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DR. JESSE LEE COSTALES M.D.
NPI 1619266897
Psychiatry & Neurology - Psychiatry in Phoenix, AZ

Active since March 28, 2011PECOS Enrolled
3009 W MCRAE WAY, PHOENIX, AZ 85027(602) 353-2340 Get Directions Write a Review

NPPES record last updated: May 24, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 19, 2019, Sep 1, 2017, Mar 31, 2016 (3 updates tracked since 2016).

About Dr. Jesse Lee Costales M.d. NPPES

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

DR. JESSE LEE COSTALES M.D. (NPI 1619266897) is an individual psychiatry provider in Phoenix, Arizona, licensed in Arizona (58656) and active in the NPI registry since March 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619266897
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. JESSE LEE COSTALESCredential: M.D.
Location Address3009 W MCRAE WAYPhoenix, AZ 85027-4915
Mailing Address3009 W Mcrae WayPhoenix, AZ 85027-4915 · (909) 772-2963 · Fax (094) 067-0959
Phone(602) 353-2340
Sole ProprietorNo
Enumeration DateMarch 28, 2011
Last NPPES UpdateMay 24, 20243 updates tracked since enumeration
NPPES CertifiedMay 24, 2024
✔ NPI 1619266897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in AZ · 58656
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
3009 W MCRAE WAY, Phoenix, AZ 85027
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc, Oscar Insurance Company and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jesse Lee Costales M.d. 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Jesse Costales reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lifewell Behavioral Wellness
12 mi
Community/Behavioral Health
202 E EARLL DR, SUITE 200
Phoenix, AZ 85012
  • Reassigned Medicare billing, Arizona enrollment
  • 54 clinicians in this Medicare group
NPI 1417050337 (602) 808-2800
Connectionsaz, LLC
15 mi
Multi-Specialty
1201 S 7TH AVE STE 105
Phoenix, AZ 85007
  • Reassigned Medicare billing, Arizona enrollment
  • 55 clinicians in this Medicare group
NPI 1083840953 (602) 253-5100
Ehab Yacoub MD Inc.
356 mi
Child & Adolescent Psychiatry
1225 W 190TH ST STE 280
Gardena, CA 90248
  • Reassigned Medicare billing, Arizona enrollment
  • 18 clinicians in this Medicare group
NPI 1417373713 (310) 515-8113

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85027 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
$168.60 typical visit price
range $55.44 – $168.60
Typical copayment $42.15 (range $13.86 – $42.15)
Most-billed visit code 99205
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

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 Jesse Costales's NPI number?

The NPI number for Jesse Costales is 1619266897. It was assigned to this individual provider in the NPPES registry on March 28, 2011.

Where is Jesse Costales located?

Jesse Costales practices at 3009 W Mcrae Way, Phoenix, AZ 85027. The listed phone number is (602) 353-2340.

What is Jesse Costales's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Jesse Costales enrolled in Medicare?

Yes. Jesse Costales is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jesse Costales's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jesse Costales reassigns Medicare benefits to 3 organizations: Lifewell Behavioral Wellness (Phoenix, AZ), Connectionsaz, LLC (Phoenix, AZ) and Ehab Yacoub MD Inc. (Gardena, CA). Each 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 Jesse Costales's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jesse Costales accept?

Health plans from Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc, Oscar Insurance Company and UnitedHealthcare list Jesse 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.

When was this NPI record last updated?

The NPPES record for Jesse Costales was last updated on May 24, 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.