Libby A. Costello Gard, FNP
NPI 1326239195ActiveIndividual· Nurse Practitioner, Family· Missoula, MT
Nurse Practitioner, Family (FNP) with Sapphire Community Health Inc, practicing in Missoula, Montana. Their prescriptions cost Medicare Part D more than their services did: $130,097 for 2,365 claims, against $23,222 paid for services in 2024. Exact Sciences Corporation reported $22.26 in payments in 2025, mostly food and beverage. Lists Bitterroot Health - Daly Hospital and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1326239195 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP |
| Sole proprietor | No |
| NPI issued | Aug 7, 2007 |
| Last updated in NPPES | May 10, 2021 |
| Certified by provider | May 10, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | NUR-APRN-LIC-126782 | MT |
| Registered Nurse, Ambulatory Care | 163WP2201X | 099007632RN | OR |
| Nurse Practitioner, Family | 363LF0000X | 200850014NP | OR |
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 (MT) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 191 |
|---|---|
| Services billed | 697 across 37 procedure codes |
| Paid by Medicare | $23,222 |
Part D prescriptions in 2024
| Prescriptions (claims) | 2,365 · 5,351 30-day fills |
|---|---|
| Patients | 212 |
| Total drug cost | $130,097 |
| Generic share | 91% of claims |
Education and affiliations
| Graduation year | 2007 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Sapphire Community Health IncHamilton, MT · 40 clinicians
Hospital affiliations
- Bitterroot Health - Daly HospitalHamilton, MT
- Community Medical CenterMissoula, MT
- St. Patrick HospitalMissoula, MT
Industry payments (Open Payments)
- 2025$22.26 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Exact Sciences Corporation | $22.26 | 1 |
What the 2025 payments were for
- Food and Beverage$22.26 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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