MICHAEL JOHN COSTELLO (MD) – Emergency Medicine Physician, NPI 1477544781

MICHAEL JOHN COSTELLO (MD) is a healthcare provider. based in Pleasanton, California. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. G81580 (CA). The NPI Number for MICHAEL JOHN COSTELLO (MD) is 1477544781

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL JOHN COSTELLO (MD)
NPI
1477544781
Phone
(209) 342-2300
Address
5555 W LAS POSITAS BLVD
Enumeration Date
4 November 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Secondary Phone
9254793773
Graduation Year
1992 (34 years ago)
PAC ID
7113972803
Group Practice PAC ID
0143118927
Professional Enrollment ID
I20050315001053
Address ID
CA945683180DU4000XBLVD301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

5,791 EMERGENCY MEDICINE in CA

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Provider Addresses for MICHAEL JOHN COSTELLO (MD)

  • ValleyCare Medical Center, 5555, West Las Positas Boulevard, Pleasanton, Alameda County, California, 94588, United States

    PLEASANTON, CA 945884000

    Phone: (209) 342-2300

    Fax: (209) 524-4240

    Type: Location

  • 4301 NORTH STAR WAY

    MODESTO, CA 95356

    Phone: (209) 342-2300

    Fax: (209) 524-4240

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-03-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050315001053IEmergency MedicineCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making175173$0
99284Emergency department visit with moderate level of medical decision making127125$0
99291Critical care, first 30-74 minutes5252$0
93042Electrocardiogram (ecg) 1 to 3 leads with review by physician only2222$0
99283Emergency department visit with low level of medical decision making1919$0
View full utilization report →

Insurance plans in this area (ZIP 94588)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0143118927View full group profile
NameSpecialtyState
Emergency MedicineCA
Physician AssistantCO
-CA
Physician AssistantCA
Emergency MedicineCA
Physician AssistantCA
Emergency MedicineCA
Physician AssistantCA
Physician AssistantCA
Emergency MedicineCA

Reviews

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Frequently asked questions

What federal number belongs to MICHAEL JOHN COSTELLO (MD)?
The federal identifier for MICHAEL JOHN COSTELLO (MD) is NPI 1477544781.
Is MICHAEL JOHN COSTELLO (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize MICHAEL JOHN COSTELLO (MD)'s specialty in plain language?
Clinically, the directory lists MICHAEL JOHN COSTELLO (MD) with Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What location shows for MICHAEL JOHN COSTELLO (MD)?
We surface Pleasanton, California for MICHAEL JOHN COSTELLO (MD) based on available NPPES addresses.
Is MICHAEL JOHN COSTELLO (MD) a real provider?
This page reflects official NPPES data for NPI 1477544781. Always confirm identity and privileges with the practice and licensing boards.

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