NICHOLAS JOHN COSTABLE MD
NPI 1790289197
Internal Medicine - Gastroenterology in Valhalla, NY

Active since March 20, 2018PECOS Enrolled
100 WOODS RD FL 3, VALHALLA, NY 10595(914) 533-4111 Get Directions Write a Review

NPPES record last updated: July 21, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 25, 2025, Mar 20, 2018 (2 updates tracked since 2018).

About Nicholas John Costable Md NPPES

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

NICHOLAS JOHN COSTABLE MD (NPI 1790289197) is an individual gastroenterology provider in Valhalla, New York, licensed in New York (303919) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, is affiliated with Garnet Health Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1790289197
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameNICHOLAS JOHN COSTABLECredential: MD
Location Address100 WOODS RD FL 3Valhalla, NY 10595-1530
Mailing Address351 E 84th St Apt 21cNew York, NY 10028-4457 · (516) 987-0794
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 20, 2018
Last NPPES UpdateJuly 21, 20252 updates tracked since enumeration
NPPES CertifiedJuly 21, 2025
NPI 1790289197 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 NY · 303919
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.

100 WOODS RD FL 3, Valhalla, NY 10595

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Nicholas John Costable Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5698011658
PECOS Enrollment IDI20240801001978
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

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.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Garnet Health Medical Center

Acute Care Hospitals · Middletown, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330126
Location707 East Main StreetMiddletown, NY 10940 · Orange County
Emergency services Birthing friendly

Westchester Medical Center

Acute Care Hospitals · Valhalla, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number330234
Location100 Woods RdValhalla, NY 10595 · Westchester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10595 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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 2

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

Surgery (Plastic and Reconstructive Surgery)
100 WOODS RD FL 3
VALHALLA, NY 10595
Student in an Organized Health Care Education/Training Program
100 WOODS RD FL 3
VALHALLA, NY 10595

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 Costable's NPI number?

The NPI number for Nicholas Costable is 1790289197. It was assigned to this individual provider in the NPPES registry on March 20, 2018.

Where is Nicholas Costable located?

Nicholas Costable practices at 100 Woods Rd Fl 3, Valhalla, NY 10595. The listed phone number is (914) 533-4111.

What is Nicholas Costable's specialty?

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

Is Nicholas Costable enrolled in Medicare?

Yes. Nicholas Costable is registered in the Medicare PECOS enrollment system.

Is Nicholas Costable affiliated with any hospitals?

According to CMS data, Nicholas Costable is affiliated with Garnet Health Medical Center and Westchester Medical Center.

When was this NPI record last updated?

The NPPES record for Nicholas Costable was last updated on July 21, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.