Active NPI 1679931505 Individual Practitioner Female Practitioner

Hillary Costa , FNP-C

Nurse Practitioner • Wareham, MA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Hillary Costa, FNP-C is a certified Nurse Practitioner practicing in Wareham, MA. With approximately 10 years of clinical experience since completing medical education in 2016, Hillary Costa delivers high-quality medical care to the local community at 100 ROSEBROOK WAY.

Hillary Costa is affiliated with Southcoast Physicians Group Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, advance care planning, first, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

100 Rosebrook Way

Wareham, MA 025711138

Telephone 5082734950

Associated Practice Facility / Clinic

🏢 New Bedford Medical Associates Pc Facility NPI 1093783417

Medicare Profile & Education

Medical School

Other

Graduation Year

2016

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Wareham, MA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

10 Yrs -1.4 yrs vs City Avg

City Avg: 11.4 Yrs

State Avg: 12.5 Yrs

Regional Practice Density

19 Specialists

Practicing in Wareham, MA (3545 Statewide)

Telehealth Adoption Rate

57.9% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

72.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Costa (10 Years) 10 Yrs

Wareham Specialty Average (11.4 Years) 11.4 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
99213 Established patient office or other outpatient visit, typically 15 minutes	275	228	$280.88	$78.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	81	75	$395.56	$107.33
99497 Advance care planning, first 30 minutes	53	52	$274.15	$69.77
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	53	53	$406.04	$111.56
G0008 Administration of influenza virus vaccine	24	24	$147.25	$32.81
81002 Urinalysis, manual test	22	22	$14.14	$3.41
99496 Transitional care management services for problem of high complexity	22	22	$856.64	$240.82
90653 Vaccine for influenza for injection into muscle	20	20	$207.80	$81.82
83036 Hemoglobin A1C level	14	12	$42.71	$9.52
99495 Transitional care management services for problem of at least moderate complexity	13	12	$641.62	$178.49
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	13	13	$277.23	$68.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	263	140	$217.72	$69.54
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	182	38	$65.00	$12.75
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	171	32	$10.00	$1.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	71	60	$290.00	$112.39
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	41	21	$60.00	$11.98
99497 Advance care planning, first 30 minutes	32	32	$130.00	$74.76
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	31	31	$135.00	$116.66
99496 Transitional care management services for problem of high complexity	13	13	$531.92	$247.74
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	13	$120.00	$33.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	341	168	$199.50	$71.28
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	184	43	$65.00	$12.73
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	166	39	$10.00	$2.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	100	70	$288.90	$114.88
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	54	21	$60.00	$14.77
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	47	47	$135.00	$118.57
99497 Advance care planning, first 30 minutes	42	42	$130.00	$75.73
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	23	23	$35.00	$20.53
G0008 Administration of influenza virus vaccine	23	23	$65.00	$17.86
81002 Urinalysis, manual test	23	18	$15.00	$3.48
93000 Routine ekg using at least 12 leads including interpretation and report	11	11	$50.00	$13.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	427	234	$190.00	$58.74
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	81	29	$65.00	$12.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	73	63	$276.44	$96.52
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	70	23	$10.00	$1.98
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	64	33	$60.00	$20.43
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	49	49	$135.00	$104.59
99497 Advance care planning, first 30 minutes	41	41	$120.00	$76.91
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	29	29	$35.00	$19.58
G0008 Administration of influenza virus vaccine	27	27	$65.00	$17.78
81002 Urinalysis, manual test	25	21	$15.00	$3.45
93000 Routine ekg using at least 12 leads including interpretation and report	16	16	$50.00	$15.44
G0442 Annual alcohol misuse screening, 5 to 15 minutes	12	12	$45.00	$16.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	462	271	$188.79	$66.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	262	214	$270.00	$97.59
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	89	89	$135.00	$104.61
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	89	37	$65.00	$15.07
99497 Advance care planning, first 30 minutes	87	87	$112.64	$76.00
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	57	23	$10.00	$1.79
81002 Urinalysis, manual test	54	38	$15.00	$3.41
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	43	27	$60.00	$20.60
93000 Routine ekg using at least 12 leads including interpretation and report	29	29	$50.00	$15.40
G0008 Administration of influenza virus vaccine	28	28	$65.00	$17.42
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	28	28	$35.00	$18.65
99496 Transitional care management services for problem of high complexity	17	15	$510.29	$208.03
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$400.00	$147.50
G0009 Administration of pneumococcal vaccine	12	12	$65.00	$17.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	287	211	$180.00	$64.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	211	158	$269.19	$95.76
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	74	74	$135.00	$103.77
99497 Advance care planning, first 30 minutes	68	68	$100.00	$74.71
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	52	23	$65.00	$18.39
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	35	14	$10.00	$1.92
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	34	11	$215.00	$158.03
99496 Transitional care management services for problem of high complexity	23	23	$494.57	$206.86
81002 Urinalysis, manual test	23	20	$15.00	$3.41
93000 Routine ekg using at least 12 leads including interpretation and report	20	20	$50.00	$15.21
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	17	12	$60.00	$19.34
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$397.14	$146.67
G0009 Administration of pneumococcal vaccine	13	13	$65.00	$21.55
G0008 Administration of influenza virus vaccine	11	11	$65.00	$21.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	188	143	$180.00	$64.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	116	92	$260.26	$94.31
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	39	39	$135.00	$101.79
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	37	37	$390.00	$144.17
99497 Advance care planning, first 30 minutes	32	32	$100.00	$71.31
81002 Urinalysis, manual test	24	21	$15.00	$3.43
69210 Removal of impacted ear wax	14	13	$110.00	$43.21

