Jack Michael Costa, M.D.
NPI 1144393935ActiveIndividual· Dermatology· Fairfax, VA
Dermatology (M.D.) in Fairfax, Virginia, trained at George Washington University School of Medicine (class of 1971). 215 Medicare patients in 2024, $253,142 paid; nearly all of their 91 Part D prescriptions were generic (98%).
Overview
| NPI | 1144393935 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | Yes |
| NPI issued | Nov 17, 2006 |
| Last updated in NPPES | Dec 30, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | 0101028288 | VA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Dermatology (DC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 215 |
|---|---|
| Services billed | 2,816 across 47 procedure codes |
| Paid by Medicare | $253,142 |
Part D prescriptions in 2024
| Prescriptions (claims) | 91 · 144 30-day fills |
|---|---|
| Patients | 48 |
| Total drug cost | $3,437 |
| Generic share | 98% of claims |
Education and affiliations
| Medical school | George Washington University School of Medicine |
|---|---|
| Graduation year | 1971 |
| Medicare specialty | Dermatology |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 44 dermatologists in Fairfax · All dermatologists in Virginia