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KENT JAMES COSTELLO PA
NPI 1992272033
Physician Assistant in Bradford, PA

Active since October 26, 2018PECOS EnrolledAccepts Medicare Assignment
195 PLEASANT ST UNIT 5, BRADFORD, PA 16701(814) 362-5701(814) 362-5702 Get Directions Write a Review

NPPES record last updated: June 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 17, 2025, Oct 19, 2020, Oct 26, 2018 (3 updates tracked since 2018).

About Kent James Costello Pa NPPES

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

KENT JAMES COSTELLO PA (NPI 1992272033) is an individual physician assistant in Bradford, Pennsylvania, licensed in Pennsylvania (MA061922) and active in the NPI registry since October 2018. He is enrolled in Medicare PECOS, is affiliated with Jones Memorial Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1992272033
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameKENT JAMES COSTELLOCredential: PA
Location Address195 PLEASANT ST UNIT 5Bradford, PA 16701-1081
Mailing Address908 Niagara Falls Blvd Ste 208North Tonawanda, NY 14120-2019 · (716) 799-1463 · Fax (833) 953-2016
Phone(814) 362-5701
Fax(814) 362-5702
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateOctober 26, 2018
Last NPPES UpdateJune 17, 20253 updates tracked since enumeration
NPPES CertifiedOctober 19, 2020
✔ NPI 1992272033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in PA · MA061922✔ Licensed in NY · 025316
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.
195 PLEASANT ST UNIT 5, Bradford, PA 16701
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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 and accepts Medicare assignment

Kent James Costello 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 ID4789097098
PECOS Enrollment IDI20211230001565
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.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Jones Memorial Hospital

Acute Care Hospitals · Wellsville, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330096
Location191 North Main StreetWellsville, NY 14895 · Allegany County
Emergency services Birthing friendly

St James Mercy Hospital

Acute Care Hospitals · Hornell, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330151
Location7329 Seneca Road NorthHornell, NY 14843 · Steuben County
Emergency services

Nicholas H Noyes Memorial Hospital

Acute Care Hospitals · Dansville, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330238
Location111 Clara Barton StreetDansville, NY 14437 · Livingston County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16701 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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

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

JONATHAN DAVID LECHNER MD
Orthopaedic Surgery
195 PLEASANT ST UNIT 5
BRADFORD, PA 16701
McKean County (814) 362-5701

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 Kent Costello's NPI number?

The NPI number for Kent Costello is 1992272033. It was assigned to this individual provider in the NPPES registry on October 26, 2018.

Where is Kent Costello located?

Kent Costello practices at 195 Pleasant St Unit 5, Bradford, PA 16701. The listed phone number is (814) 362-5701.

What is Kent Costello's specialty?

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

Is Kent Costello enrolled in Medicare?

Yes. Kent Costello 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.

Is Kent Costello affiliated with any hospitals?

According to CMS data, Kent Costello is affiliated with Jones Memorial Hospital, St James Mercy Hospital and Nicholas H Noyes Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Kent Costello was last updated on June 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.