Active NPI 1679694723 Individual Practitioner Male Practitioner

Dr. Louis E Costa , DO

Surgery • Dover, DE

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Louis Costa, DO is a certified Surgery practicing in Dover, DE. With approximately 24 years of clinical experience since graduating from Philadelphia College Of Osteopathic Medicine in 2002, Dr. Costa delivers high-quality medical care to the local community at 230 BEISER BLVD STE 200.

Dr. Costa is affiliated with Wayne County Hospital and accepts Medicare assignment.

Frequently performed procedures and clinical services include initial hospital care with moderate level of medical decision making, if using time, at least, subsequent hospital care with moderate levelof medical decision making, if using time, at least, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

230 Beiser Blvd Ste 200

Dover, DE 199047792

Telephone 3025050045

Fax 8888739653

Associated Practice Facility / Clinic

🏢 Stellar Surgical Facility NPI 1467076059

Medicare Profile & Education

Medical School

Philadelphia College Of Osteopathic Medicine

Graduation Year

2002

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Dover, DE

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

24 Yrs -1.8 yrs vs City Avg

City Avg: 25.8 Yrs

State Avg: 23.3 Yrs

Regional Practice Density

29 Specialists

Practicing in Dover, DE (115 Statewide)

Telehealth Adoption Rate

20.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

60.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Costa (24 Years) 24 Yrs

Dover Specialty Average (25.8 Years) 25.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	28	27	$421.60	$168.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	61	58	$300.50	$171.73
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	25	14	$77.90	$73.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	48	47	$198.62	$196.72
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	30	20	$70.36	$69.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	79	77	$443.81	$202.42
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	58	30	$172.00	$72.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	90	47	$172.23	$74.71
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	49	46	$477.09	$208.45
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	37	28	$244.47	$107.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	22	$147.69	$112.45
99231 Follow-up hospital inpatient care per day, typically 15 minutes	24	13	$95.56	$40.98
99213 Established patient office or other outpatient visit, typically 15 minutes	17	15	$112.35	$77.32
99291 Critical care, first 30-74 minutes	13	12	$940.97	$230.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	102	88	$243.00	$106.40
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	88	48	$171.00	$74.45
99213 Established patient office or other outpatient visit, typically 15 minutes	67	58	$110.00	$76.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	35	$150.00	$107.49
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$175.00	$111.11
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$240.00	$168.46
10061 Complicated or multiple drainage of skin abscess	20	20	$550.00	$214.02
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	18	18	$479.00	$207.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	150	58	$171.00	$81.91
99213 Established patient office or other outpatient visit, typically 15 minutes	91	68	$110.00	$81.62
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	71	65	$243.00	$117.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	40	33	$150.00	$120.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$175.00	$119.86
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$5188.20	$176.94
10061 Complicated or multiple drainage of skin abscess	16	14	$550.00	$233.41
17250 Application of chemical to stop tissue regrowth in wound	16	11	$200.00	$91.43
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	14	$479.00	$228.40
99291 Critical care, first 30-74 minutes	12	12	$855.00	$249.06
47562 Removal of gallbladder using an endoscope	12	12	$4325.00	$764.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	160	99	$171.00	$73.35
99213 Established patient office or other outpatient visit, typically 15 minutes	130	85	$110.00	$74.29
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	128	117	$243.00	$106.09
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	74	74	$175.00	$108.98
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	29	28	$479.00	$206.15
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	15	$80.00	$44.38
47562 Removal of gallbladder using an endoscope	15	15	$4325.00	$689.89
45378 Diagnostic exam of large bowel using a flexible endoscope	12	11	$1426.00	$184.20
99291 Critical care, first 30-74 minutes	12	12	$855.00	$224.17
43246 Insertion of stomach tube using a flexible endoscope	11	11	$2128.00	$193.12

Medical Specialties & State Licenses

CMS Verified: 2021-09-29

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License DE C20010788

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

102197454 0003 (PA)

Commercial Insurance / Payer ID Medical License

C2-0010788 (DE)

Commercial Insurance / Payer ID Medical License

OS012657 (PA)

Hospital & Practice Group Affiliations

Wayne County Hospital

417 S E St, Corydon, IA 500601865

Phone: 6418722260

Wayne County Hospital

417 S E St, Corydon, IA 500601860

Phone: 6418722063

Wayne County Hospital

417 S E St, Corydon, IA 500601860

Phone: 6418722063

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Julia Warrington , FNP

Nurse Practitioner - Family

NPI 1083341242

Family Nurse Practitioner

Anjali Das

Physician Assistant - Medical

NPI 1093631160

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events

📍

Updated Practice Location May 30, 2020

Registered at 230 BEISER BLVD STE 200, DOVER, DE 199047792 (Tel: 3029221610)

📍

Updated Business Mailing Address May 30, 2020

Registered at 142 GLENDA RD, DOVER, DE 199014922 (Tel: 3029221610)

📍

Updated Business Mailing Address October 11, 2018

Registered at 200 BANNING ST, STE 200, DOVER, DE 199043487 (Tel: 3026740600)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 11, 2018

Surgery (License #C20010788 in DE)

✅

NPI Profile Active December 01, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location December 01, 2011

Registered at 2 SHARPE ST, KINGSTON, PA 187043715 (Tel: 5705524720)

📍

Updated Business Mailing Address December 01, 2011

Registered at 2 SHARPE ST, KINGSTON, PA 187043715 (Tel: 5705524720)

👤

Provider Name / Credentials Updated December 01, 2011

Recorded as LOUIS COSTA, DO

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 01, 2011

Family Medicine (License #OS012657 in PA)

🟢

Initial NPI Registration & Enumeration April 03, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1679694723

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 03, 2007

Last Update: September 29, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

142 Glenda Rd

Dover, DE 199014922

Phone: 3025050045

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.