DR. NICHOLAS JOSEPH COSTA II MD
NPI 1629368931
Internal Medicine - Clinical Cardiac Electrophysiology in Winston Salem, NC

Active since April 08, 2011PECOS EnrolledAccepts Medicare Assignment
186 KIMEL PARK DR, WINSTON SALEM, NC 27103(336) 277-2000(336) 277-2050 Get Directions Write a Review

NPPES record last updated: October 26, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 26, 2020, Aug 19, 2019, Mar 2, 2016 (3 updates tracked since 2016).

About Dr. Nicholas Joseph Costa Ii Md NPPES

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

DR. NICHOLAS JOSEPH COSTA II MD (NPI 1629368931) is an individual clinical cardiac electrophysiology provider in Winston Salem, North Carolina, licensed in North Carolina (2019-00725) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS, is affiliated with Northern Regional Hospital, and maintains a secondary practice location in Baltimore.

NPPES Registry Identity

NPI1629368931
Entity TypeIndividualMale
Primary Taxonomy207RC0001X
Provider Legal NameDR. NICHOLAS JOSEPH COSTA IICredential: MD
Location Address186 KIMEL PARK DRWinston Salem, NC 27103
Mailing AddressPo Box 751803Charlotte, NC 28275-1803 · (336) 277-2000 · Fax (336) 277-2050
Fax(336) 277-2050
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateApril 8, 2011
Last NPPES UpdateOctober 26, 20203 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2020
✔ NPI 1629368931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal Medicine · Clinical Cardiac ElectrophysiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RC0001X
License✔ Licensed in NC · 2019-00725
Definition
A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.
Also ListedInternal MedicineTaxonomy 207R00000X · License 2019-00725 (NC), D0079810 (MD)
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 2019-00725 (NC)
186 KIMEL PARK DR, Winston Salem, NC 27103

Secondary Practice Location 1

Location 1419 W Redwood StBaltimore, MD 21201-1734 · Phone (410) 328-7877

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

Dr. Nicholas Joseph Costa Ii 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 ID42513970
PECOS Enrollment IDI20191017000030
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

6

Medicare enrollment records show Nicholas Costa reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cardiovascular Disease
186 KIMEL PARK DR
Winston Salem, NC 27103
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,202 clinicians in this Medicare group
Urogynecology and Reconstructive Pelvic Surgery
770 HIGHLAND OAKS DR, SUITE 100
Winston Salem, NC 27103
  • Reassigned Medicare billing, North Carolina enrollment
  • Also billed through NPI 1972106268 (North Carolina)
  • 2,998 clinicians in this Medicare group
Specialist
1950 S HAWTHORNE RD
Winston-salem, NC 27103
  • Reassigned Medicare billing, North Carolina enrollment
  • 579 clinicians in this Medicare group
Hematology & Oncology
170 MEDICAL PARK RD STE 101
Mooresville, NC 28117
  • Reassigned Medicare billing, North Carolina enrollment
  • 926 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
8201 HEALTHCARE LOOP
Charlotte, NC 28215
  • Reassigned Medicare billing, North Carolina enrollment
  • 703 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
10905 PROVIDENCE RD W
Charlotte, NC 28277
  • Reassigned Medicare billing, North Carolina enrollment
  • 422 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 26

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
349 services288 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
251 services198 patients
Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days 93294
This procedure evaluates your pacemaker system remotely for up to 90 days. It checks whether single, dual, multiple lead, or leadless pacemakers are working properly. It's a safe, convenient way to ensure your heart device is functioning optimally.
232 services84 patients
Evaluation of cardiac rhythm monitor system, remote up to 30 days 93298
This procedure involves remotely monitoring your heart rhythm for up to 30 days. A small device will record your heart's activity, which can be accessed by your healthcare team. This aids in diagnosing any irregularities or issues with your heart function.
200 services39 patients
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.
157 services132 patients
Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional 93228
An Electrocardiogram (ECG) is a non-invasive test that records the electrical signals in your heart. For up to 30 days, a small device will continuously monitor your heart's activity. A healthcare professional will then review the data and provide a report on your heart's function.
84 services80 patients

Hospital Affiliations CMS Care Compare 3

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

Northern Regional Hospital

Acute Care Hospitals · Mount Airy, NC
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340003
Location830 Rockford StMount Airy, NC 27030 · Surry County
Emergency services Birthing friendly

Novant Health Forsyth Medical Center

Acute Care Hospitals · Winston-Salem, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340014
Location3333 Silas Creek ParkwayWinston-Salem, NC 27103 · Forsyth County
Emergency services Birthing friendly

Twin County Regional Hospital

Acute Care Hospitals · Galax, VA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number490115
Location200 Hospital DriveGalax, VA 24333 · Galax City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27103 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

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.

Nuclear Medicine (Nuclear Cardiology)
186 KIMEL PARK DR
WINSTON SALEM, NC 27103
Internal Medicine (Cardiovascular Disease)
186 KIMEL PARK DR
WINSTON SALEM, NC 27103
Physician Assistant
186 KIMEL PARK DR
WINSTON SALEM, NC 27103
Nurse Practitioner
186 KIMEL PARK DR
WINSTON SALEM, NC 27103
Internal Medicine (Cardiovascular Disease)
186 KIMEL PARK DR
WINSTON SALEM, NC 27103
Internal Medicine (Cardiovascular Disease)
186 KIMEL PARK DR
WINSTON SALEM, NC 27103
Internal Medicine (Cardiovascular Disease)
186 KIMEL PARK DR
WINSTON SALEM, NC 27103
Internal Medicine (Interventional Cardiology)
186 KIMEL PARK DR
WINSTON SALEM, NC 27103

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 Nicholas Costa's NPI number?

The NPI number for Nicholas Costa is 1629368931. It was assigned to this individual provider in the NPPES registry on April 8, 2011.

Where is Nicholas Costa located?

Nicholas Costa practices at 186 Kimel Park Dr, Winston Salem, NC 27103. The listed phone number is (336) 277-2000.

What is Nicholas Costa's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Clinical Cardiac Electrophysiology, with taxonomy code 207RC0001X.

Is Nicholas Costa enrolled in Medicare?

Yes. Nicholas 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.

Which organizations bill Medicare for Nicholas Costa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Costa reassigns Medicare benefits to 6 organizations: Forsyth Memorial Hospital Inc (Winston Salem, NC), Novant Health Medical Group, LLC (Winston Salem, NC), Medical Park Hospital LLC (Winston-salem, NC), The Presbyterian Hospital (Mooresville, NC), Novant Health Mint Hill Medical Center, LLC (Charlotte, NC) and 1 more organization, listed in the Medicare section above. 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 Nicholas Costa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicholas Costa accept?

Health plans from Blue Cross and Blue Shield of NC and Cigna Healthcare list Nicholas 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 Nicholas Costa affiliated with any hospitals?

According to CMS data, Nicholas Costa is affiliated with Northern Regional Hospital, Novant Health Forsyth Medical Center and Twin County Regional Hospital.

When was this NPI record last updated?

The NPPES record for Nicholas Costa was last updated on October 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.