Active NPI 1184655482 Individual Practitioner Male Practitioner

Dr. Marc Lance Costa , MD

Surgery • Bridgeport, WV

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Marc Costa, MD is a certified Surgery practicing in Bridgeport, WV. With approximately 33 years of clinical experience since graduating from Perelman School Of Med At The University Of Pennsylvania in 1993, Dr. Costa delivers high-quality medical care to the local community at 527 MEDICAL PARK DR.

Dr. Costa is affiliated with United Hospital Center Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with straightforward or low-level medical decision making, if using time, at least, follow-up hospital inpatient care per day. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

527 Medical Park Dr
Suite 202

Bridgeport, WV 263309008

Telephone 3049333850

Fax 3049333859

Associated Practice Facility / Clinic

🏢 United Hospital Center Inc Facility NPI 1134101660

Medicare Profile & Education

Medical School

Perelman School Of Med At The University Of Pennsylvania

Graduation Year

1993

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Bridgeport, WV

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

33 Yrs +7.5 yrs vs City Avg

City Avg: 25.5 Yrs

State Avg: 29.4 Yrs

Regional Practice Density

5 Specialists

Practicing in Bridgeport, WV (221 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

58.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Costa (33 Years) 33 Yrs

Bridgeport Specialty Average (25.5 Years) 25.5 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
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	83	52	$202.00	$78.48
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	78	73	$310.00	$129.13
99231 Follow-up hospital inpatient care per day, typically 15 minutes	43	31	$127.00	$49.60
99284 Emergency department visit with moderate level of medical decision making	12	12	$267.00	$123.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	95	57	$194.60	$76.50
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	69	66	$310.00	$127.86
99231 Follow-up hospital inpatient care per day, typically 15 minutes	62	40	$122.71	$49.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
45380 Biopsy of large bowel using an endoscope	106	105	$657.25	$166.38
99213 Established patient office or other outpatient visit, typically 15 minutes	80	65	$148.00	$65.77
99231 Follow-up hospital inpatient care per day, typically 15 minutes	76	44	$89.00	$37.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	72	67	$214.00	$96.15
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	61	36	$165.00	$69.49
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	58	58	$293.00	$133.26
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	39	39	$84.00	$35.84
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$182.00	$82.67
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	32	32	$310.00	$129.19
99202 New patient office or other outpatient visit, typically 20 minutes	32	32	$114.00	$48.34
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	28	27	$453.43	$80.02
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	18	17	$823.00	$244.35
45381 Injection beneath lining of large bowel using a flexible endoscope	17	17	$650.00	$25.73
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	15	15	$2067.00	$708.24
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$459.00	$194.09
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	12	12	$979.00	$331.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	160	121	$143.80	$66.26
45380 Biopsy of large bowel using an endoscope	142	135	$706.85	$171.71
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	101	101	$180.57	$82.88
99231 Follow-up hospital inpatient care per day, typically 15 minutes	84	40	$89.00	$37.71
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	80	41	$165.00	$70.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	76	71	$210.21	$97.78
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	64	64	$293.00	$133.33
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	58	54	$79.07	$35.55
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	47	44	$310.00	$131.47
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	41	39	$493.02	$90.47
45378 Diagnostic exam of large bowel using a flexible endoscope	28	28	$626.14	$181.46
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	23	23	$889.65	$251.61
99202 New patient office or other outpatient visit, typically 20 minutes	22	22	$114.00	$48.99
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	17	17	$459.00	$196.50
45381 Injection beneath lining of large bowel using a flexible endoscope	14	14	$650.00	$15.25
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	11	11	$597.00	$176.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	168	140	$116.00	$51.41
45380 Biopsy of large bowel using an endoscope	116	112	$650.00	$166.94
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	67	39	$165.00	$72.10
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	59	59	$174.00	$75.25
99202 New patient office or other outpatient visit, typically 20 minutes	56	56	$114.00	$50.65
99231 Follow-up hospital inpatient care per day, typically 15 minutes	52	22	$89.00	$39.15
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	47	47	$459.00	$198.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	46	40	$178.00	$78.34
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	39	39	$447.00	$97.48
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$293.00	$129.89
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	33	32	$823.00	$250.26
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	22	22	$310.00	$138.11
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	16	$58.00	$26.07
45381 Injection beneath lining of large bowel using a flexible endoscope	18	18	$650.00	$14.66
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	17	17	$597.00	$190.09
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	12	12	$979.00	$339.72
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	12	12	$2067.00	$753.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	186	146	$116.00	$50.19
45380 Biopsy of large bowel using an endoscope	152	146	$650.00	$133.63
99202 New patient office or other outpatient visit, typically 20 minutes	129	129	$114.00	$49.87
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	117	60	$165.00	$71.02
99231 Follow-up hospital inpatient care per day, typically 15 minutes	98	45	$89.00	$38.85
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	69	64	$823.00	$259.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	64	59	$178.00	$77.30
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	56	55	$447.00	$100.02
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	42	41	$459.00	$198.81
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$293.00	$127.40
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	25	$58.00	$25.16
45381 Injection beneath lining of large bowel using a flexible endoscope	26	24	$650.00	$15.54
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	19	$310.00	$129.67
99221 Initial hospital inpatient care per day, typically 30 minutes	20	17	$230.00	$100.44
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	15	15	$2067.00	$737.40
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$174.00	$73.55
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	14	14	$597.00	$188.85
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	11	11	$979.00	$342.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	166	135	$88.00	$50.09
99231 Follow-up hospital inpatient care per day, typically 15 minutes	151	62	$70.00	$38.26
99202 New patient office or other outpatient visit, typically 20 minutes	128	128	$86.00	$49.51
45380 Biopsy of large bowel using an endoscope	118	117	$775.00	$188.26
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	75	36	$123.00	$71.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	66	62	$134.00	$76.72
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	52	43	$44.00	$24.95
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	46	45	$513.00	$100.40
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	43	43	$224.00	$127.08
99221 Initial hospital inpatient care per day, typically 30 minutes	38	38	$173.00	$97.95
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	28	28	$1012.00	$187.61
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	25	24	$235.00	$134.01
45381 Injection beneath lining of large bowel using a flexible endoscope	13	13	$735.00	$15.95
45378 Diagnostic exam of large bowel using a flexible endoscope	13	13	$648.00	$188.97
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	11	11	$2093.00	$727.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	153	115	$124.86	$49.36
45380 Biopsy of large bowel using an endoscope	144	142	$1002.67	$184.85
99231 Follow-up hospital inpatient care per day, typically 15 minutes	128	58	$83.75	$38.25
99202 New patient office or other outpatient visit, typically 20 minutes	118	118	$120.50	$49.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	88	80	$222.32	$76.32
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	67	64	$63.58	$24.53
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	58	58	$286.90	$126.62
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	55	54	$708.96	$99.72
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	37	37	$190.32	$75.10
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	35	24	$136.11	$69.93
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	32	32	$277.66	$133.14
99221 Initial hospital inpatient care per day, typically 30 minutes	24	24	$186.88	$99.19
45381 Injection beneath lining of large bowel using a flexible endoscope	16	16	$955.94	$15.38
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	16	16	$790.00	$186.91
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	14	14	$1047.93	$257.96
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	13	13	$2498.69	$341.36
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	13	13	$787.23	$185.99
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	12	12	$1879.42	$698.46
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	12	$280.00	$108.04

