Active NPI 1790857647 Individual Practitioner Male Practitioner

James Joseph Costa , PT ATC CSCS

Specialist • Commack, NY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

James Costa, PT ATC CSCS is a certified Specialist practicing in Commack, NY. With approximately 39 years of clinical experience since completing medical education in 1987, James Costa delivers high-quality medical care to the local community at 16 SHIRLEY COURT.

James Costa accepts Medicare assignment.

Frequently performed procedures and clinical services include therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each, therapy procedure to re-educate brain-to-nerve-to-muscle function, each, therapy procedure using manual technique, each. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

16 Shirley Court

Commack, NY 117254122

Telephone 6318643042

Medicare Profile & Education

Medical School

Other

Graduation Year

1987

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Commack, NY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

39 Yrs +5.3 yrs vs City Avg

City Avg: 33.7 Yrs

State Avg: 34.9 Yrs

Regional Practice Density

128 Specialists

Practicing in Commack, NY (23296 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

24.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Costa (39 Years) 39 Yrs

Commack Specialty Average (33.7 Years) 33.7 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
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	6,494	178	$67.50	$24.50
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	3,243	178	$35.15	$34.16
97140 Therapy procedure using manual technique, each 15 minutes	3,038	173	$33.49	$22.82
97161 Evaluation of physical therapy, typically 20 minutes	172	156	$90.44	$88.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	7,640	177	$67.50	$25.09
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	3,813	177	$35.15	$33.97
97140 Therapy procedure using manual technique, each 15 minutes	3,522	171	$33.49	$23.35
97164 Re-evaluation for physical therapy, typically 20 minutes	211	91	$84.00	$80.42
97161 Evaluation of physical therapy, typically 20 minutes	158	146	$90.44	$89.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	5,766	124	$67.50	$26.34
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	2,863	121	$35.15	$34.14
97140 Therapy procedure using manual technique, each 15 minutes	2,609	119	$33.49	$24.56
97164 Re-evaluation for physical therapy, typically 20 minutes	231	82	$84.00	$81.43
97161 Evaluation of physical therapy, typically 20 minutes	116	99	$90.44	$89.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	5,672	117	$67.50	$26.82
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	2,837	117	$36.38	$34.59
97140 Therapy procedure using manual technique, each 15 minutes	2,614	111	$33.49	$25.04
97164 Re-evaluation for physical therapy, typically 20 minutes	242	85	$84.00	$81.48
97161 Evaluation of physical therapy, typically 20 minutes	98	89	$90.44	$90.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	4,108	106	$67.48	$27.49
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	1,980	106	$35.15	$34.46
97140 Therapy procedure using manual technique, each 15 minutes	1,878	97	$33.49	$25.51
97164 Re-evaluation for physical therapy, typically 20 minutes	169	82	$84.00	$69.60
97161 Evaluation of physical therapy, typically 20 minutes	88	82	$84.88	$84.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	6,062	159	$67.50	$26.95
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	2,797	153	$35.15	$34.04
97140 Therapy procedure using manual technique, each 15 minutes	2,685	146	$33.49	$24.12
97035 Application of ultrasound, each 15 minutes	409	27	$14.31	$12.14
97116 Walking training to 1 or more areas, each 15 minutes	331	17	$29.67	$26.47
97161 Evaluation of physical therapy, typically 20 minutes	222	141	$84.00	$82.67
97164 Re-evaluation for physical therapy, typically 20 minutes	114	67	$84.09	$66.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	4,777	130	$53.79	$28.09
97140 Therapy procedure using manual technique, each 15 minutes	1,867	112	$33.49	$24.12
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	1,703	98	$12.47	$12.25
97035 Application of ultrasound, each 15 minutes	1,241	81	$14.31	$11.92
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	1,184	75	$35.18	$33.86
97116 Walking training to 1 or more areas, each 15 minutes	359	21	$29.68	$26.47
97161 Evaluation of physical therapy, typically 20 minutes	190	100	$82.87	$81.45
97124 Therapy procedure using massage, each 15 minutes	134	26	$26.98	$26.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	4,656	142	$33.89	$28.13
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	1,942	127	$12.47	$11.67
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	1,608	100	$35.35	$34.21
97035 Application of ultrasound, each 15 minutes	1,442	103	$14.54	$11.47
97116 Walking training to 1 or more areas, each 15 minutes	537	29	$29.69	$23.74
97124 Therapy procedure using massage, each 15 minutes	512	53	$26.98	$21.73
97161 Evaluation of physical therapy, typically 20 minutes	104	100	$79.97	$78.66

Medical Specialties & State Licenses

CMS Verified: 2024-02-07

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License NY 009869

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 16 SHIRLEY COURT, COMMACK, NY 117254122 (Tel: 6318643042)

📍

Updated Business Mailing Address July 08, 2007

Registered at 16 SHIRLEY COURT, COMMACK, NY 117254122

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as JAMES COSTA, PT ATC CSCS

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist (License #009869 in NY)

🟢

Initial NPI Registration & Enumeration November 15, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1790857647

Entity Type:

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

Enumeration Date: November 15, 2006

Last Update: February 07, 2024

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

16 Shirley Court

Commack, NY 117254122

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.