JACK MICHAEL COSTA M.D. NPI 1144393935

NPI Details

Jack Michael Costa, M.D. is a dermatology in Fairfax, VA with 54 years of experience. The provider is a dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. Jack Michael Costa, M.D. NPI is 1144393935. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1971

The provider's business location address is:

3650 JOSEPH SIEWICK DR
SUITE 202
FAIRFAX, VA
ZIP 22033-710
Phone: (703) 391-2516
Fax: (703) 476-8244

The NPI 1144393935 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.

• Destruction of precancer skin growth, 2-14 growths (HCPCS:17003)
• Punch biopsy, first skin growth (HCPCS:11104)
• Destruction of precancer skin growth, 1 growth (HCPCS:17000)
• Biopsy of surface tissue of thigh or knee (HCPCS:27323)
• Biopsy of surface tissue of leg or ankle (HCPCS:27613)
• Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
• Punch biopsy, each additional skin growth (HCPCS:11105)
• Biopsy of surface soft tissue to back or lower sides (HCPCS:21920)
• Destruction of skin growth, 1-14 growths (HCPCS:17110)
• Biopsy of surface tissue of upper arm or elbow (HCPCS:24065)
• Biopsy of soft tissue of neck or chest (HCPCS:21550)
• Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
• Biopsy of surface tissue of forearm or wrist (HCPCS:25065)
• Simple or single drainage of skin abscess (HCPCS:10060)
• Complicated or multiple drainage of skin abscess (HCPCS:10061)
• Biopsy of surface tissue of shoulder (HCPCS:23065)
• Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
• Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
• Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional (HCPCS:99211)
• Destruction of precancer skin growth, 15 or more growths (HCPCS:17004)
• Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm (HCPCS:11602)
• Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm (HCPCS:17261)
• Destruction of skin growth, 15 or more growths (HCPCS:17111)
• Biopsy of surface tissue of pelvis and hip (HCPCS:27040)
• Removal of skin tag, 1-15 skin tags (HCPCS:11200)
• Biopsy of ear (HCPCS:69100)
• Biopsy of lip (HCPCS:40490)
• Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 11/17/2006 and was last updated on 12/30/2010.

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:

Other Identifiers

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