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MARC LANCE COSTA MD NPI 1184655482


NPI Information

NPI: 1184655482
Provider Name: MARC LANCE COSTA, MD
Classification: Surgery - 208600000X
Entity Type: Individual

PECOS Registration: Yes

Address:
527 MEDICAL PARK DR
SUITE 202
BRIDGEPORT, WV
ZIP 26330
Phone: (304) 933-3850
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Marc Lance Costa, MD is a surgery in Bridgeport, WV with 31 years of experience. The provider is 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. Marc Lance Costa, MD NPI is 1184655482. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: PERELMAN SCHOOL OF MED AT THE UNIVERSITY OF PENNSYLVANIA
Graduation Year:1993

The provider's business location address is:

527 MEDICAL PARK DR
SUITE 202
BRIDGEPORT, WV
ZIP 26330-008
Phone: (304) 933-3850
Fax: (304) 933-3859

The NPI 1184655482 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Biopsy of large bowel using an endoscope (HCPCS:45380)
  • Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope (HCPCS:43239)
  • Removal of polyps or growths of large bowel using an endoscope (HCPCS:45385)
  • Colorectal cancer screening; colonoscopy on individual at high risk (HCPCS:G0105)
  • Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older (HCPCS:36561)

The enumeration date for this NPI number is 7/5/2006 and was last updated on 4/5/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistMD060675LPENNSYLVANIANo
2208600000XSurgery19442WEST VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1319922OTHERPENNSYLVANIAUPMC MEDICARE
2000000140320OTHERPENNSYLVANIAUNISON THREE RIVERS
3G78377OTHERPENNSYLVANIAHEALTH ASSURANCE
4048032003OTHERPENNSYLVANIACIGNA
5G78377OTHERPENNSYLVANIAADVANTRA MEDICARE
6G78377OTHERPENNSYLVANIAHEALTH AMERICA
71531290OTHERPENNSYLVANIAGATEWAY
83133024OTHERPENNSYLVANIAAETNA
90019436000001MEDICAIDPENNSYLVANIA
101461312OTHERPENNSYLVANIABLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.