JEFFREY COSTANZO MD
NPI 1689802746
Internal Medicine - Gastroenterology in East Stroudsburg, PA

Q: What is Jeffrey Costanzo's NPI number?

The NPI number for Jeffrey Costanzo is 1689802746. It was assigned to this individual provider in the NPPES registry on June 29, 2009.

Q: What is Jeffrey Costanzo's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Jeffrey Costanzo was last updated on November 10, 2022. 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 June 29, 2009PECOS EnrolledAccepts Medicare Assignment

175 E BROWN ST, EAST STROUDSBURG, PA 18301(570) 664-8115 Get Directions Write a Review

NPPES record last updated: November 10, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 10, 2022, May 26, 2021, Dec 18, 2020 and 2 more (5 updates tracked since 2016).

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About Jeffrey Costanzo Md NPPES

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

JEFFREY COSTANZO MD (NPI 1689802746) is an individual gastroenterology provider in East Stroudsburg, Pennsylvania, licensed in Pennsylvania (MD454359) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS, is affiliated with Geisinger-community Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1689802746

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameJEFFREY COSTANZOCredential: MD

Location Address175 E BROWN STEast Stroudsburg, PA 18301-3098

Mailing Address2100 Mack Blvd Fl 4Allentown, PA 18103-5622 · (610) 390-8057

Phone(570) 664-8115

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateJune 29, 2009

Last NPPES UpdateNovember 10, 20225 updates tracked since enumeration

NPPES CertifiedNovember 10, 2022

✔ NPI 1689802746 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in PA · MD454359

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

175 E BROWN ST, East Stroudsburg, PA 18301

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Secondary Practice Locations 3

Location 12300 Highland AveBethlehem, PA 18020-8920 · Phone (610) 861-8080

Location 21501 N Cedar Crest Blvd Ste 110Allentown, PA 18104-2309 · Phone (610) 821-2828

Location 3300 Lackawanna Ave Ste 200Scranton, PA 18503-2001 · Phone (570) 342-7864

Other Identifiers 1

Medicaid103077684PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jeffrey Costanzo 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 ID5193036663

PECOS Enrollment IDI20150624002701

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.

Areas of Expertise CMS Part B claims 11

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.

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.

124 services91 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

112 services112 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

93 services91 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

71 services71 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

67 services65 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

66 services66 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

30 services20 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

25 services25 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

24 services24 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

16 services16 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Geisinger-Community Medical Center

Acute Care Hospitals · Scranton, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390001

Location1822 Mulberry StreetScranton, PA 18510 · Lackawanna County

Emergency services Birthing friendly

Wayne Memorial Hospital

Acute Care Hospitals · Honesdale, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390125

Location601 Park StreetHonesdale, PA 18431 · Wayne County

Emergency services Birthing friendly

Lehigh Valley Hospital - Pocono

Acute Care Hospitals · East Stroudsburg, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390201

Location206 East Brown StreetEast Stroudsburg, PA 18301 · Monroe County

Emergency services Birthing friendly

Geisinger Wyoming Valley Medical Center

Acute Care Hospitals · Wilkes Barre, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390270

Location1000 East Mountain BoulevardWilkes Barre, PA 18711 · Luzerne County

Emergency services Birthing friendly

Lehigh Valley Hospital - Dickson City

Acute Care Hospitals · Dickson City, PA

OwnershipVoluntary non-profit - Private

CMS Certification Number390338

Location330 Main StreetDickson City, PA 18519 · Lackawanna County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18301 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

$126.34 typical visit price

range $54.64 – $166.87

Typical copayment $31.58 (range $13.66 – $41.71)

Most-billed visit code 99204

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Colorectal Cancer Screening

Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer

14%29 patients1/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

100%57 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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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.

DR. THOMAS MICHAEL PAPA MD

Internal Medicine (Infectious Disease)

175 E BROWN ST, SUITE 114
EAST STROUDSBURG, PA 18301

Monroe County (570) 426-2301

MS. CAROL STANEK CRNP

Nurse Practitioner (Family)

175 E BROWN ST
EAST STROUDSBURG, PA 18301

Monroe County (570) 420-6450

SUSHEER GANDOTRA M.D.

Internal Medicine (Infectious Disease)

175 E BROWN ST, SUITE 114
EAST STROUDSBURG, PA 18301

Monroe County (570) 426-2301

DR. SHANDURAI TEURAI TAKAVARASHA M.D.

Internal Medicine (Infectious Disease)

175 E BROWN ST
EAST STROUDSBURG, PA 18301

Monroe County (570) 426-2840

POCONO ORTHOPAEDICS SURGERY

Orthopaedic Surgery

175 E BROWN ST, SUITE 114
EAST STROUDSBURG, PA 18301

Monroe County (570) 426-2301

SUSHIL S. MODY MD

Pediatrics

175 E BROWN ST, SUITE 108
E STROUDSBURG, PA 18301

Monroe County (570) 476-3585

KIMBERLY DOWNES DO

Pediatrics

175 E BROWN ST
EAST STROUDSBURG, PA 18301

Monroe County (570) 476-3585

DR. JOSE R BORDAS M.D.

Pediatrics

175 E BROWN ST, SUITE 108
EAST STROUDSBURG, PA 18301

Monroe County (570) 476-3585

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 Jeffrey Costanzo's NPI number?

The NPI number for Jeffrey Costanzo is 1689802746. It was assigned to this individual provider in the NPPES registry on June 29, 2009.

Where is Jeffrey Costanzo located?

Jeffrey Costanzo practices at 175 E Brown St, East Stroudsburg, PA 18301. The listed phone number is (570) 664-8115.

What is Jeffrey Costanzo's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Jeffrey Costanzo enrolled in Medicare?

Yes. Jeffrey Costanzo 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.

What insurance does Jeffrey Costanzo accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Jeffrey Costanzo 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 Jeffrey Costanzo affiliated with any hospitals?

According to CMS data, Jeffrey Costanzo is affiliated with Geisinger-Community Medical Center, Wayne Memorial Hospital, Lehigh Valley Hospital - Pocono, Geisinger Wyoming Valley Medical Center and Lehigh Valley Hospital - Dickson City.

When was this NPI record last updated?

The NPPES record for Jeffrey Costanzo was last updated on November 10, 2022. 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.