biddle AveWyandotte, MI 48192-4668

Phone(313) 916-1601

Sole ProprietorNo

Enumeration DateApril 26, 2023

Last NPPES UpdateAugust 17, 2023

NPPES CertifiedAugust 17, 2023

✔ NPI 1609564715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in MI · 5151016357

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

2333 BIDDLE AVE, Wyandotte, MI 48192

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Theodora A Costin Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48192 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

$134.28 typical visit price

range $58.04 – $177.36

Typical copayment $33.57 (range $14.51 – $44.34)

Most-billed visit code 99204

Established Patient

$72.38 typical visit price

range $18.32 – $143.49

Typical copayment $18.09 (range $4.58 – $35.87)

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.

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