TIMOTHY MICHAEL COSTA (MD) – Internal Medicine Physician, NPI 1265586093

TIMOTHY MICHAEL COSTA (MD) is a healthcare provider. based in Fallon, Nevada. specializing in INTERNAL MEDICINE, FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 6380851-1205 (UT). The NPI Number for TIMOTHY MICHAEL COSTA (MD) is 1265586093

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
TIMOTHY MICHAEL COSTA (MD)
NPI
1265586093
Phone
(775) 867-7740
Address
801 E WILLIAMS AVE STE 2210
Enumeration Date
22 January 2007
Last Update Date
5 October 2020

Doctor Profile

Medical School Name
CREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7758677701
Graduation Year
1993 (33 years ago)
PAC ID
5698870301
Group Practice PAC ID
9638080500
Professional Enrollment ID
I20070424000639
Address ID
NV894063052FA801XXAVEX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,575 INTERNAL MEDICINE in NV

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Provider Addresses for TIMOTHY MICHAEL COSTA (MD)

  • 801 E WILLIAMS AVE STE 2210

    FALLON, NV 894063052

    Phone: (775) 867-7740

    Fax: (775) 423-4219

    Type: Mailing

  • Banner Churchill Community Hospital, 801, East Williams Avenue, Fallon, Churchill County, Nevada, 89406, United States

    FALLON, NV 894063052

    Phone: (775) 867-7740

    Fax: (775) 423-4219

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $23.

Total Amount is formed as General ($23) + Research ($0) + Ownership ($0) = $23.

Last reported payment date: 2023-02-07 • Largest payer in this snapshot: Amgen Inc. ($23).

Total Amount

$23

General + Research + Ownership

Payments

1

Total payment records

General Amount

$23

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-02-07

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Amgen Inc.$23
View all Open Payments →|Open Payments Risk Radar →

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: 2015-09-01

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
I20150901003180IInternal MedicineNVTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 89406)

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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: 9638080500View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YNV
Family PracticeNV
Nurse PractitionerNV
General SurgeryPA
Family PracticePA
Physician AssistantNV
Physician AssistantNV
-PA
-NV
Nurse PractitionerNV

Reviews

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Frequently asked questions

Can I verify TIMOTHY MICHAEL COSTA (MD) with an NPI only?
You can start verification with NPI 1265586093 for TIMOTHY MICHAEL COSTA (MD), then check state licensing separately.
Does CMS list TIMOTHY MICHAEL COSTA (MD) as active?
Yes — TIMOTHY MICHAEL COSTA (MD) is active in the NPI listing used on this page.
What taxonomy line describes TIMOTHY MICHAEL COSTA (MD)?
For research purposes, treat TIMOTHY MICHAEL COSTA (MD) as Internal Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for TIMOTHY MICHAEL COSTA (MD)?
TIMOTHY MICHAEL COSTA (MD)'s geographic hint is Fallon, Nevada in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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