GUSTAVO COSTA MEDEIROS MD
NPI 1841710456
Psychiatry & Neurology - Psychiatry in Dallas, TX

Q: What is Gustavo Costa Medeiros's NPI number?

The NPI number for Gustavo Costa Medeiros is 1841710456. It was assigned to this individual provider in the NPPES registry on June 23, 2017.

Q: What is Gustavo Costa Medeiros's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Active since June 23, 2017PECOS EnrolledAccepts Medicare Assignment

5323 HARRY HINES BLVD, DALLAS, TX 75390(214) 648-7312 Get Directions Write a Review

NPPES record last updated: June 23, 2017. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Gustavo Costa Medeiros Md NPPES

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

GUSTAVO COSTA MEDEIROS MD (NPI 1841710456) is an individual psychiatry provider in Dallas, Texas, licensed in Texas (BP10061681) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1841710456

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameGUSTAVO COSTA MEDEIROSCredential: MD

Location Address5323 HARRY HINES BLVDDallas, TX 75390-7201

Mailing Address5323 Harry Hines BlvdDallas, TX 75390-7201

Phone(214) 648-7312

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateJune 23, 2017

✔ NPI 1841710456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in TX · BP10061681

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

5323 HARRY HINES BLVD, Dallas, TX 75390

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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

Gustavo Costa Medeiros 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 ID5597185587

PECOS Enrollment IDI20240727000480

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 Reassignment

Medicare enrollment records show Gustavo Costa Medeiros reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Maryland Psychiatry Associates, PA

1,213 mi

Psychiatry

701 W PRATT ST FL 4
Baltimore, MD 21201

Reassigned Medicare billing, Maryland enrollment
89 clinicians in this Medicare group

NPI 1649292699 (410) 328-5881

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

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

48 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75390 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

$172.86 typical visit price

range $57.18 – $172.86

Typical copayment $43.21 (range $14.29 – $43.21)

Most-billed visit code 99205

Established Patient

$71.28 typical visit price

range $18.48 – $141.20

Typical copayment $17.82 (range $4.62 – $35.30)

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 20

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

MRS. TANYA MARIE PLETIN PA-C

Physician Assistant