Raymond A. Costabile

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

0101047153 Issued in VA

Practice address

500 Ray C Hunt Dr FL 3
Charlottesville, VA 22903-2981

Phone

(434) 924-2224

Fax

(434) 982-3652

NPI assigned

Nov 7, 2006

Last updated

Mar 8, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

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

Merit-based Incentive Payment System (MIPS)

Final score

86.45 of 100Reported as group

Quality

79.76

Promoting interoperability

100

Improvement activities

40

Cost

75.07

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• University of Virginia Physicians Group

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Charlottesville, VA
  • NPI 1033138250
  Medicare reassignment NPD
• Rector & Visitors of the University of Virginia

  • Community/Retail Pharmacy
  • Charlottesville, VA
  • NPI 1790399202
  NPD (past)

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552003200000",
    "number": "1386713907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 RAY C HUNT DR",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229032981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 RAY C HUNT DR FL 3",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229032981",
            "telephone_number": "434-924-2224",
            "fax_number": "434-982-3652"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "541 Sunset Ln Ste 305",
            "address_purpose": "LOCATION",
            "city": "Culpeper",
            "state": "VA",
            "postal_code": "227013979",
            "country_code": "US",
            "telephone_number": "540-825-2600",
            "fax_number": "540-825-4026",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1300 Jefferson Park Ave Fl 2",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229033363",
            "country_code": "US",
            "telephone_number": "434-924-2224",
            "fax_number": "434-982-3652",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9 Pinnacle Dr Ste A03",
            "address_purpose": "LOCATION",
            "city": "Fishersville",
            "state": "VA",
            "postal_code": "229392367",
            "country_code": "US",
            "telephone_number": "844-472-8711",
            "fax_number": "434-243-7708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COSTABILE",
        "first_name": "RAYMOND",
        "middle_name": "A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2019-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "VA",
            "license": "0101047153",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010072964",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Elisa Cortes, MD
• Hanny Alejandra Corvalan, MD
• Matthew Thomas Corwin
• Ebony Cosby
• Michael Costa
• Costco Wholesale Corporation (Costco Optical #1184)
• Costco Wholesale Corporation
• Costco Wholesale Corporation (Costco Hearing Aid #1184)
• Julie C Costin, NP
• Brian Cote

• Urology Physician in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Urology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2019; 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.