Justin Costello, DO - Medicare Diagnostic Radiology in San Antonio, TX

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Justin Costello, DO is a medicare enrolled "Radiology - Vascular & Interventional Radiology" physician in San Antonio, Texas. He graduated from medical school in 2011 and has 15 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Spartanburg Medical Center, Gibson Community Hospital Association, Hegg Memorial Hospital, Avera Mckennan, Diagnostic Radiology Pc, Southeast Iowa Regional Medical Center Inc, Henry County Health Center Inc and his current practice location is 3851 Roger Brooke Drive, Fort Sam Houston, San Antonio, Texas. You can reach out to his office (for appointments etc.) via phone at (210) 916-5545.

Justin Costello is licensed to practice in Texas (license number R3055) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1215235916.

Contact Information

Justin Costello, DO
3851 Roger Brooke Drive, Fort Sam Houston,
San Antonio, TX 78234-6200
(210) 916-5545
Not Available

Map and Direction




Physician's Profile

Full NameJustin Costello
GenderMale
SpecialityDiagnostic Radiology
Experience15 Years
Location3851 Roger Brooke Drive, Fort Sam Houston, San Antonio, Texas
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Justin Costello graduated from medical school in 2011
  NPI Data:
  • NPI Number: 1215235916
  • Provider Enumeration Date: 03/03/2011
  • Last Update Date: 06/12/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 5799054326
  • Enrollment ID: I20240502001657

Medical Identifiers

Medical identifiers for Justin Costello such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215235916NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 973 (Nebraska)Secondary
2085R0202XRadiology - Diagnostic Radiology R3055 (Texas)Secondary
2085R0204XRadiology - Vascular & Interventional Radiology R3055 (Texas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Great River Medical CenterWest burlington, IAHospital
Moberly Regional Medical CenterMoberly, MOHospital
Northeast Regional Medical CenterKirksville, MOHospital
Spartanburg Medical CenterSpartanburg, SCHospital
Methodist Jennie EdmundsonCouncil bluffs, IAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Spartanburg Medical Center30724252971071
Gibson Community Hospital Association5092703124156
Hegg Memorial Hospital519371875741
Avera Mckennan0345157103965
Diagnostic Radiology Pc226449157065
Southeast Iowa Regional Medical Center Inc3870496417281
Henry County Health Center Inc963857074059

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Justin Costello allows following entities to bill medicare on his behalf.
Entity NameSpartanburg Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043309917
PECOS PAC ID: 3072425297
Enrollment ID: O20031105000129
Entity NameSpartanburg Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699729939
PECOS PAC ID: 3072425297
Enrollment ID: O20040702000686

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Justin Costello is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Justin Costello, DO
3851 Roger Brooke Dr,
San Antonio, TX 78234-4500

Ph: () -		Justin Costello, DO
3851 Roger Brooke Drive, Fort Sam Houston,
San Antonio, TX 78234-6200

Ph: (210) 916-5545

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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