Active NPI 1265400162 Individual Practitioner Male Practitioner

Dr. Frank Joseph Costa , MD

Urology • Monroeville, PA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Frank Costa, MD is a certified Urology practicing in Monroeville, PA. With approximately 46 years of clinical experience since graduating from University Of Pittsburgh School Of Medicine in 1980, Dr. Costa delivers high-quality medical care to the local community at 4225 NORTHERN PIKE.

Dr. Costa accepts Medicare assignment.

Frequently performed procedures and clinical services include injection beneath the skin or into muscle for therapy, diagnosis, or prevention, established patient outpatient office visit, insertion of implant in urethra within prostate gland 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

4225 Northern Pike

Monroeville, PA 151462731

Telephone 4123732333

Fax 4123732130

Associated Practice Facility / Clinic

🏢 The Urology Institute Of Pittsburgh Facility NPI 1255544243

Medicare Profile & Education

Medical School

University Of Pittsburgh School Of Medicine

Graduation Year

1980

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Monroeville, PA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

46 Yrs +25.5 yrs vs City Avg

City Avg: 20.5 Yrs

State Avg: 28.1 Yrs

Regional Practice Density

4 Specialists

Practicing in Monroeville, PA (720 Statewide)

Telehealth Adoption Rate

75.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

53.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Costa (46 Years) 46 Yrs

Monroeville Specialty Average (20.5 Years) 20.5 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
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	309	24	$90.00	$13.42
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	224	126	$225.00	$121.27
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	116	76	$250.00	$170.97
52442 Insertion of implant in urethra within prostate gland using an endoscope, each additional implant	48	11	$80.00	$47.56
51725 Simple measurement of pressure of urine flow in bladder	42	42	$450.00	$110.19
52000 Diagnostic exam of bladder and urethra using an endoscope	35	35	$350.00	$221.04
99213 Established patient office or other outpatient visit, typically 15 minutes	31	23	$175.00	$85.90
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$375.00	$158.29
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	12	12	$400.00	$209.13
52441 Insertion of implant in urethra within prostate gland using an endoscope, 1 implant	11	11	$500.00	$196.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	268	132	$225.00	$122.34
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	246	21	$90.00	$13.46
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	64	43	$252.34	$171.38
52442 Insertion of implant in urethra within prostate gland using an endoscope, each additional implant	56	11	$80.00	$48.20
51725 Simple measurement of pressure of urine flow in bladder	41	39	$450.00	$108.38
52000 Diagnostic exam of bladder and urethra using an endoscope	39	36	$350.00	$227.61
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$375.00	$159.42
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	18	18	$400.00	$210.38
52441 Insertion of implant in urethra within prostate gland using an endoscope, 1 implant	11	11	$500.00	$198.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	231	23	$90.00	$13.85
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	221	119	$251.36	$176.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	159	100	$225.00	$123.82
52442 Insertion of implant in urethra within prostate gland using an endoscope, each additional implant	74	16	$80.00	$49.00
52000 Diagnostic exam of bladder and urethra using an endoscope	34	31	$350.00	$238.17
51725 Simple measurement of pressure of urine flow in bladder	32	32	$450.00	$112.21
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	28	28	$400.00	$216.36
52441 Insertion of implant in urethra within prostate gland using an endoscope, 1 implant	16	16	$500.00	$198.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	189	19	$90.00	$13.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	171	95	$226.75	$127.03
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	135	77	$251.11	$177.35
52442 Insertion of implant in urethra within prostate gland using an endoscope, each additional implant	75	15	$77.60	$50.74
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	34	34	$390.44	$217.57
52000 Diagnostic exam of bladder and urethra using an endoscope	23	21	$350.00	$229.36
99213 Established patient office or other outpatient visit, typically 15 minutes	22	21	$175.00	$89.42
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$375.00	$164.69
36415 Insertion of needle into vein for collection of blood sample	17	16	$10.00	$3.00
52441 Insertion of implant in urethra within prostate gland using an endoscope, 1 implant	16	16	$500.00	$201.94
51725 Simple measurement of pressure of urine flow in bladder	15	15	$450.00	$163.36
51741 Electronic assessment of bladder emptying	11	11	$248.00	$9.99
52005 Insertion of tube into ureter using an endoscope through bladder area	11	11	$755.00	$123.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	211	96	$176.42	$72.51
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	174	17	$90.00	$13.55
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	70	54	$95.00	$44.22
52442 Insertion of implant in urethra within prostate gland using an endoscope, each additional implant	51	12	$70.00	$51.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$325.00	$105.53
36415 Insertion of needle into vein for collection of blood sample	20	19	$10.00	$2.87
52441 Insertion of implant in urethra within prostate gland using an endoscope, 1 implant	12	12	$500.00	$213.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	222	26	$90.00	$15.59
99213 Established patient office or other outpatient visit, typically 15 minutes	197	100	$175.00	$69.77
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	114	74	$95.00	$42.07
36415 Insertion of needle into vein for collection of blood sample	62	51	$10.00	$2.90
52442 Insertion of implant in urethra within prostate gland using an endoscope, each additional implant	49	13	$70.00	$59.30
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	38	38	$325.00	$102.05
52000 Diagnostic exam of bladder and urethra using an endoscope	18	18	$350.00	$74.76
52441 Insertion of implant in urethra within prostate gland using an endoscope, 1 implant	16	15	$500.00	$212.30
51798 Ultrasound measurement of bladder capacity after voiding	11	11	$303.00	$11.60
51741 Electronic assessment of bladder emptying	11	11	$248.00	$11.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	228	25	$90.00	$17.91
99213 Established patient office or other outpatient visit, typically 15 minutes	177	87	$161.16	$66.14
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	121	77	$82.60	$39.82
36415 Insertion of needle into vein for collection of blood sample	70	56	$10.00	$2.91
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	28	$311.55	$99.30
52000 Diagnostic exam of bladder and urethra using an endoscope	15	14	$290.00	$75.62
51798 Ultrasound measurement of bladder capacity after voiding	14	14	$303.00	$14.10
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$337.50	$151.30
51741 Electronic assessment of bladder emptying	11	11	$248.00	$11.86