Medical Specialties & State Licenses

CMS Verified: 2022-04-05

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License WV 19442

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Specialist

NUCC Taxonomy Code: 174400000X

State License PA MD060675L

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0019436000001 (PA)

Commercial Insurance / Payer ID Cigna

048032003 (PA)

Commercial Insurance / Payer ID Health America

G78377 (PA)

Commercial Insurance / Payer ID Health Assurance

G78377 (PA)

Commercial Insurance / Payer ID Blue Cross Blue Shield

1461312 (PA)

Commercial Insurance / Payer ID Gateway

1531290 (PA)

Commercial Insurance / Payer ID Aetna

3133024 (PA)

Commercial Insurance / Payer ID Advantra Medicare

G78377 (PA)

Commercial Insurance / Payer ID Unison Three Rivers

000000140320 (PA)

Commercial Insurance / Payer ID Upmc Medicare

319922 (PA)

Hospital & Practice Group Affiliations

United Hospital Center Inc

Po Box, Morgantown, WV 265070775

United Hospital Center Inc

916 W Main St, Bridgeport, WV 263301651

Phone: 3048421034

United Hospital Center Inc

527 Medical Park Dr, Bridgeport, WV 263309009

United Hospital Center Inc

327 Medical Park Dr, Bridgeport, WV 263309006

Phone: 6813421842

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Benjamin Raymond , DO

Surgery

NPI 1194089946

Doctor of Osteopathic Medicine (D.O.)

Dr. Jeffrey Madden , MD

Surgery

NPI 1255368445

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active June 26, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location June 26, 2012

Registered at 527 MEDICAL PARK DR, SUITE 202, BRIDGEPORT, WV 263309008 (Tel: 3049333850)

📍

Updated Business Mailing Address June 26, 2012

Registered at 527 MEDICAL PARK DR, SUITE 202, BRIDGEPORT, WV 263309008 (Tel: 3049333850)

👤

Provider Name / Credentials Updated June 26, 2012

Recorded as MARC COSTA, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 26, 2012

Specialist (License #MD060675L in PA)

🟢

Initial NPI Registration & Enumeration July 05, 2006

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: 1184655482

Entity Type:

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

Enumeration Date: July 05, 2006

Last Update: April 05, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

527 Medical Park Dr, Suite 202

Bridgeport, WV 263309008

Phone: 3049333850

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.