MELISSA I COSTNER (MD) – Dermatology Physician, NPI 1265491302

MELISSA I COSTNER (MD) is a healthcare provider. based in Addison, Texas. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. J5980 (TX). The NPI Number for MELISSA I COSTNER (MD) is 1265491302

Main info

Female
33 Years Of Experience
Accepts Medicare Assignment
Name
MELISSA I COSTNER (MD)
NPI
1265491302
Phone
(214) 702-0029
Address
17051 DALLAS PKWY STE 350
Enumeration Date
18 March 2006
Last Update Date
27 October 2020

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Secondary Phone
-
Graduation Year
1993 (33 years ago)
PAC ID
0143388561
Group Practice PAC ID
8022449446
Professional Enrollment ID
I20081028000873
Address ID
TX752310906DA8144XLNXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,284 DERMATOLOGY in TX

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Provider Addresses for MELISSA I COSTNER (MD)

  • Dallas Parkway, Addison, Dallas County, Texas, 75001:75287, United States

    ADDISON, TX 750017107

    Phone: (214) 702-0029

    Fax: (214) 382-3453

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 552 Open Payments records for all available years, with a total value of $283,096.

Total Amount is formed as General ($283,096) + Research ($0) + Ownership ($0) = $283,096.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: GENZYME CORPORATION ($141,090).

Total Amount

$283,096

General + Research + Ownership

Payments

552

Total payment records

General Amount

$283,096

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2008-10-28

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
I20081028000873IDermatologyTXTBD

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
17003Destruction of precancer skin growth, 2-14 growths1,079182$0
99213Established patient office or other outpatient visit, 20-29 minutes610405$0
99214Established patient office or other outpatient visit, 30-39 minutes437244$0
17000Destruction of precancer skin growth, 1 growth344255$0
11102Biopsy of related skin growth, first growth248194$0
View full utilization report →

Insurance plans in this area (ZIP 75001)

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Provider's Procedures

MELISSA I COSTNER (MD) performs procedures in DERMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYTX11101Biopsy of each additional growth of skin and/or tissue8054
DERMATOLOGYTX17003Destruction of 2-14 skin growths888145

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: 8022449446View full group profile
NameSpecialtyState
D E R M A T O L O G YTX
D E R M A T O L O G YTX
D E R M A T O L O G YTX
D E R M A T O L O G YTX
Physician AssistantTX

Reviews

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Frequently asked questions

Where can patients find MELISSA I COSTNER (MD)'s NPI?
You can confirm MELISSA I COSTNER (MD) with NPI 1265491302; it appears in the national provider directory.
Is MELISSA I COSTNER (MD)'s NPI currently valid?
The extract we use shows MELISSA I COSTNER (MD) as active.
What does MELISSA I COSTNER (MD) treat or focus on?
Patients typically see MELISSA I COSTNER (MD) under the specialty Dermatology Physician. Clinical services aligned with this taxonomy classification.
Where does public data place MELISSA I COSTNER (MD)?
The snapshot lists Addison, Texas for MELISSA I COSTNER (MD); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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