KATHERINE COSTELLO MD
NPI 1619104916
Family Medicine in Shiprock, NM
About Katherine Costello Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHERINE COSTELLO MD (NPI 1619104916) is an individual family medicine provider in Shiprock, New Mexico, licensed in New Mexico (MD2012-053) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS, is affiliated with Central Vermont Medical Center, and is a graduate of University Of Vermont College Of Medicine (2009).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Katherine Costello 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.
Medicare Billing Reassignment
Medicare enrollment records show Katherine Costello reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Berlin, VT 05602
- Reassigned Medicare billing, Vermont enrollment
- Also billed through NPI 1023028784 (Vermont)
- 183 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 7
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Central Vermont Medical Center
Acute Care Hospitals · Barre, VTPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 87420 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SHIPROCK, NM 87420
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 Katherine Costello's NPI number?
The NPI number for Katherine Costello is 1619104916. It was assigned to this individual provider in the NPPES registry on June 15, 2009.
Where is Katherine Costello located?
Katherine Costello practices at Us Hwy 491 North, Shiprock, NM 87420. The listed phone number is (505) 368-6001.
What is Katherine Costello's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Katherine Costello enrolled in Medicare?
Yes. Katherine Costello 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.
Which organization bills Medicare for Katherine Costello's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Katherine Costello reassigns Medicare benefits to Central Vermont Medical Center Inc (Berlin, VT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Katherine Costello's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Katherine Costello accept?
Health plans from Anthem Blue Cross and Blue Shield list Katherine Costello 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 Katherine Costello affiliated with any hospitals?
According to CMS data, Katherine Costello is affiliated with Central Vermont Medical Center.
When was this NPI record last updated?
The NPPES record for Katherine Costello was last updated on September 25, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Katherine Costello, MD · NPI 1619104916
Family Medicine physician in Shiprock, New Mexico. Individual provider, active in the CMS NPPES registry since June 15, 2009.
## Identity
- **NPI:** 1619104916 (Entity type: Individual)
- **Enumerated:** June 15, 2009
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** MD2012-053 (New Mexico)
- **Sole proprietor:** No
## Practice location
- **Address:** US HWY 491 NORTH, Shiprock, NM 87420
- **Phone:** (505) 368-6001 · **Fax:** (505) 368-7011
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Central Vermont Medical Center Inc (NPI 1831374362, Berlin, VT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Vermont College Of Medicine, class of 2009
## Record status
- **NPPES last updated:** September 25, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1619104916) · Data from the CMS NPPES public registry.