SEAN COSTELLO MD - NPI 1942882774 - Psychiatry & Neurology in Soldotna, AK

Q: What is Sean Costello's NPI number?

The NPI number for Sean Costello is 1942882774. It was assigned to this individual provider in the NPPES registry on April 21, 2021.

Q: What is Sean Costello's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Sean Costello was last updated on July 30, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Sean Costello Md NPPES

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

SEAN COSTELLO MD (NPI 1942882774) is an individual psychiatry provider in Soldotna, Alaska, licensed in Alaska (230513) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in Tucson, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1942882774

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameSEAN COSTELLOCredential: MD

Location Address291 N FIREWEED STSoldotna, AK 99669-7540

Mailing Address250 Hospital PlSoldotna, AK 99669-6999 · (907) 714-4404

Phone(907) 714-5950

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateApril 21, 2021

Last NPPES UpdateJuly 30, 20252 updates tracked since enumeration

NPPES CertifiedJuly 30, 2025

✔ NPI 1942882774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in AK · 230513

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License R78572 (AZ)

291 N FIREWEED ST, Soldotna, AK 99669

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Secondary Practice Location 1

Location 12800 E Ajo WayTucson, AZ 85713-6204 · Phone (520) 874-7520 · Fax (520) 874-7539

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

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

Sean Costello 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 ID1254732175

PECOS Enrollment IDI20250808002580

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 99669 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

$222.64 typical visit price

range $71.33 – $222.64

Typical copayment $55.66 (range $17.83 – $55.66)

Most-billed visit code 99205

Established Patient

$90.40 typical visit price

range $21.84 – $181.48

Typical copayment $22.60 (range $5.46 – $45.37)

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 6

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

KRISTEN KEELEY MD

Psychiatry & Neurology (Child & Adolescent Psychiatry)