JAMES ROBERT COSTELLO (MD) – Diagnostic Radiology Physician, NPI 1215115233
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,168 DIAGNOSTIC RADIOLOGY in FL
Provider Addresses for JAMES ROBERT COSTELLO (MD)
770, Pine Street, Macon, Bibb County, Georgia, 31201, United States
SUITE 290
MACON, GA 312012173
Phone: (478) 743-1458
Fax: (478) 755-1332
Type: Mailing
18615 Rue Beauvais
Lutz, FL 335587112
Phone: (813) 745-7365
Fax: (813) 449-8618
Type: Location
PO BOX 198441
ATLANTA, GA 303848441
Phone: (813) 745-7365
Fax: (813) 449-8618
Type: Mailing
12902 USF MAGNOLIA DR
TAMPA, FL 336129416
Phone: (813) 745-7365
Fax: (813) 449-8618
Type: Location
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: 2018-08-17
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180817002212 | I | Diagnostic Radiology | FL | TBD |
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.
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 |
|---|---|---|---|---|
| 71260 | Ct scan of chest with contrast | 370 | 363 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 270 | 266 | $0 |
| 71045 | X-ray of chest, 1 view | 95 | 76 | $0 |
| 71250 | Ct scan of chest without contrast | 89 | 87 | $0 |
| 74178 | Ct scan of abdomen and pelvis before and after contrast | 87 | 86 | $0 |
Insurance plans in this area (ZIP 31201)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| - | FL | |
| - | FL | |
| - | FL | |
| - | FL | |
| H E M A T O L O G Y/ O N C O L O G Y | GA | |
| - | FL | |
| - | FL | |
| H E M A T O L O G Y/ O N C O L O G Y | OH | |
| - | FL |
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