Individual provider Active NPI

George Costello, MD

  • Orthopaedic Surgery Physician
  • Wolfeboro, NH
National Provider Identifier
1689625527
Registry record updated Apr 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
7517 Issued in NH
Practice address
240 S Main St
Medical Arts Center Suite H
Wolfeboro, NH 03894-4411
Phone
(603) 569-2251
Fax
(603) 569-6195
NPI assigned
May 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 7517 NH Primary

Addresses

Primary practice location

240 S Main St
Medical Arts Center Suite H
Wolfeboro, NH 03894-4411

Mailing address

240 S Main St
Wolfeboro, NH 03894-4411
Phone (603) 569-7690

Other identifiers 1

IdentifierTypeStateIssuer
30205436MedicaidNH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address wolfeboroorthopedicsurg@gohnh.allscriptsdirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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
I20050622001308 NH Practitioner - Orthopedic Surgery 8325083074 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Connecticut School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

240 S Main St
Wolfeboro, NH 03894-4411

Hospital & facility affiliations

  • Huggins Hospital Hospital, Wolfeboro, NH, CCN 301312

Merit-based Incentive Payment System (MIPS)

Final score
65.17 of 100Reported as group
Quality
47.69
Improvement activities
40
Cost
79.8

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7517NHMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Medical Center Current Accepting new patients

Locations

240 S Main St
Wolfeboro, NH 03894
Phone (603) 515-2093

240 S Main St
Ste H
Wolfeboro, NH 03894
Phone (603) 569-2251

Interoperability endpoints

  • Direct secure messaging: georgecostello@gohnh.allscriptsdirect.net
  • Direct secure messaging: georgecostello@huggins.medalliesdirect.net

Organizations & group practices 2

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.

Hospital & facility affiliations 3

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": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618444800000",
    "number": "1689625527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 S MAIN ST",
            "city": "WOLFEBORO",
            "state": "NH",
            "postal_code": "038944411",
            "telephone_number": "603-569-7690",
            "fax_number": "603-569-7664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 S MAIN ST",
            "address_2": "MEDICAL ARTS CENTER SUITE H",
            "city": "WOLFEBORO",
            "state": "NH",
            "postal_code": "038944411",
            "telephone_number": "603-569-2251",
            "fax_number": "603-569-6195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTELLO",
        "first_name": "GEORGE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NH",
            "license": "7517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30205436",
            "state": "NH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wolfeboroorthopedicsurg@gohnh.allscriptsdirect.net",
            "affiliation": "N",
            "endpointDescription": "Direct Messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Messaging",
            "address_1": "240 S Main St",
            "address_2": "Medical Arts Center Suite H",
            "city": "Wolfeboro",
            "state": "NH",
            "country_code": "US",
            "postal_code": "038944411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wolfeboro, NH

Sources for this page

Verify at the official NPI Registry.