Corinne Dianne Costellic, DO
NPI 1194955104ActiveIndividual· Surgery· Troy, MI
Surgery (DO) in Troy, Michigan, trained at Lake Erie College of Osteopathic Medicine, Erie (class of 2009). 39 Medicare patients in 2024, $29,440 paid; nearly all of their 77 Part D prescriptions were generic (99%). Axogen reported $1,885 in payments in 2025, mostly travel and lodging.
Overview
| NPI | 1194955104 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DO |
| Sole proprietor | No |
| NPI issued | Jul 24, 2009 |
| Last updated in NPPES | Jul 14, 2022 |
| Certified by provider | Jul 14, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | 5101018177 | MI |
| Surgery, Surgical Oncology | 2086X0206X | H0079964 | MD |
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 - General Surgery (MI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 39 |
|---|---|
| Services billed | 129 across 17 procedure codes |
| Paid by Medicare | $29,440 |
Part D prescriptions in 2024
| Prescriptions (claims) | 77 · 77 30-day fills |
|---|---|
| Patients | 60 |
| Total drug cost | $693.03 |
| Generic share | 99% of claims |
Education and affiliations
| Medical school | Lake Erie College of Osteopathic Medicine, Erie |
|---|---|
| Graduation year | 2009 |
| Medicare specialty | General Surgery |
Medical group
- Beaumont Medical Group- Specialty ServicesBerkley, MI · 847 clinicians
Hospital affiliations
- Beaumont Hospital Royal OakRoyal Oak, MI
- Beaumont Hospital, TroyTroy, MI
Industry payments (Open Payments)
- 2025$1,885 · 13 payments from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Axogen | $1,885 | 13 |
What the 2025 payments were for
- Travel and Lodging$1,302 · 4 payments
- Food and Beverage$582.49 · 9 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 25 general surgeons in Troy · All general surgeons in Michigan