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PAMELA J. COSTELLO, MD, PC
NPI 1942310149
Psychiatry & Neurology - Neurology in Johnson City, TN

Active since August 30, 2006
3915 BRISTOL HWY STE 103, JOHNSON CITY, TN 37601(423) 461-0073(423) 461-0076 Get Directions Write a Review

NPPES record last updated: November 8, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Pamela J. Costello, Md, Pc NPPES

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

PAMELA J. COSTELLO, MD, PC (NPI 1942310149) is a healthcare organization registered as a neurology in Johnson City, Tennessee and active in the NPI registry since August 2006. The organization lists Pamela J Costello, Ceo, as its authorized official.

NPPES Registry Identity

NPI1942310149
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NamePAMELA J. COSTELLO, MD, PC
Location Address3915 BRISTOL HWY STE 103Johnson City, TN 37601-1400
Mailing Address3915 Bristol Hwy Ste 103Johnson City, TN 37601-1400 · (423) 461-0073 · Fax (423) 461-0076
Phone(423) 461-0073
Fax(423) 461-0076
Organization SubpartNo
Authorized OfficialPamela J CostelloCeo · (423) 461-0073
Enumeration DateAugust 30, 2006
Last NPPES UpdateNovember 8, 2019
✔ NPI 1942310149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
3915 BRISTOL HWY STE 103, Johnson City, TN 37601
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Other Identifiers 1

MedicaidQ05797ATN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pamela J. Costello, Md, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Pamela J. Costello, MD, PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Pamela Costello, MD
Neurosurgery
NPI 1457365876
3915 BRISTOL HWY STE 301
Johnson City, TN 37601
(423) 461-0073
✔ PECOS✔ Accepts MedicareSame address

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

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 Pamela J. Costello, MD, PC's NPI number?

The NPI number for Pamela J. Costello, MD, PC is 1942310149. It was assigned to this organization in the NPPES registry on August 30, 2006.

Where is Pamela J. Costello, MD, PC located?

Pamela J. Costello, MD, PC is located at 3915 Bristol Hwy Ste 103, Johnson City, TN 37601. The listed phone number is (423) 461-0073.

What is Pamela J. Costello, MD, PC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Pamela J. Costello, MD, PC enrolled in Medicare?

Yes. Pamela J. Costello, MD, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pamela J. Costello, MD, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Neurosurgery) reassigns their Medicare billing to Pamela J. Costello, MD, PC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Pamela J. Costello, MD, PC was last updated on November 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.