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	156	97	$75.00	$38.96
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	150	17	$90.00	$21.92
99213 Established patient office or other outpatient visit, typically 15 minutes	106	71	$150.00	$64.25
52442 Insertion of implant in urethra within prostate gland using an endoscope, each additional implant	77	24	$70.00	$56.92
51798 Ultrasound measurement of bladder capacity after voiding	49	45	$303.00	$17.02
51741 Electronic assessment of bladder emptying	48	44	$248.00	$12.21
36415 Insertion of needle into vein for collection of blood sample	32	32	$10.00	$2.94
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$295.00	$97.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	24	$200.00	$94.96
52441 Insertion of implant in urethra within prostate gland using an endoscope, 1 implant	24	24	$500.00	$213.41
52000 Diagnostic exam of bladder and urethra using an endoscope	18	17	$275.00	$89.36
51725 Simple measurement of pressure of urine flow in bladder	14	14	$450.00	$167.67
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	11	11	$150.00	$48.47

Medical Specialties & State Licenses

CMS Verified: 2021-07-29

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License PA MD025308E

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Urology

NUCC Taxonomy Code: 208800000X

State License FL ME117387

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

01028329 (PA)

Commercial Insurance / Payer ID Blue Cross And Blue Shiel

165607 (PA)

Commercial Insurance / Payer ID Railroad Medicare

340004642 (PA)

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. William Walter , MD

Obstetrics & Gynecology - Gynecology

NPI 1982698338

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 29, 2021

Urology (License #MD025308E in PA)

✅

NPI Profile Active August 22, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location August 22, 2016

Registered at 4225 NORTHERN PIKE, MONROEVILLE, PA 151462731 (Tel: 4123732333)

📍

Updated Business Mailing Address August 22, 2016

Registered at 4225 NORTHERN PIKE, MONROEVILLE, PA 151462731 (Tel: 4123732333)

👤

Provider Name / Credentials Updated August 22, 2016

Recorded as FRANK COSTA, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 22, 2016

Urology (License #MD025308E in PA)

🟢

Initial NPI Registration & Enumeration March 08, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1265400162

Entity Type:

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

Enumeration Date: March 08, 2006

Last Update: July 29, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

4225 Northern Pike

Monroeville, PA 151462731

Phone: 4123732333

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.