Individual provider Active NPI

Patrick A Costello, MD

  • Ophthalmology Physician
  • Oneida, NY
National Provider Identifier
1346245156
Registry record updated Jan 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
226080 Issued in NY
Practice address
131 Main St
Suite 201
Oneida, NY 13421-1641
Phone
(315) 363-1110
Fax
(315) 363-4441
NPI assigned
Jun 17, 2005
Last updated
Jan 2, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 226080 NY Primary

Addresses

Primary practice location

131 Main St
Suite 201
Oneida, NY 13421-1641

Mailing address

131 Main St
Suite 201
Oneida, NY 13421-1641
Phone (315) 367-0264

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20040818000523 NY Practitioner - Ophthalmology 7113990060 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Albany Medical College of Union University, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Costello Eye Physicians and Surgeons PLLCGroup PAC ID 8628074937, 11 clinicians

Practice addresses (Care Compare)

131 Main St
Oneida, NY 13421-1641

255 Avery LN
Rome, NY 13441-4242
Phone (315) 336-6633

2730 State Route 12B
Hamilton, NY 13346-2113
Phone (315) 797-8330

4 Ellinwood Dr
New Hartford, NY 13413-1110
Phone (315) 797-8330

409 Chestnut St
Oneonta, NY 13820-2120
Phone (607) 644-0556

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery916
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
226080NYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ophthalmology Medical Service Group Inc Ophthalmology CurrentSince Jun 1, 2006 Accepting new patients
Griffiss Ec, LLC Current Accepting new patients
Costello Eye Physicians & Surgeons, PLLC Ophthalmology CurrentSince Jul 13, 2006 Accepting new patients
Griffiss Ec, LLC Current Accepting new patients

Locations

2730 State Route 12B
Hamilton, NY 13346
Phone (315) 797-8330

295 W Main St
Ilion, NY 13357
Phone (315) 894-3132

2 Ellinwood Dr
New Hartford, NY 13413
Phone (315) 507-5081

131 Main St
Ste 201
Oneida, NY 13421
Phone (315) 363-1110

578 Seneca St
Oneida, NY 13421
Phone (315) 361-4300

1001 W Fayette St
Ste 400
Syracuse, NY 13204
Phone (315) 472-1488

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/Freedom_CEP
  • Direct secure messaging: pac@ceps2056.srs-direct.com

Organizations & group practices 4

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

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420156800000",
    "number": "1346245156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 MAIN ST",
            "address_2": "SUITE 201",
            "city": "ONEIDA",
            "state": "NY",
            "postal_code": "134211641",
            "telephone_number": "315-367-0264",
            "fax_number": "315-693-0014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 MAIN ST",
            "address_2": "SUITE 201",
            "city": "ONEIDA",
            "state": "NY",
            "postal_code": "134211641",
            "telephone_number": "315-363-1110",
            "fax_number": "315-363-4441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTELLO",
        "first_name": "PATRICK",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-17",
        "last_updated": "2015-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "226080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oneida, NY

Sources for this page

Verify at the official NPI Registry.