Brian A. Costell, M.D.
NPI 1174563688ActiveIndividual· Psychiatry & Neurology, Epilepsy· Boca Raton, FL
Psychiatry & Neurology, Epilepsy (M.D.) in Boca Raton, Florida, trained at Ponce School of Medicine (class of 1998). In 2024 Medicare paid $3,812,211 for 1,110 patients, and Part D covered 5,479 of their prescriptions, 86% of them generic. Abbvie Inc. was the largest of 42 companies reporting payments in 2025, $60,698 in all, mostly speaking and faculty fees.
Overview
| NPI | 1174563688 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | Yes |
| NPI issued | Jun 7, 2006 |
| Last updated in NPPES | Jun 12, 2025 |
| Certified by provider | Jun 12, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychiatry & Neurology, Epilepsy Primary | 2084E0001X | ME90900 | FL |
| Psychiatry & Neurology, Neurology | 2084N0400X | ME90900 | FL |
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 - Epileptologists (FL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 1,110 |
|---|---|
| Services billed | 1,700,970 across 79 procedure codes |
| Paid by Medicare | $3,812,211 |
Part D prescriptions in 2024
| Prescriptions (claims) | 5,479 · 11,452 30-day fills |
|---|---|
| Patients | 933 |
| Total drug cost | $2,145,510 |
| Generic share | 86% of claims |
Education and affiliations
| Medical school | Ponce School of Medicine |
|---|---|
| Graduation year | 1998 |
| Medicare specialty | Epileptologists |
| Secondary specialties | Neurology |
| Telehealth | Offers telehealth |
Medical groups
- Cora Health Services IncThe Villages, FL · 1,136 clinicians
- Neuroscience Consultants LLPDelray Beach, FL · 115 clinicians
Hospital affiliations
- Bethesda Hospital EastBoynton Beach, FL
- Boca Raton Regional HospitalBoca Raton, FL
- Delray Medical CenterDelray Beach, FL
- Jupiter Medical CenterJupiter, FL
Other facilities
- Allegiance Home Health and Rehab, IncHome health agency · Boca Raton, FL
- Apex Home Health Care LLCHome health agency · Boca Raton, FL
- Trilogy Home HealthcareHome health agency · Coral Springs, FL
Industry payments (Open Payments)
- 2025$60,698 · 364 payments from 42 companies
- 2024$71,570 · 388 payments from 45 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Abbvie Inc. | $25,195 | 63 |
| C2n Diagnostics, LLC | $20,218 | 32 |
| Eisai Inc. | $7,378 | 29 |
| Biogen, Inc. | $2,209 | 21 |
| Lundbeck LLC | $1,281 | 11 |
What the 2025 payments were for
- Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program$35,273 · 11 payments
- Travel and Lodging$10,413 · 26 payments
- Food and Beverage$7,617 · 316 payments
- Consulting Fee$7,184 · 5 payments
- Education$211.71 · 6 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records