DR. SANDRA R COSTA (DO) – Family Medicine Physician, NPI 1740241546

DR. SANDRA R COSTA (DO) is a healthcare provider. based in Lemoyne, Pennsylvania. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. OS012622 (PA). The NPI Number for DR. SANDRA R COSTA (DO) is 1740241546

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
DR. SANDRA R COSTA (DO)
NPI
1740241546
Phone
(717) 909-0520
Address
3 Walnut St
Enumeration Date
31 March 2006
Last Update Date
23 July 2025

Doctor Profile

Medical School Name
PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
3027033980
Graduation Year
2002 (24 years ago)
PAC ID
2264466119
Group Practice PAC ID
9739097569
Professional Enrollment ID
I20191108001233
Address ID
DE199716149RE18742HWYX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness85
Years active:20State licenses:2Digital endpointsOther names

6,103 FAMILY PRACTICE in PA

Provider Addresses for DR. SANDRA R COSTA (DO)

  • 3 Walnut St

    Suite 205

    Lemoyne, PA 17043

    Phone: (717) 909-0520

    Fax: (717) 909-4676

    Type: Location

  • 701 N DUPONT BLVD

    MILFORD, DE 199631003

    Phone: (302) 725-3420

    Fax: (302) 725-3430

    Type: Location

  • Walnut Street, Washington Heights, Lemoyne, Cumberland County, Pennsylvania, 17043, United States

    SUITE 205

    LEMOYNE, PA 17043

    Phone: (717) 909-0520

    Fax: (717) 909-4676

    Type: Mailing

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: 2019-11-08

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
I20191108001233IFamily PracticeDETBD

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
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes17071$0
99350Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes11557$0
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes4441$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes4128$0
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes2920$0
View full utilization report →

Insurance plans in this area (ZIP 17043)

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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: 9739097569View full group profile

Reviews

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Frequently asked questions

What federal number belongs to DR. SANDRA R COSTA (DO)?
The federal identifier for DR. SANDRA R COSTA (DO) is NPI 1740241546.
Is DR. SANDRA R COSTA (DO)'s NPI currently valid?
The extract we use shows DR. SANDRA R COSTA (DO) as active.
What does DR. SANDRA R COSTA (DO) treat or focus on?
Patients typically see DR. SANDRA R COSTA (DO) under the specialty Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is DR. SANDRA R COSTA (DO)'s primary listing?
We display Lemoyne, Pennsylvania because that is what the record indicates for DR. SANDRA R COSTA (DO).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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