LLOYD COSTELLO (M.D.) – Family Medicine Physician, NPI 1922059831
Excluded from federal healthcare programs (Medicare/Medicaid)
This provider is listed on the OIG List of Excluded Individuals/Entities (LEIE). Exclusion effective: 2024-01-19. Reason: Excessive charges, unnecessary services, or failure to meet standards of care (min. 1 year).
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for LLOYD COSTELLO (M.D.)
1902 Royalty Dr
Suite 130
Pomona, CA 917673030
Phone: (909) 865-5777
Fax: (909) 865-5781
Type: Location
PO BOX 10069
SAN BERNARDINO, CA 924230069
Phone: (909) 335-4188
Type: Mailing
7000 BOULDER AVE
HIGHLAND, CA 923463348
Phone: (909) 862-1191
Type: Location
1902, Royalty Drive, Pomona, Los Angeles County, California, 91767, United States
SUITE 130
POMONA, CA 917673030
Phone: (909) 865-5777
Fax: (909) 865-5781
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $33.
Total Amount is formed as General ($33) + Research ($0) + Ownership ($0) = $33.
Last reported payment date: 2023-10-27 • Largest payer in this snapshot: Amarin Pharma Inc. ($17).
Total Amount
$33
General + Research + Ownership
Payments
2
Total payment records
General Amount
$33
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-10-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Amarin Pharma Inc. | $17 |
| Boston Scientific Corporation | $16 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 112 | 108 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 60 | 43 | $0 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 58 | 27 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 29 | 29 | $0 |
| 81003 | Automated urinalysis test | 23 | 23 | $0 |
Insurance plans in this area (ZIP 91767)
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