Nicholas Joseph Costa II, MD
Internal Medicine, Clinical Cardiac Electrophysiology (MD) with Forsyth Memorial Hospital Inc, practicing in Winston Salem, North Carolina. Their prescriptions cost Medicare Part D more than their services did: $733,418 for 1,790 claims, against $139,807 paid for services in 2024. Abbott Laboratories was the largest of 12 companies reporting payments in 2025, $1,130 in all, mostly food and beverage. Lists Northern Regional Hospital and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1629368931 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Apr 8, 2011 |
| Last updated in NPPES | Oct 26, 2020 |
| Certified by provider | Sep 29, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Clinical Cardiac Electrophysiology Primary | 207RC0001X | 2019-00725 | NC |
| Internal Medicine | 207R00000X | D0079810 | MD |
| Internal Medicine, Cardiovascular Disease | 207RC0000X | 2019-00725 | NC |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
| Internal Medicine | 207R00000X | 2019-00725 | NC |
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 - Cardiac Electrophysiology (NC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 769 |
|---|---|
| Services billed | 2,223 across 65 procedure codes |
| Paid by Medicare | $139,807 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,790 · 4,146 30-day fills |
|---|---|
| Patients | 411 |
| Total drug cost | $733,418 |
| Generic share | 63% of claims |
Education and affiliations
| Graduation year | 2011 |
|---|---|
| Medicare specialty | Cardiac Electrophysiology |
| Secondary specialties | Cardiovascular Disease (Cardiology) |
Medical group
- Forsyth Memorial Hospital IncWinston Salem, NC · 620 clinicians
Hospital affiliations
- Northern Regional HospitalMount Airy, NC
- Novant Health Forsyth Medical CenterWinston-Salem, NC
- Twin County Regional HospitalGalax, VA
Industry payments (Open Payments)
- 2025$1,130 · 50 payments from 12 companies
- 2024$1,491 · 52 payments from 15 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Abbott Laboratories | $194.19 | 10 |
| Boston Scientific Corporation | $186.85 | 5 |
| Biosense Webster, Inc. | $169.14 | 6 |
| Medtronic, Inc. | $168.87 | 10 |
| Cardiva Medical, Inc. | $157.40 | 7 |
What the 2025 payments were for
- Food and Beverage$1,130 · 50 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 15 Internal Medicine, Clinical Cardiac Electrophysiology providers in Winston Salem · All Internal Medicine, Clinical Cardiac Electrophysiology providers in North Carolina