Individual provider Active NPI

Scott Z. Costin, D.O.

  • Family Medicine Physician
  • Bellefontaine, OH
National Provider Identifier
1942223698
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34-00-6441-C Issued in OH
Practice address
130 N Detroit St
Bellefontaine, OH 43311-1464
Phone
(937) 599-3085
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34-00-6441-C OH Primary

Addresses

Primary practice location

130 N Detroit St
Bellefontaine, OH 43311-1464

Mailing address

130 N Detroit St
Bellefontaine, OH 43311-1464
Phone (937) 599-3085

Other identifiers 1

IdentifierTypeStateIssuer
2058866MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20100913000492 OH Practitioner - Family Practice 7315062577 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ohio University, College of Osteopathic Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Costin Family Practice, Inc.Group PAC ID 7517082779, 2 clinicians

Practice addresses (Care Compare)

921 E Sandusky Ave
Bellefontaine, OH 43311-2855
Phone (938) 599-3085

Hospital & facility affiliations

  • Otterbein Universal Home Health & Hospice Home health agency, Bellefontaine, OH, CCN 367404
  • Mary Rutan Hospital Hospital, Bellefontaine, OH, CCN 360197
  • Memorial Hospital Hospital, Marysville, OH, CCN 360092

Merit-based Incentive Payment System (MIPS)

Final score
85.5 of 100Reported as apm
Quality
71.52
Promoting interoperability
95.57
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Costin Family Practice, Inc Family Medicine CurrentSince Jan 1, 1997 Accepting new patients
Costin Family Practice, Inc. Family Medicine CurrentSince Jan 1, 1997 Accepting new patients
Mary Rutan Hospital Family Medicine Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

130 N Detroit St
Bellefontaine, OH 43311
Phone (513) 599-3085

921 E Sandusky Ave
Bellefontaine, OH 43311
Phone (513) 599-3085

303 E Main St
Russells Pt, OH 43348
Phone (419) 996-5852

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 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": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211328000000",
    "number": "1942223698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 N DETROIT ST",
            "city": "BELLEFONTAINE",
            "state": "OH",
            "postal_code": "433111464",
            "telephone_number": "937-599-3085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 N DETROIT ST",
            "city": "BELLEFONTAINE",
            "state": "OH",
            "postal_code": "433111464",
            "telephone_number": "937-599-3085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTIN",
        "first_name": "SCOTT",
        "middle_name": "Z.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2008-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34-00-6441-C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2058866",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellefontaine, OH

Sources for this page

Verify at the official NPI Registry.