Melissa I Costner, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

J5980 Issued in TX

Practice address

17051 Dallas Pkwy Ste 350
Addison, TX 75001-7107

Phone

(214) 702-0029

Fax

(214) 382-3453

NPI assigned

Mar 18, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

University of Texas Medical School at Houston, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dallas Dermatology Partners, PLLCGroup PAC ID 8022449446, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

94.78 of 100Reported as group

Quality

97.06

Promoting interoperability

88

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mcostner@dallasdermpartners.emadirect.md

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.

• Dallas Dermatology Partners, PLLC

  • Dermatology Physician
  • Addison, TX
  • NPI 1871114504
  Medicare reassignment Care Compare group NPD
• University of Texas Southwestern Medical Center at Dallas

  • Anesthesiology Physician
  • Dallas, TX
  • NPI 1942270566
  Medicare reassignment
• The University of Texas Southwestern Medical Center at Dallas

  • Clinical Medical Laboratory
  • Dallas, TX
  • NPI 1396832713
  NPD
• University of Texas Southwestern Medical Center at Dallas

  • Dermatology Physician
  • Dallas, TX
  • NPI 1669442281
  NPD
• Ameripath 501a Corporation

  • Clinical Medical Laboratory
  • Dallas, TX
  • NPI 1306817960

  Dermatology

  NPD (past)
• Dallas Neurosurgical Associates, P.a.

  • Specialist
  • Plano, TX
  • NPI 1083600951
  NPD (past)

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

{
    "created_epoch": "1142640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1265491302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17051 DALLAS PKWY STE 350",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750017107",
            "telephone_number": "214-702-0029",
            "fax_number": "214-382-3453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17051 DALLAS PKWY STE 350",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750017107",
            "telephone_number": "214-702-0029",
            "fax_number": "214-382-3453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTNER",
        "first_name": "MELISSA",
        "middle_name": "I",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-18",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "J5980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Core Neurodiagnostics, LLC
• Thomas Joseph Cornell, M.D.
• Cornerstone Addison LLC
• Cornerstone Labs LLC
• Nancy L Corsaro, L.AC.
• Cottonwood Anesthesia Management, LLC
• Megan Couch
• Counseling and Diagnostic Center, LLC
• Counseling Solutions Inc
• Jodie E Cox, APRN

• Dermatology Physician in Addison, TX
• Providers in Addison, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.