John J Costello Jr., DO

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

194090 Issued in NY

Practice address

131 Main St
Suite 201
Oneida, NY 13421-1641

Phone

(315) 367-0264

Fax

(315) 693-0014

NPI assigned

Jun 22, 2005

Last updated

Jan 2, 2015By 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

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

Specialty

Ophthalmology

Education

Philadelphia College of Osteopathic Medicine, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Costello Eye Physicians and Surgeons PLLCGroup PAC ID 8628074937, 11 clinicians

Ophthalmology Medical Service Group IncGroup PAC ID 0446248033, 30 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Samaritan Medical Center Hospital, Watertown, NY, CCN 330157
• Community Memorial Hospital, Inc Hospital, Hamilton, NY, CCN 331316
• University Hospital S U N Y Health Science Center Hospital, Syracuse, NY, CCN 330241

Merit-based Incentive Payment System (MIPS)

Final score

90.64 of 100Reported as group

Quality

95.16

Promoting interoperability

100

Improvement activities

40

Cost

56.96

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/Freedom_CEP
• Direct secure messaging: jcostello15130@direct.upstate.edu
• Direct secure messaging: jjc@ceps2056.srs-direct.com

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.

• Costello Eye Physicians & Surgeons, PLLC

  • Ophthalmology Physician
  • Oneida, NY
  • NPI 1699785832
  Medicare reassignment Care Compare group NPD Authorized official
• Ophthalmology Medical Service Group Inc

  • Ophthalmology Physician
  • Syracuse, NY
  • NPI 1225072051
  Medicare reassignment Care Compare group NPD
• Griffiss Ec, LLC

  dba Griffiss ASC Anesthesia

  • Anesthesiology Physician
  • Rome, NY
  • NPI 1487259545
  NPD
• Griffiss Ec, LLC

  dba Griffiss Eye Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Rome, NY
  • NPI 1831484567
  NPD
• Ia Health Medicine PLLC

  • Interventional Pain Medicine Physician
  • New Hartford, NY
  • NPI 1376433482
  NPD
• John J. Costello, Jr, DO, PLLC

  • Ophthalmology Physician
  • Oneida, NY
  • NPI 1609829662
  NPD (past)

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

• Community Memorial Hospital

  • Internal Medicine Physician
  • Hamilton, NY
  • NPI 1932100393

  Hospital

  Care Compare affiliation
• Community Memorial Hospital

  • Critical Access Hospital
  • Hamilton, NY
  • NPI 1992707608
  Care Compare affiliation
• Samaritan Medical Center

  • General Acute Care Hospital
  • Watertown, NY
  • NPI 1598713745
  Care Compare affiliation
• Suny Health Science Center at Syracuse

  • General Acute Care Hospital
  • Syracuse, NY
  • NPI 1578554630
  Care Compare affiliation

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420156800000",
    "number": "1487650743",
    "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": "315-367-0264",
            "fax_number": "315-693-0014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTELLO",
        "first_name": "JOHN",
        "middle_name": "J",
        "name_suffix": "Jr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2015-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "194090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristina Cooner
• Corey Corbin, NP
• Costello Eye Physicians & Surgeons, PLLC
• Costello Sr - Allen Optometrists PLLC (Allen Eye Associates)
• Costello Sr. - Allen Optometrists PLLC
• Patrick A Costello, MD
• John J. Costello, Sr., O.D.
• Jeffrey Joseph Cottet, COTA
• Edward J Cox, OCCUPATIONAL THERAPI
• Kevin James Crable, D.P.M.

• Ophthalmology Physician in Oneida, NY
• Providers in Oneida, NY by specialty
• Ophthalmology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2015; 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.