Gary Costanzo, PA
NPI 1417103128ActiveIndividual· Physician Assistant, Medical· Manchester, NH
Physician Assistant, Medical (PA) with Elliot Professional Services, practicing in Manchester, New Hampshire. 64 Medicare patients in 2024, $2,453 paid; nearly all of their 71 Part D prescriptions were generic (90%). Lists Elliot Hospital as a hospital affiliation.
Overview
| NPI | 1417103128 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Aug 13, 2008 |
| Last updated in NPPES | Oct 14, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Medical Primary | 363AM0700X | 0686 | NH |
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 - Physician Assistant (NH) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 64 |
|---|---|
| Services billed | 66 across 6 procedure codes |
| Paid by Medicare | $2,453 |
Part D prescriptions in 2024
| Prescriptions (claims) | 71 · 71 30-day fills |
|---|---|
| Patients | 55 |
| Total drug cost | $661.98 |
| Generic share | 90% of claims |
Education and affiliations
| Graduation year | 2008 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Elliot Professional ServicesManchester, NH · 427 clinicians
Hospital affiliation
- Elliot HospitalManchester, NH
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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