DR. TIMOTHY D COSTELLO (MD) – Emergency Medicine Physician, NPI 1235195785
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,351 EMERGENCY MEDICINE in MO
Provider Addresses for DR. TIMOTHY D COSTELLO (MD)
1100 N Kentucky Ave
West Plains, MO 657752029
Phone: (417) 257-9111
Type: Location
525 Branson Landing Blvd
Branson, MO 656162052
Phone: (417) 335-7218
Type: Location
Naval Hospital Jacksonville, 2080, Child Street, Jacksonville, Duval County, Florida, 32214, United States
JACKSONVILLE, FL 322145005
Phone: (904) 542-3500
Type: Mailing
Harrison Avenue, South Fairmount, Cincinnati, Hamilton County, Ohio, 45214-1613, United States
HARRISON, AR 726012926
Phone: (870) 365-2000
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: 2020-08-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20110818000407 | I | Emergency Medicine | MO | TBD |
| I20120120000503 | I | Emergency Medicine | AR | TBD |
| I20200820001669 | I | Emergency Medicine | 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 |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 340 | 329 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 133 | 132 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 40 | 39 | $0 |
| 99291 | Critical care, first 30-74 minutes | 31 | 31 | $0 |
Insurance plans in this area (ZIP 65775)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | GA | |
| Emergency Medicine | FL | |
| Emergency Medicine | FL | |
| Orthopedic Surgery | FL | |
| Emergency Medicine, Internal Medicine | FL | |
| Family Practice, Emergency Medicine | LA | |
| Family Practice | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | FL |
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