PETER ANTHONY COSTA MD
NPI 1629411855
Pediatrics - Pediatric Gastroenterology in Winston Salem, NC

Q: What is Peter Costa's NPI number?

The NPI number for Peter Costa is 1629411855. It was assigned to this individual provider in the NPPES registry on April 8, 2013.

Q: What is Peter Costa's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Q: When was this NPI record last updated?

The NPPES record for Peter Costa was last updated on April 13, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 08, 2013PECOS Enrolled

MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157(336) 713-4500(336) 713-4501 Get Directions Write a Review

NPPES record last updated: April 13, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 13, 2021, Apr 4, 2019 (2 updates tracked since 2019).

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About Peter Anthony Costa Md NPPES

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

PETER ANTHONY COSTA MD (NPI 1629411855) is an individual pediatric gastroenterology provider in Winston Salem, North Carolina, licensed in North Carolina (2019-00398) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS and maintains a secondary practice location in Bronx.

NPPES Registry Identity

NPI1629411855

Entity TypeIndividualMale

Primary Taxonomy2080P0206X

Provider Legal NamePETER ANTHONY COSTACredential: MD

Location AddressMEDICAL CENTER BLVDWinston Salem, NC 27157-2403

Mailing Address5 Beaver Pond CtStony Point, NY 10980-3518 · (845) 729-7297

Phone(336) 713-4500

Fax(336) 713-4501

Sole ProprietorNo

Enumeration DateApril 8, 2013

Last NPPES UpdateApril 13, 20212 updates tracked since enumeration

NPPES CertifiedApril 13, 2021

✔ NPI 1629411855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0206X

License✔ Licensed in NC · 2019-00398

Definition

A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.

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

MEDICAL CENTER BLVD, Winston Salem, NC 27157

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Secondary Practice Location 1

Location 13415 Bainbridge Ave # Wayne7Bronx, NY 10467-2403 · Phone (718) 741-2332

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Peter Anthony Costa Md 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 27157 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.

MR. GARY LEE RAY MSN, CRNA

Nurse Anesthetist, Certified Registered