MS. JESSICA DECOSTOLE MS, RDN, LDN, CDE
NPI 1801280417
Dietitian, Registered in Baltimore, MD

Active since March 20, 2015Accepts Medicare Assignment
85.31/100
CMS Quality Rating
5601 LOCH RAVEN BLVD, GOOD HEALTH CENTER 2ND FLOOR, BALTIMORE, MD 21238(443) 444-4912(443) 444-4884 Get Directions Write a Review

NPPES record last updated: May 4, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ms. Jessica Decostole Ms, Rdn, Ldn, Cde NPPES

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

MS. JESSICA DECOSTOLE MS, RDN, LDN, CDE (NPI 1801280417) is an individual dietitian, registered in Baltimore, Maryland, licensed in Maryland (DX3562) and active in the NPI registry since March 2015. She is a graduate of Other (2012).

NPPES Registry Identity

NPI1801280417
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameMS. JESSICA DECOSTOLECredential: MS, RDN, LDN, CDE
Location Address5601 LOCH RAVEN BLVD, GOOD HEALTH CENTER 2ND FLOORBaltimore, MD 21238
Mailing Address736 S Ellwood AveBaltimore, MD 21224-3949 · (347) 992-4041
Fax(443) 444-4884
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateMarch 20, 2015
Last NPPES UpdateMay 4, 2018
✔ NPI 1801280417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in MD · DX3562
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
5601 LOCH RAVEN BLVD, Baltimore, MD 21238

Other Identifiers 1

OtherDX3562MD · The Board Of Dietetic Practice Of The State Of Maryland

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Jessica Decostole Ms, Rdn, Ldn, Cde 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 ID7315266244
PECOS Enrollment IDI20150428000121

Medicare Billing Reassignments

2

Medicare enrollment records show Jessica Decostole reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Practice
5601 LOCH RAVEN BLVD, RUSSELL MORGAN BLDG 3RD FL
Baltimore, MD 21239
  • Reassigned Medicare billing, Maryland enrollment
  • 2,602 clinicians in this Medicare group
Family Medicine
8600 LASALLE RD STE 100, POTOMAC BLDG
Towson, MD 21286
  • Reassigned Medicare billing, Maryland enrollment
  • 444 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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.

Diabetes outpatient self-management training services, individual, per 30 minutes G0108
This service involves personalized training sessions, each lasting 30 minutes, to help manage diabetes. It includes guidance on monitoring blood sugar, healthy eating, physical activity, medication usage, and dealing with daily challenges of living with diabetes.
204 services63 patients
Therapy procedure for nutrition management, each 15 minutes 97802
This is a 15-minute session focused on managing your nutrition. A professional will assess your dietary habits and provide personalized advice to improve your health. It can help manage weight, control chronic diseases, and promote overall wellbeing.
109 services29 patients
Therapy procedure reassessment for nutrition management, each 15 minutes 97803
This is a process where a healthcare professional reviews your nutritional needs every 15 minutes. It's part of managing your diet to ensure optimal health. The review may involve adjusting your meal plans, evaluating your body's response to certain foods, and monitoring your overall nutrition status.
52 services13 patients

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.

85.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.76
Promoting Interoperability100
Improvement Activities40
Cost59.28

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 Jessica Decostole's NPI number?

The NPI number for Jessica Decostole is 1801280417. It was assigned to this individual provider in the NPPES registry on March 20, 2015.

Where is Jessica Decostole located?

Jessica Decostole practices at 5601 Loch Raven Blvd Good Health Center 2nd Floor, Baltimore, MD 21238. The listed phone number is (443) 444-4912.

What is Jessica Decostole's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Jessica Decostole enrolled in Medicare?

Yes. Jessica Decostole 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.

Which organizations bill Medicare for Jessica Decostole's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Decostole reassigns Medicare benefits to 2 organizations: Medstar Medical Group II LLC (Baltimore, MD) and Greater Baltimore Medical Center, Inc. (Towson, MD). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jessica Decostole's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jessica Decostole was last updated on May 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.