ANDREW DALTON COSTA MD
NPI 1891627063
Pediatrics in Charleston, SC

Q: What is Andrew Costa's NPI number?

The NPI number for Andrew Costa is 1891627063. It was assigned to this individual provider in the NPPES registry on June 2, 2026.

Q: What is Andrew Costa's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Andrew Costa was last updated on June 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since June 02, 2026PECOS Enrolled

169 ASHLEY AVE RM 202, CHARLESTON, SC 29425(843) 792-8972 Get Directions Write a Review

NPPES record last updated: June 2, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Andrew Dalton Costa Md NPPES

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

ANDREW DALTON COSTA MD (NPI 1891627063) is an individual pediatrics provider in Charleston, South Carolina, licensed in South Carolina (MMD.97001) and active in the NPI registry since June 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891627063

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameANDREW DALTON COSTACredential: MD

Location Address169 ASHLEY AVE RM 202Charleston, SC 29425-8905

Mailing Address169 Ashley Ave Rm 202Charleston, SC 29425-8905

Phone(843) 792-8972

Sole ProprietorNo

Enumeration DateJune 2, 2026

NPPES CertifiedJune 2, 2026

✔ NPI 1891627063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in SC · MMD.97001

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

169 ASHLEY AVE RM 202, Charleston, SC 29425

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrew Dalton Costa Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29425 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

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

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 20

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

SANAA ABDELMAGEED MD

Surgery