John Michael Costable Jr., MD
NPI 1043251184ActiveIndividual· Internal Medicine, Gastroenterology· Great Neck, NY
Internal Medicine, Gastroenterology (MD) in Great Neck, New York, trained at State University of New York at Stony Brook, School of Medicine (class of 1992). Their prescriptions cost Medicare Part D more than their services did: $682,301 for 1,866 claims, against $145,175 paid for services in 2024. Madrigal Pharmaceuticals was the largest of 3 companies reporting payments in 2025, $298.39 in all, mostly food and beverage.
Overview
| NPI | 1043251184 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Jun 9, 2006 |
| Last updated in NPPES | Jul 13, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Gastroenterology Primary | 207RG0100X | 198554 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Gastroenterology (NY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 431 |
|---|---|
| Services billed | 938 across 20 procedure codes |
| Paid by Medicare | $145,175 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,866 · 2,941 30-day fills |
|---|---|
| Patients | 479 |
| Total drug cost | $682,301 |
| Generic share | 81% of claims |
Education and affiliations
| Medical school | State University of New York at Stony Brook, School of Medicine |
|---|---|
| Graduation year | 1992 |
| Medicare specialty | Gastroenterology |
| Secondary specialties | Internal Medicine |
Medical group
- North Shore Medical Group of the Mount Sinai School of MedicineBrooklyn, NY · 331 clinicians
Hospital affiliation
- Mount Sinai South NassauOceanside, NY
Industry payments (Open Payments)
- 2025$298.39 · 3 payments from 3 companies
- 2024$143.46 · 2 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Madrigal Pharmaceuticals | $150.00 | 1 |
| Qol Medical, LLC | $122.19 | 1 |
| Olympus America Inc. | $26.20 | 1 |
What the 2025 payments were for
- Food and Beverage$298.39 · 3 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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