DR. JOHN A DACOSTA (MD) – Gastroenterology Physician, NPI 1932133642
Gastroenterology Physician
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Profile Insights
NPPES metrics only — not quality of care.
259 GASTROENTEROLOGY in KY
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Provider Addresses for DR. JOHN A DACOSTA (MD)
200, Clinic Drive, Madisonville, Hopkins County, Kentucky, 42431, United States
MADISONVILLE, KY 424311661
Phone: (270) 326-5000
Type: Mailing
800, Hospital Drive, Madisonville, Hopkins County, Kentucky, 42431, United States
MADISONVILLE, KY 424311658
Phone: (270) 326-5000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 284 Open Payments records for all available years, with a total value of $5,330.
Total Amount is formed as General ($5,330) + Research ($0) + Ownership ($0) = $5,330.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Janssen Biotech, Inc. ($1,622).
Total Amount
$5,330
General + Research + Ownership
Payments
284
Total payment records
General Amount
$5,330
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2007-02-12
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 |
|---|---|---|---|---|
| I20070212000590 | I | Gastroenterology | KY | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 210 | 123 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 204 | 194 | $0 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 119 | 117 | $0 |
| 43248 | Insertion of guide wire with dilation of esophagus using a flexible endoscope | 92 | 75 | $0 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 66 | 65 | $0 |
Insurance plans in this area (ZIP 42431)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GASTROENTEROLOGY | KY | 43235 | Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope | 23 | 22 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | IN | |
| Cardiovascular Disease (Cardiology) | KY | |
| Emergency Medicine | OH | |
| General Surgery | KY | |
| Internal Medicine, Hematology/Oncology | KY | |
| P S Y C H I A T R Y | TN | |
| Orthopedic Surgery | KY | |
| P S Y C H I A T R Y | KY | |
| Radiation Oncology | TX | |
| Nurse Practitioner | KY |
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