MRS. LETY ELIZABETH COSTA (MD) – Internal Medicine Physician, NPI 1821188269
Internal Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MRS. LETY ELIZABETH COSTA (MD)
7000 SW 62ND AVE STE 401
SOUTH MIAMI, FL 331434721
Phone: (308) 529-8704
Type: Location
749 EGGLESTON AVE
DOS PALOS, CA 936209564
Phone: (208) 282-0196
Fax: (855) 202-9336
Type: Mailing
807 North Ash
Gordon, NE 693431132
Phone: (308) 282-2200
Fax: (308) 282-1428
Type: Location
1405 CALIFORNIA AVE
DOS PALOS, CA 936202300
Phone: (209) 722-4842
Type: Location
Golden Valley Heath Centers, 1910, Customer Care Way, Castle Commerce Center No 2, Fluhr, Atwater, Merced County, California, 95301, United States
ATWATER, CA 953015167
Phone: (209) 384-6488
Fax: (855) 202-9336
Type: Mailing
821, Texas Avenue, Los Banos, Merced County, California, 93635, United States
LOS BANOS, CA 93635
Phone: (209) 392-2111
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 $20.
Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.
Last reported payment date: 2023-02-03 • Largest payer in this snapshot: Exact Sciences Corporation ($20).
Total Amount
$20
General + Research + Ownership
Payments
1
Total payment records
General Amount
$20
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-02-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Exact Sciences Corporation | $20 |
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: 2023-08-03
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230803003093 | I | Family Practice | CA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33143)
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Reviews
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