SCOTT W COSTELLO (OTR) – Occupational Therapist, NPI 1669534590

SCOTT W COSTELLO (OTR) is a healthcare provider. based in Huntington beach, California. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials OTR. They hold a License No. 0108771 (NY). The NPI Number for SCOTT W COSTELLO (OTR) is 1669534590

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
SCOTT W COSTELLO (OTR)
NPI
1669534590
Phone
(714) 842-6202
Address
16152 BEACH BLVD
Enumeration Date
15 December 2006
Last Update Date
22 December 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5624308700
Graduation Year
2000 (26 years ago)
PAC ID
5193902526
Group Practice PAC ID
5991731655
Professional Enrollment ID
I20110610000512
Address ID
CA907202681LO4772XAVEX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,224 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in CA

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Provider Addresses for SCOTT W COSTELLO (OTR)

  • Huntington Beach, Huntington, Suffolk County, New York, United States

    SUITE 231

    HUNTINGTON BEACH, CA 926473806

    Phone: (714) 842-6202

    Fax: (714) 842-6762

    Mailing address matches the actual address.

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: 2011-06-10

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
I20110610000512IOccupational Therapist In Private PracticeCATBD

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
97530Therapy procedure using functional activities1,40652$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes50942$0
97140Therapy procedure using manual technique, each 15 minutes48339$0
97168Re-evaluation for occupational therapy, typically 30 minutes9553$0
97165Evaluation for occupational therapy, typically 30 minutes4139$0
View full utilization report →

Insurance plans in this area (ZIP 92647)

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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: 5991731655View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeCA
-CA
-CA
Occupational Therapist In Private PracticeCA
Occupational Therapist In Private PracticeCA

Reviews

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Frequently asked questions

How do payers reference SCOTT W COSTELLO (OTR)?
For SCOTT W COSTELLO (OTR), use NPI 1669534590 as the unique 10-digit identifier.
Is SCOTT W COSTELLO (OTR) shown as active in public data?
Registry records indicate SCOTT W COSTELLO (OTR) maintains an active NPI.
What kind of doctor is SCOTT W COSTELLO (OTR)?
SCOTT W COSTELLO (OTR) is associated with Occupational Therapist in the directory — Clinical services aligned with this taxonomy classification.
Is SCOTT W COSTELLO (OTR) located near Huntington Beach?
SCOTT W COSTELLO (OTR) currently maps to Huntington Beach, California in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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