JOHN E. COSTELLO DDS
NPI 1689837825
Dentist in Arlington Heights, IL

Active since July 08, 2008Opted out of Medicare · through Aug 20, 2027
1640 N ARLINGTON HEIGHTS RD, SUITE 201, ARLINGTON HEIGHTS, IL 60004(847) 259-1111 Get Directions Write a Review

NPPES record last updated: November 18, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About John E. Costello Dds NPPES

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

JOHN E. COSTELLO DDS (NPI 1689837825) is an individual dentist in Arlington Heights, Illinois, licensed in Illinois (19-A-12900) and active in the NPI registry since July 2008. He has opted out of Medicare through August 20, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1689837825
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameJOHN E. COSTELLOCredential: DDS
Location Address1640 N ARLINGTON HEIGHTS RD, SUITE 201Arlington Heights, IL 60004-3985
Mailing Address779 Summer Isle LnInverness, IL 60010-5414 · (847) 259-1111
Sole ProprietorNo
Enumeration DateJuly 8, 2008
Last NPPES UpdateNovember 18, 2022
NPPES CertifiedNovember 18, 2022
NPI 1689837825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses Licensed in IL · 19-A-12900 Licensed in WI · 23412-875
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1640 N ARLINGTON HEIGHTS RD, Arlington Heights, IL 60004

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

John E. Costello Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 20, 2015 through August 20, 2027.

Opt-Out Effective DateAugust 20, 2015
Opt-Out In Effect ThroughAugust 20, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60004 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
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.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Obstetrics & Gynecology (Gynecology)
1640 N ARLINGTON HEIGHTS RD, SUITE 110
ARLINGTON HEIGHTS, IL 60004
Clinic/Center (Primary Care)
1640 N ARLINGTON HEIGHTS RD, SUITE 101
ARLINGTON HEIGHTS, IL 60004
Internal Medicine (Gastroenterology)
1640 N ARLINGTON HEIGHTS RD, SUITE 210
ARLINGTON HEIGHTS, IL 60004
Urology
1640 N ARLINGTON HEIGHTS RD
ARLINGTON HEIGHTS, IL 60004
Family Medicine
1640 N ARLINGTON HEIGHTS RD, SUITE 110
ARLINGTON HEIGHTS, IL 60004
Nurse Practitioner (Family)
1640 N ARLINGTON HEIGHTS RD, SUITE 110
ARLINGTON HEIGHTS, IL 60004
Clinic/Center (Ambulatory Surgical)
1640 N ARLINGTON HEIGHTS RD, SUITE 110
ARLINGTON HEIGHTS, IL 60004
Anesthesiology
1640 N ARLINGTON HEIGHTS RD, SUITE 110
ARLINGTON HEIGHTS, IL 60004

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 John Costello's NPI number?

The NPI number for John Costello is 1689837825. It was assigned to this individual provider in the NPPES registry on July 8, 2008.

Where is John Costello located?

John Costello practices at 1640 N Arlington Heights Rd Suite 201, Arlington Heights, IL 60004. The listed phone number is (847) 259-1111.

What is John Costello's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is John Costello enrolled in Medicare?

No. John Costello has opted out of Medicare through August 20, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for John Costello was last updated on November 18, 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.