DAVID M COSTELLO (P.A. - C) – Physician Assistant, NPI 1972588408

DAVID M COSTELLO (P.A. - C) is a healthcare provider. based in Winter park, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A. - C. They hold a License No. PA2227 (FL). The NPI Number for DAVID M COSTELLO (P.A. - C) is 1972588408

Main info

Male
38 Years Of Experience
Accepts Medicare Assignment
Name
DAVID M COSTELLO (P.A. - C)
NPI
1972588408
Phone
(407) 599-3710
Address
1285 ORANGE AVE
Enumeration Date
7 December 2005
Last Update Date
24 November 2020

Doctor Profile

Medical School Name
WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4076472287
Graduation Year
1988 (38 years ago)
PAC ID
0042319030
Group Practice PAC ID
9537059084
Professional Enrollment ID
I20070615000044
Address ID
FL327894984WI1285XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness75
Years active:20State licenses:1Digital endpointsOther names

9,232 PHYSICIAN ASSISTANT in FL

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Provider Addresses for DAVID M COSTELLO (P.A. - C)

  • Jewett Orthopedic Clinic, 1285, Orange Avenue, Winter Park, Orange County, Florida, 32789, United States

    WINTER PARK, FL 327894984

    Phone: (407) 599-3710

    Fax: (407) 643-2807

    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: 2007-06-15

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
I20070615000044IPhysician AssistantFLTBD

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
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg1,148192$0
20610Aspiration and/or injection of fluid from large joint243171$0
99213Established patient office or other outpatient visit, 20-29 minutes195166$0
99214Established patient office or other outpatient visit, 30-39 minutes194189$0
99203New patient office or other outpatient visit, 30-44 minutes142142$0
View full utilization report →

Insurance plans in this area (ZIP 32789)

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Provider's Procedures

DAVID M COSTELLO (P.A. - C) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTFL20610Aspiration and/or injection of large joint or joint capsule159132
PHYSICIAN ASSISTANTFL73110X-ray of wrist, minimum of 3 views2318
PHYSICIAN ASSISTANTFL73140X-ray of fingers, minimum of 2 views2013

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: 9537059084View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YNY
-FL
Internal MedicineFL
Cardiovascular Disease (Cardiology)FL
Internal Medicine, Critical Care (Intensivists), Internal MedicineFL
Hand Surgery, Orthopedic Surgery, Sports MedicineFL
-FL
-FL
Nurse PractitionerFL
Internal MedicineFL

Reviews

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Frequently asked questions

Can I use this page to confirm DAVID M COSTELLO (P.A. - C)'s NPI?
Yes. DAVID M COSTELLO (P.A. - C) is listed with NPI 1972588408 in the public NPI dataset.
Can I rely on DAVID M COSTELLO (P.A. - C) being an active provider?
As of the registry snapshot, DAVID M COSTELLO (P.A. - C) is marked active.
What healthcare role does DAVID M COSTELLO (P.A. - C) hold?
Scheduling teams often label DAVID M COSTELLO (P.A. - C) under Physician Assistant. Clinical services aligned with this taxonomy classification.
What address line appears for DAVID M COSTELLO (P.A. - C)?
DAVID M COSTELLO (P.A. - C)'s geographic hint is Winter Park, Florida in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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