Edward P. Costlow, MD PA
NPI 1104205764ActiveOrganization· Internal Medicine· Timonium, MD
Internal Medicine in Timonium, Maryland, registered in NPPES in May 2015. The authorized official on file is Edward P. Costlow, MD PA, President. Medicare paid $40,606 for services to 150 patients in 2024.
Overview
| NPI | 1104205764 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 28, 2015 |
| Last updated in NPPES | May 28, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | D0019503 | MD |
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 Part B Supplier - Clinic/Group Practice (MD) |
|---|---|
| Accepts assignment | No (non-participating) |
Medicare services in 2024
| Medicare patients | 150 |
|---|---|
| Services billed | 549 across 6 procedure codes |
| Paid by Medicare | $40,606 |
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