JUSTIN COSTELLO (D.O.) – Diagnostic Radiology Physician, NPI 1215235916
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,303 DIAGNOSTIC RADIOLOGY in TX
Provider Addresses for JUSTIN COSTELLO (D.O.)
3851 ROGER BROOKE DRIVE, FORT SAM HOUSTON
SAN ANTONIO, TX 782346200
Phone:
Type: Mailing
3851 ROGER BROOKE DR
SAN ANTONIO, TX 782344500
Phone:
Type: Mailing
910 E Houston St Ste 100
Tyler, TX 757028363
Phone: (903) 705-0072
Fax: (903) 705-0068
Type: Location
800 E Dawson St
Tyler, TX 757012036
Phone: (903) 591-5777
Type: Location
17310 Wright St Ste 103
Omaha, NE 681302405
Phone: (833) 228-6889
Fax: (877) 853-0376
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 14 Open Payments records for all available years, with a total value of $1,927.
Total Amount is formed as General ($1,927) + Research ($0) + Ownership ($0) = $1,927.
Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Stryker Corporation ($1,927).
Total Amount
$1,927
General + Research + Ownership
Payments
14
Total payment records
General Amount
$1,927
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $1,927 |
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: 2024-05-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 8 Medicare enrollment records; no due dates published yet.
Enrollment records
8
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 |
|---|---|---|---|---|
| I20170914002374 | I | Diagnostic Radiology | MO | TBD |
| I20170925002292 | I | Diagnostic Radiology | TX | TBD |
| I20171218001768 | I | Diagnostic Radiology | UT | TBD |
| I20210824000789 | I | Diagnostic Radiology | IA | TBD |
| I20220914001242 | I | Diagnostic Radiology | WA | TBD |
| I20221221001942 | I | Diagnostic Radiology | IL | TBD |
| I20230208003358 | I | Diagnostic Radiology | AR | TBD |
| I20240502001657 | I | Diagnostic Radiology | SC | 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 |
|---|---|---|---|---|
| 70450 | Ct scan head or brain without contrast | 63 | 63 | $0 |
| 71045 | X-ray of chest, 1 view | 55 | 51 | $0 |
| 72125 | Ct scan of upper spine without contrast | 20 | 20 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 12 | 12 | $0 |
Insurance plans in this area (ZIP 78234)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | NE | |
| Diagnostic Radiology, Interventional Radiology, Diagnostic Radiology | TX | |
| Diagnostic Radiology | MO | |
| Diagnostic Radiology | MO | |
| Diagnostic Radiology | NE | |
| Diagnostic Radiology | NE | |
| Diagnostic Radiology | IA | |
| Diagnostic Radiology, Nuclear Medicine | NE | |
| Diagnostic Radiology | NE | |
| Diagnostic Radiology | IA |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.