Individual provider Active NPI

Cassie E Costilow, AUD

  • Audiologist
  • Asheville, NC
National Provider Identifier
1124430780
Registry record updated Aug 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
10969 Issued in NC
Practice address
1065 Hendersonville Rd
Asheville Head Neck & Ear Surgeons PA
Asheville, NC 28803
Phone
(828) 204-3517
Fax
(828) 253-6960
NPI assigned
May 29, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X NC
Audiologist 231H00000X 10969 NC Primary

Addresses

Primary practice location

1065 Hendersonville Rd
Asheville Head Neck & Ear Surgeons PA
Asheville, NC 28803

Mailing address

1065 Hendersonville Rd
Asheville, NC 28803
Phone (828) 254-3517

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210914001723 SC Practitioner - Qualified Audiologist 9032335047 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Ohio University, College of Osteopathic Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1095 Iron Ore Rd
Spartanburg, SC 29303-2239
Phone (864) 582-2900

2755 S Hwy 14
Suite 2400
Greer, SC 29650-4940
Phone (864) 582-2900

Merit-based Incentive Payment System (MIPS)

Final score
93.43 of 100Reported as group
Quality
100
Improvement activities
40
Cost
78.09

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10969NCMDPhysical Therapist
4169SCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Greenwood Ear Nose and Throat Assoc PA CurrentSince Jul 5, 2021 Accepting new patients
Spartanburg Ear Nose & Throat, Gaffney Office CurrentSince Apr 1, 2022 Accepting new patients
Spartanburg Ear Nose & Throat, Head & Neck Surgery PA CurrentSince Apr 1, 2022 Accepting new patients

Locations

1015 Spring St
Greenwood, SC 29646
Phone (864) 227-6741

2755 S Highway 14
Ste 2400
Greer, SC 29650
Phone (864) 582-2900

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1401321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470614400000",
    "number": "1124430780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1065 HENDERSONVILLE RD",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "28803",
            "telephone_number": "828-254-3517",
            "fax_number": "828-253-6960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1065 HENDERSONVILLE RD",
            "address_2": "ASHEVILLE HEAD NECK & EAR SURGEONS PA",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "28803",
            "telephone_number": "828-204-3517",
            "fax_number": "828-253-6960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTILOW",
        "first_name": "CASSIE",
        "middle_name": "E",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-29",
        "last_updated": "2016-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NC",
            "license": "10969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.