Jack Costa, M.D.
NPI 1144393935 · Dermatology Physician · Fairfax, VA
Enrolled with Medicare as Practitioner - Dermatology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jack Costa, M.D. is a Dermatology Physician provider in Fairfax, VA (NPI 1144393935).
Provider details
- NPI number
- 1144393935
- Entity type
- Individual
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 0101028288 (VA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
2,750 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Destruction of Precancer Skin Growth, 2-14 Growths17003 | 385 | $7 |
| Destruction of Precancer Skin Growth, 1 Growth17000 | 290 | $42 |
| Punch Biopsy, First Skin Growth11104 | 250 | $91 |
| Biopsy of Surface Tissue of Leg Or Ankle27613 | 207 | $176 |
| Biopsy of Surface Tissue of Thigh Or Knee27323 | 194 | $283 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 189 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 2 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Betamethasone/Propylene Glycbrand: Betamethasone Diprop Augmented | 16 | 11 |
| Mupirocin | 11 | — |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-11-17
- Last updated
- 2010-12-30
Frequently asked questions
- What is Jack Costa's NPI number?
- Jack Costa's National Provider Identifier (NPI) is 1144393935, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jack Costa's specialty?
- Jack Costa is listed in the NPPES registry with a primary specialty of Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Jack Costa located?
- Jack Costa's practice location on file with NPPES is 3650 Joseph Siewick Dr, Fairfax, VA 22033-1710.
- What is Jack Costa's phone number?
- The practice phone number listed in the NPPES registry for Jack Costa is (703) 391-2516.
- Does Jack Costa accept Medicare?
- Jack Costa is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jack Costa's NPI active?
- Yes — Jack Costa's NPI (1144393935) is active in the NPPES registry as of the last update on 2010-12-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.