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DR. RALPH F. COSTA MD
NPI 1740217652
Family Medicine in Hammonton, NJ

Active since June 27, 2006PECOS EnrolledAccepts Medicare Assignment
75 S WHITE HORSE PIKE FRNT, HAMMONTON, NJ 08037(609) 561-0128(609) 461-4468 Get Directions Write a Review

NPPES record last updated: May 7, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 7, 2026, Feb 5, 2026, Feb 5, 2024 and 1 more (4 updates tracked since 2023).

About Dr. Ralph F. Costa Md NPPES

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

DR. RALPH F. COSTA MD (NPI 1740217652) is an individual family medicine provider in Hammonton, New Jersey, licensed in New Jersey (25MA05022600) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Virtua Mount Holly Hospital, and maintains 10 additional practice locations.

NPPES Registry Identity

NPI1740217652
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. RALPH F. COSTACredential: MD
Location Address75 S WHITE HORSE PIKE FRNTHammonton, NJ 08037-1872
Mailing Address301 Lippincott Dr Ste 410Marlton, NJ 08053-4197 · (609) 561-0128 · Fax (609) 561-4468
Phone(609) 561-0128
Fax(609) 461-4468
Sole ProprietorNo
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 1986
Enumeration DateJune 27, 2006
Last NPPES UpdateMay 7, 20264 updates tracked since enumeration
NPPES CertifiedMay 7, 2026
✔ NPI 1740217652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NJ · 25MA05022600
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
75 S WHITE HORSE PIKE FRNT, Hammonton, NJ 08037
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Secondary Practice Locations 10

Location 13242 Route 206 Ste A2Bordentown, NJ 08505-4517 · Phone (609) 298-4340 · Fax (609) 298-4370
Location 26500 K Johnson Blvd Ste 100ABordentown, NJ 08505-2282 · Phone (609) 444-5410 · Fax (609) 444-5411
Location 3401 Young Ave Ste 260AMoorestown, NJ 08057-3130 · Phone (856) 291-8756 · Fax (856) 291-8750
Location 42301 E Evesham Rd Ste 407Voorhees, NJ 08043-4505 · Phone (856) 816-8317 · Fax (661) 413-1142
Location 51613 Route 38 # 1Lumberton, NJ 08048-2921 · Phone (609) 444-5566 · Fax (609) 261-5507
Location 6239 Hurffville Crosskeys Rd Ste 460Sewell, NJ 08080-4009 · Phone (856) 341-8181 · Fax (856) 341-8180
Location 76981 N Park Dr Ste 200APennsauken, NJ 08109-4201 · Phone (856) 663-4949 · Fax (856) 663-6076
Location 86508 Ventnor AveVentnor City, NJ 08406-2177 · Phone (609) 822-3027 · Fax (609) 822-5195
Location 919 W Main St Ste CMaple Shade, NJ 08052-2411 · Phone (856) 779-7386 · Fax (856) 779-7563
Location 101015 Briggs Rd Ste 200AMount Laurel, NJ 08054-4114 · Phone (856) 234-2500 · Fax (856) 234-3907

Other Identifiers 1

Medicaid6359507NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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

Dr. Ralph F. Costa 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 ID3476454638
PECOS Enrollment IDI20050725001075
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 2

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.
31 services27 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 services15 patients

Hospital Affiliations CMS Care Compare

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

Virtua Mount Holly Hospital

Acute Care Hospitals · Mount Holly, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310057
Location175 Madison AveMount Holly, NJ 08060 · Burlington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08037 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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

Adult Sinusitis: Computerized Tomography (CT) for Acute Sinusitis (Overuse)
Percentage of patients aged 18 years and older with a diagnosis of acute sinusitis who had a computerized tomography (CT) scan of the paranasal sinuses ordered at the time of diagnosis or received within 28 days after date of diagnosis
Lower rates are better for this measure.
0%83 patients
Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
88%112 patients4/55-star benchmark: 92%
Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
95%202 patients4/55-star benchmark: 100%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
75%208 patients4/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
62%58 patients3/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%1,865 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
91%3,979 patients3/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
60%210 patients3/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
98%127 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
95%403 patients4/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
52%329 patients3/55-star benchmark: 88%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
87%403 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
99%403 patients5/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
48%403 patients
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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers17 claims35 services$6.24 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier12 claims12 services$5.13 avg. paid by Medicare
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory E1028
DME-Wheelchairs · category DD021N
1 supplier12 claims12 services$12.36 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers15 claims15 services$184.68 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

DEVIN MICHAEL TOLEDO DO
Family Medicine
75 S WHITE HORSE PIKE FRNT
HAMMONTON, NJ 08037
Atlantic County (609) 561-0128
MR. PARAG S PATEL M.D.
Family Medicine
75 S WHITE HORSE PIKE FRNT
HAMMONTON, NJ 08037
Atlantic County (609) 561-0128

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 Ralph Costa's NPI number?

The NPI number for Ralph Costa is 1740217652. It was assigned to this individual provider in the NPPES registry on June 27, 2006.

Where is Ralph Costa located?

Ralph Costa practices at 75 S White Horse Pike Frnt, Hammonton, NJ 08037. The listed phone number is (609) 561-0128.

What is Ralph Costa's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Ralph Costa enrolled in Medicare?

Yes. Ralph 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.

What insurance does Ralph Costa accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Ralph 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 Ralph Costa affiliated with any hospitals?

According to CMS data, Ralph Costa is affiliated with Virtua Mount Holly Hospital.

When was this NPI record last updated?

The NPPES record for Ralph Costa was last updated on May 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.