Medical Specialties & State Licenses

CMS Verified: 2024-09-06

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License RI RN2303616

(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.

Hospital & Practice Group Affiliations

Southcoast Physicians Group Inc

100 Rosebrook Way, Wareham, MA 025711138

Phone: 5082734900

Practice Associates & Co-Workers

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

31 Associated Practitioners

Karen Hussion , ANP-BC

Nurse Practitioner - Adult Health

NPI 1083737746

ANPBC

Katie Camara

Nurse Practitioner

NPI 1164188348

Dr. April Fasel , PharmD

Pharmacist - Ambulatory Care

NPI 1174456032

Doctor of Pharmacy (Pharm.D.)

Thomas Spiro , PA

Physician Assistant

NPI 1205804440

Physician Assistant

Dr. Bruce Brown , MD

Internal Medicine - Cardiovascular Disease

NPI 1205896362

Doctor of Medicine (M.D.)

Dr. Thomas Mccormack , DO

Family Medicine

NPI 1225080005

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

14 Historical Events

📍

Updated Practice Location September 06, 2024

Registered at 100 ROSEBROOK WAY, WAREHAM, MA 025711138 (Tel: 5082734950)

📍

Updated Business Mailing Address September 06, 2024

Registered at 200 MILL RD, FAIRHAVEN, MA 027195252 (Tel: 5089732000)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 06, 2024

Nurse Practitioner (License #RN2303616 in RI)

✅

NPI Profile Active February 03, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location February 03, 2017

Registered at 45 RESNIK RD STE 302, PLYMOUTH, MA 023604883 (Tel: 5087462696)

📍

Updated Business Mailing Address February 03, 2017

Registered at 45 RESNIK RD STE 302, PLYMOUTH, MA 023604883 (Tel: 5087462696)

👤

Provider Name / Credentials Updated February 03, 2017

Recorded as HILLARY COSTA, FNP-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 03, 2017

Nurse Practitioner (License #RN2303616 in MA)

✅

NPI Profile Active February 06, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location February 06, 2016

Registered at 165 PLUM HOLLOW RD, EAST FALMOUTH, MA 025364621 (Tel: 7742388920)

📍

Updated Business Mailing Address February 06, 2016

Registered at 165 PLUM HOLLOW RD, EAST FALMOUTH, MA 025364621 (Tel: 7742388920)

👤

Provider Name / Credentials Updated February 06, 2016

Recorded as HILLARY COSTA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 06, 2016

Nurse Practitioner (License #S26539050 in MA)

🟢

Initial NPI Registration & Enumeration February 06, 2016

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: 1679931505

Entity Type:

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

Enumeration Date: February 06, 2016

Last Update: September 06, 2024

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

200 Mill Rd

Fairhaven, MA 027195252

Phone: 5089732000

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.