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Active NPI 1245984665 Individual Practitioner Male Practitioner

Michael Costanzo , NP

Nurse Practitioner • Milford, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Michael Costanzo, NP is a certified Nurse Practitioner practicing in Milford, OH. With approximately 5 years of clinical experience since completing medical education in 2021, Michael Costanzo delivers high-quality medical care to the local community at 5817 HAPPY HOLLOW RD.

Michael Costanzo is affiliated with Optima Dermatology Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, tangential biopsy of single skin lesion, destruction of up to 14 skin growths. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5817 Happy Hollow Rd

Milford, OH 451501848

Telephone 5133279244
Fax 5133235201
Associated Practice Facility / Clinic
🏢 Optima Dermatology Llc Facility NPI 1831187764

Medicare Profile & Education

Medical School

Other

Graduation Year

2021

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Milford, OH

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
5 Yrs -1.5 yrs vs City Avg
City Avg: 6.5 Yrs
State Avg: 9.8 Yrs
Regional Practice Density
3 Specialists

Practicing in Milford, OH (4294 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
69.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Costanzo (5 Years) 5 Yrs
Milford Specialty Average (6.5 Years) 6.5 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
152 137 $188.00 $84.26
11102 Tangential biopsy of single skin lesion
85 78 $575.00 $86.95
17110 Destruction of up to 14 skin growths
51 42 $225.00 $103.98
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
39 39 $274.00 $101.96
17000 Destruction of skin growth
24 22 $155.00 $46.87
11103 Biopsy of related skin growth, each additional growth
19 17 $310.00 $47.77
10040 Acne surgery
12 11 $250.00 $111.31
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
11 11 $116.00 $53.14

Medical Specialties & State Licenses

CMS Verified: 2025-09-16
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License OH APRN.CNP.0039698

(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

Optima Dermatology Llc

5817 Happy Hollow Rd, Milford, OH 451501848

Phone: 5133279244

Practice Associates & Co-Workers

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

4 Associated Practitioners
Sarah Winholt , NP-C

Nurse Practitioner - Family

NPI 1003454265

Nurse Practitioner (Certified)

Dr. Kasie Adkins , DO

Dermatology - MOHS-Micrographic Surgery

NPI 1205148947

Doctor of Osteopathic Medicine (D.O.)

NPI 1326045915

Doctor of Medicine (M.D.)

Jayson Keener , PA-C

Physician Assistant

NPI 1821575432

Physician Assistant (Certified)

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Practice Location September 16, 2025

Registered at 5817 HAPPY HOLLOW RD, MILFORD, OH 451501848 (Tel: 5133279244)

📍
Updated Business Mailing Address July 30, 2025

Registered at 111 NEW HAMPSHIRE AVE STE 2, PORTSMOUTH, NH 038012864 (Tel: 3309476021)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 30, 2025

Nurse Practitioner (License #APRN.CNP.0039698 in OH)

📍
Updated Practice Location May 25, 2022

Registered at 890 MOUNTAIN AVENUE, DERMATOLOGY - 3RD FL, NEW PROVIDENCE, NJ 07974 (Tel: 9082778668)

📍
Updated Business Mailing Address May 25, 2022

Registered at 1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 079222104

NPI Profile Active February 04, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location February 04, 2022

Registered at 890 MOUNTAIN AVE, NEW PROVIDENCE, NJ 079741218 (Tel: 9082778668)

📍
Updated Business Mailing Address February 04, 2022

Registered at 890 MOUNTAIN AVE, NEW PROVIDENCE, NJ 079741218

👤
Provider Name / Credentials Updated February 04, 2022

Recorded as MICHAEL COSTANZO, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 04, 2022

Nurse Practitioner (License #26NJ01265500 in NJ)

🟢
Initial NPI Registration & Enumeration February 04, 2022

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: 1245984665
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 04, 2022
Last Update: September 16, 2025
Sole Proprietor: No

Mailing Address

111 New Hampshire Ave Ste 2

Portsmouth, NH 038012864

Phone: 3309476021

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.