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ROBERT KENNETH COSTA MD
NPI 1801997267
Obstetrics & Gynecology in Monroe, NC

Active since September 26, 2006PECOS EnrolledAccepts Medicare Assignment
87.26/100
CMS Quality Rating
1550 FAULK ST, STE 2100, MONROE, NC 28112(704) 289-2553 Get Directions Write a Review

NPPES record last updated: September 25, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 26, 2024, Jul 21, 2024, Feb 7, 2022 (3 updates tracked since 2022).

About Robert Kenneth Costa Md NPPES

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

ROBERT KENNETH COSTA MD (NPI 1801997267) is an individual obstetrics & gynecology provider in Monroe, North Carolina, licensed in North Carolina (2024-00678) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center/behav Health, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1801997267
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameROBERT KENNETH COSTACredential: MD
Location Address1550 FAULK ST, STE 2100Monroe, NC 28112-5086
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Phone(704) 289-2553
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateSeptember 26, 2006
Last NPPES UpdateSeptember 25, 20253 updates tracked since enumeration
NPPES CertifiedJuly 26, 2024
✔ NPI 1801997267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in NC · 2024-00678
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1550 FAULK ST, Monroe, NC 28112
Open in Google Maps ↗

Secondary Practice Locations 4

Location 1349 Penny LnConcord, NC 28025-1221 · Phone (704) 786-7158
Location 24315 Physicians Blvd, Ste 201Harrisburg, NC 28075-7430 · Phone (704) 786-7158
Location 3101 E W T Harris Blvd, Ste 2320Charlotte, NC 28262-3485 · Phone (704) 547-0858
Location 41350 S Kings DrCharlotte, NC 28207-2134 · Phone (704) 446-1544

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, BlueCross BlueShield of South Carolina, InStil Health and more.Insurance ›

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

Robert Kenneth 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 ID7517065956
PECOS Enrollment IDI20220215000525, I20240912000535
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Robert Costa reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Carolinas Physicians Network Inc
Same address
Surgery
1550 FAULK ST, SUITE 2100
Monroe, NC 28112
  • Reassigned Medicare billing, North Carolina enrollment
  • 2,057 clinicians in this Medicare group
NPI 1053666008 (704) 246-2889
Obhg North Carolina, P.C.
24 mi
Obstetrics & Gynecology
1000 BLYTHE BLVD
Charlotte, NC 28203
  • Reassigned Medicare billing, North Carolina enrollment
  • Medicare enrollment name: Obhg North Carolina PC
  • 196 clinicians in this Medicare group
NPI 1124300876 (800) 967-2289
Obhg South Carolina PC
105 mi
Obstetrics & Gynecology
777 LOWNDES HILL RD BLDG 1
Greenville, SC 29607
  • Reassigned Medicare billing, South Carolina enrollment
  • 190 clinicians in this Medicare group
NPI 1538457361 (800) 967-2289
Moran & Haag-Rickert, LLP
653 mi
Specialist
299 CAREW ST, SUITE 215
Springfield, MA 01104
  • Reassigned Medicare billing, Massachusetts enrollment
  • Medicare enrollment name: Fitzpatrick Moran Costa & Haag-Rickert LLP
  • 3 clinicians in this Medicare group
NPI 1245365923 (413) 781-6210

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

Hospital Affiliations CMS Care Compare

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

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28112 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

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.

87.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.61
Promoting Interoperability100
Improvement Activities40
Cost81.93

Reported Quality Measures

Breast Cancer Screening
46%57 patients2/55-star benchmark: 93%
Cervical Cancer Screening
91%497 patients4/55-star benchmark: 98%
Chlamydia Screening for Women
79%362 patients
Documentation of Current Medications in the Medical Record
50%1,467 patients2/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
90%403 patients4/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
96%640 patients4/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 95% · 566 patients
Patients screened: 98% · 566 patients
76%78 patients4/55-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.

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.

KITILA ANNA SMITH MD
Obstetrics & Gynecology
1550 FAULK ST, STE 2100
MONROE, NC 28112
Union County (704) 289-2553
LANCE E. DIEHL MD
Surgery
1550 FAULK ST, STE 3100
MONROE, NC 28112
Union County (704) 667-3410
RAJIV PAUDEL MD
Internal Medicine
1550 FAULK ST, STE 3100
MONROE, NC 28112
Union County (704) 667-3410
KELLY JONES PHILLIPS PA
Physician Assistant
1550 FAULK ST
MONROE, NC 28112
Union County (704) 289-3024
CAROLINAS PHYSICIANS NETWORK INC
Surgery
1550 FAULK ST, SUITE 2100
MONROE, NC 28112
Union County (704) 246-2889
SANTHOSH REDDY DEVARAPALLY MD
Internal Medicine (Cardiovascular Disease)
1550 FAULK ST, STE 3100
MONROE, NC 28112
Union County (704) 667-3410
BRITTANY YOUNTS ATKINSON FNP
Nurse Practitioner (Family)
1550 FAULK ST, STE 3100
MONROE, NC 28112
Union County (704) 667-3410
GREGORY MICHAEL BROUSE MD
Internal Medicine (Medical Oncology)
1550 FAULK ST
MONROE, NC 28112
Union County (980) 442-0430

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 Robert Costa's NPI number?

The NPI number for Robert Costa is 1801997267. It was assigned to this individual provider in the NPPES registry on September 26, 2006.

Where is Robert Costa located?

Robert Costa practices at 1550 Faulk St Ste 2100, Monroe, NC 28112. The listed phone number is (704) 289-2553.

What is Robert Costa's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Robert Costa enrolled in Medicare?

Yes. Robert 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.

Which organizations bill Medicare for Robert Costa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Robert Costa reassigns Medicare benefits to 4 organizations: Carolinas Physicians Network Inc (Monroe, NC), Obhg North Carolina, P.C. (Charlotte, NC), Obhg South Carolina PC (Greenville, SC) and Moran & Haag-Rickert, LLP (Springfield, MA). 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 Robert Costa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Robert Costa accept?

Health plans from Blue Cross and Blue Shield of NC, BlueCross BlueShield of South Carolina, InStil Health, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Robert 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 Robert Costa affiliated with any hospitals?

According to CMS data, Robert Costa is affiliated with Carolinas Medical Center/Behav Health.

When was this NPI record last updated?

The NPPES record for Robert Costa was last updated on September 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.