COREY COSTA PA
NPI 1891266102
Physician Assistant in Hamburg, NY

Active since December 13, 2018PECOS EnrolledAccepts Medicare Assignment
90.03/100
CMS Quality Rating
5775 MAELOU DR, HAMBURG, NY 14075(716) 242-9873 Get Directions Write a Review

NPPES record last updated: April 6, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 6, 2026, Jul 11, 2024, Jul 3, 2024 and 1 more (4 updates tracked since 2018).

About Corey Costa Pa NPPES

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

COREY COSTA PA (NPI 1891266102) is an individual physician assistant in Hamburg, New York, licensed in New York (023377) and active in the NPI registry since December 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1891266102
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameCOREY COSTACredential: PA
Location Address5775 MAELOU DRHamburg, NY 14075-7419
Mailing Address8911 N Capital Of Texas Hwy Ste 1110Austin, TX 78759-7203 · (877) 279-5960
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateDecember 13, 2018
Last NPPES UpdateApril 6, 20264 updates tracked since enumeration
NPPES CertifiedApril 6, 2026
NPI 1891266102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NY · 023377
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

5775 MAELOU DR, Hamburg, NY 14075

Other Identifiers 1

Medicaid05526238NY

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

Corey Costa Pa 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 ID2264773159
PECOS Enrollment IDI20190402001266
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 4

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 nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
380 services118 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
154 services86 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
93 services72 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
56 services54 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14075 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

90.03/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.88
Improvement Activities40
Cost63.01

Other Providers at the Same Location NPPES 5

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

Pharmacy (Long Term Care Pharmacy)
5775 MAELOU DR
HAMBURG, NY 14075
Speech-Language Pathologist
5775 MAELOU DR
HAMBURG, NY 14075
Skilled Nursing Facility
5775 MAELOU DR
HAMBURG, NY 14075
Skilled Nursing Facility
5775 MAELOU DR
HAMBURG, NY 14075
Pharmacy (Long Term Care Pharmacy)
5775 MAELOU DR
HAMBURG, NY 14075

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 Corey Costa's NPI number?

The NPI number for Corey Costa is 1891266102. It was assigned to this individual provider in the NPPES registry on December 13, 2018.

Where is Corey Costa located?

Corey Costa practices at 5775 Maelou Dr, Hamburg, NY 14075. The listed phone number is (716) 242-9873.

What is Corey Costa's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Corey Costa enrolled in Medicare?

Yes. Corey 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.

When was this NPI record last updated?

The NPPES record for Corey Costa was last updated on April 6, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.