James Christopher Costabile, PA-C
Opted out of Medicare from June 2026 to June 2028. Physician Assistant (PA-C) in Forest, Virginia, licensed in VA and MD, with an NPI issued in October 2011. Their prescriptions cost Medicare Part D more than their services did: $257,037 for 2,523 claims, against $36,119 paid for services in 2024. Astrazeneca Pharmaceuticals LP was the largest of 6 companies reporting payments in 2025, $244.26 in all, mostly food and beverage. Lists Medstar Saint Mary's Hospital as a hospital affiliation.
Overview
| NPI | 1720362254 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Oct 3, 2011 |
| Last updated in NPPES | May 23, 2026 |
| Certified by provider | May 23, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 0110011169 | VA |
| Physician Assistant, Medical | 363AM0700X | C06816 | MD |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Opt-out | Opted out Jun 18, 2026 – Jun 18, 2028 |
| Can order and refer | Yes |
| Accepts assignment | Yes (participating) |
During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.
Medicare services in 2024
| Medicare patients | 215 |
|---|---|
| Services billed | 905 across 39 procedure codes |
| Paid by Medicare | $36,119 |
Part D prescriptions in 2024
| Prescriptions (claims) | 2,523 · 5,544 30-day fills |
|---|---|
| Patients | 251 |
| Total drug cost | $257,037 |
| Generic share | 90% of claims |
Education and affiliations
| Graduation year | 2011 |
|---|---|
| Medicare specialty | Physician Assistant |
Hospital affiliation
- Medstar Saint Mary's HospitalLeonardtown, MD
Other facilities
- Chesapeake - Potomac Home Health Agency, Inc.Home health agency · Hughesville, MD
Industry payments (Open Payments)
- 2025$244.26 · 10 payments from 6 companies
- 2024$125.13 · 7 payments from 5 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Astrazeneca Pharmaceuticals LP | $69.66 | 3 |
| Abbvie Inc. | $58.34 | 2 |
| Novo Nordisk Inc | $41.36 | 2 |
| Lilly USA, LLC | $31.99 | 1 |
| Pfizer Inc. | $28.45 | 1 |
What the 2025 payments were for
- Food and Beverage$228.27 · 9 payments
- Education$15.99 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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