Margaret Irene Costello, RN, ARNP
NPI 1245566629ActiveIndividual· Nurse Practitioner, Adult Health· Kansas City, MO
Nurse Practitioner, Adult Health (RN, ARNP) with Epiphany Dermatology of Kansas LLC, practicing in Kansas City, Missouri. 378 Medicare patients in 2024, $72,807 paid; nearly all of their 485 Part D prescriptions were generic (92%). Abbvie Inc. was the largest of 19 companies reporting payments in 2025, $2,550 in all, mostly food and beverage.
Overview
| NPI | 1245566629 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RN, ARNP |
| Sole proprietor | No |
| NPI issued | Oct 20, 2009 |
| Last updated in NPPES | Nov 19, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Adult Health Primary | 363LA2200X | 53-74998-081 | KS |
| Registered Nurse | 163W00000X | 13-87361-081 | KS |
| Nurse Practitioner, Adult Health | 363LA2200X | 2009032629 | MO |
| Registered Nurse | 163W00000X | 2009026203 | MO |
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 - Nurse Practitioner (KS) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 378 |
|---|---|
| Services billed | 6,614 across 29 procedure codes |
| Paid by Medicare | $72,807 |
Part D prescriptions in 2024
| Prescriptions (claims) | 485 · 538 30-day fills |
|---|---|
| Patients | 213 |
| Total drug cost | $103,200 |
| Generic share | 92% of claims |
Education and affiliations
| Graduation year | 2008 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Epiphany Dermatology of Kansas LLCOverland Park, KS · 14 clinicians
Industry payments (Open Payments)
- 2025$2,550 · 123 payments from 19 companies
- 2024$2,572 · 131 payments from 22 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Abbvie Inc. | $340.09 | 22 |
| Novartis Pharmaceuticals Corporation | $316.42 | 11 |
| Galderma Laboratories, L.P. | $223.27 | 9 |
| Ucb, Inc. | $207.77 | 10 |
| Janssen Biotech, Inc. | $198.82 | 7 |
What the 2025 payments were for
- Food and Beverage$2,467 · 122 payments
- Education$82.95 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 92 adult health nurse practitioners in Kansas City · All adult health nurse practitioners in Missouri