Active NPI 1487081261 Individual Practitioner Female Practitioner

Phyllis Pelfrey Costello , MSN

Nurse Practitioner • Augusta, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Phyllis Costello, MSN is a certified Nurse Practitioner practicing in Augusta, GA. With approximately 13 years of clinical experience since graduating from Medical College Of Georgia School Of Medicine in 2013, Phyllis Costello delivers high-quality medical care to the local community at 3647 J DEWEY GRAY CIR STE 200.

Phyllis Costello is affiliated with Augusta Primary Care Services Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, removal of gallbladder using an endoscope, repair of groin hernia using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3647 J Dewey Gray Cir Ste 200

Augusta, GA 309092205

Telephone 7065049712

Fax 7065049703

Associated Practice Facility / Clinic

🏢 Burn And Reconstructive Centers Of Virginia, Pllc Facility NPI 1194346734

Medicare Profile & Education

Medical School

Medical College Of Georgia School Of Medicine

Graduation Year

2013

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Augusta, GA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

13 Yrs +6.1 yrs vs City Avg

City Avg: 6.9 Yrs

State Avg: 10.5 Yrs

Regional Practice Density

111 Specialists

Practicing in Augusta, GA (3149 Statewide)

Telehealth Adoption Rate

5.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

53.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Costello (13 Years) 13 Yrs

Augusta Specialty Average (6.9 Years) 6.9 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
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$93.09	$43.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
47562 Removal of gallbladder using an endoscope	11	11	$2179.00	$86.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
49650 Repair of groin hernia using an endoscope	14	14	$1241.00	$57.43
47562 Removal of gallbladder using an endoscope	13	13	$2179.00	$124.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
47562 Removal of gallbladder using an endoscope	17	17	$2179.00	$85.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
47562 Removal of gallbladder using an endoscope	14	14	$2179.00	$90.35
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	13	11	$147.62	$15.80
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	13	13	$367.00	$73.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36573 Insertion of tube for infusion with imaging guidance and review by radiologist, patient 5 years or older	97	94	$447.00	$72.63
76937 Ultrasonic guidance for blood vessel access	64	57	$235.00	$12.15
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	51	47	$1095.29	$72.29
47562 Removal of gallbladder using an endoscope	26	26	$1601.58	$87.10
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	20	19	$148.00	$15.68
49650 Repair of groin hernia using an endoscope	16	16	$1147.13	$60.01
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	13	13	$1324.00	$221.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
76937 Ultrasonic guidance for blood vessel access	255	231	$235.00	$12.11
36569 Insertion of central venous catheter for infusion, patient 5 years or older	169	158	$500.00	$72.47
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	98	91	$148.89	$15.64
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	74	67	$940.00	$82.73
47562 Removal of gallbladder using an endoscope	19	19	$1305.00	$87.28
49650 Repair of groin hernia using an endoscope	16	16	$1141.81	$67.11
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	13	13	$1324.00	$222.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
76937 Ultrasonic guidance for blood vessel access	249	221	$235.00	$12.03
36569 Insertion of central venous catheter for infusion, patient 5 years or older	180	168	$500.00	$77.55
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	109	101	$148.00	$15.82
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	63	57	$940.00	$102.37
49650 Repair of groin hernia using an endoscope	16	16	$929.81	$57.20
47562 Removal of gallbladder using an endoscope	13	13	$1305.00	$88.50

Medical Specialties & State Licenses

CMS Verified: 2021-09-09

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License GA RN158279

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License GA RN158279

Definition to come...

Hospital & Practice Group Affiliations

Augusta Primary Care Services Llc

3647 J Dewey Gray Cir, Augusta, GA 309092205

Phone: 7065049712

Practice Associates & Co-Workers

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

16 Associated Practitioners

Dr. Mary Boggs , DO

Surgery

NPI 1033389218

Doctor of Osteopathic Medicine (D.O.)

Cynthia Marshall , NP-C

Nurse Practitioner

NPI 1295291862

Nurse Practitioner (Certified)

Dr. Colville Ferdinand , MD

Surgery - Surgical Critical Care

NPI 1306956842

Doctor of Medicine (M.D.)

Dr. John Keeley , MD

Surgery

NPI 1316164288

Doctor of Medicine (M.D.)

Jody Criswell , NP

Nurse Practitioner

NPI 1346893161

Nurse Practitioner

Jeanne Haid , NP-C

Nurse Practitioner - Acute Care

NPI 1447512710

Nurse Practitioner (Certified)

Career & Practice History Timeline

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

9 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 09, 2022

Nurse Practitioner (License #RN158279 in GA)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 09, 2021

Nurse Practitioner (License #RN158279 in GA)

📍

Updated Practice Location October 08, 2018

Registered at 3647 J DEWEY GRAY CIR STE 200, AUGUSTA, GA 309092205 (Tel: 7065049712)

✅

NPI Profile Active March 01, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location March 01, 2016

Registered at 1416 WAINBROOK DR, AUGUSTA, GA 309096289 (Tel: 7068639595)

📍

Updated Business Mailing Address March 01, 2016

Registered at PO BOX 3548, AUGUSTA, GA 309143548 (Tel: 7068639595)

👤

Provider Name / Credentials Updated March 01, 2016

Recorded as PHYLLIS COSTELLO, MSN

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 01, 2016

Nurse Practitioner (License #RN158279 in GA)

🟢

Initial NPI Registration & Enumeration October 11, 2013

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: 1487081261

Entity Type:

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

Enumeration Date: October 11, 2013

Last Update: February 09, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 3548

Augusta, GA 309143548

Phone: 7068639595

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.