Nicole Noel Costello, M.D
Opted out of Medicare from March 2025 to March 2027. Internal Medicine (M.D) in Naples, Florida, licensed in FL and IL, with an NPI issued in July 2008. Their prescriptions cost Medicare Part D more than their services did: $1,100,961 for 12,252 claims, against $129,254 paid for services in 2024. Cvrx, Inc. was the largest of 6 companies reporting payments in 2025, $169.48 in all, mostly food and beverage.
Overview
| NPI | 1962667907 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D |
| Sole proprietor | No |
| NPI issued | Jul 18, 2008 |
| Last updated in NPPES | Sep 17, 2020 |
| Certified by provider | Sep 17, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | ME123492 | FL |
| Internal Medicine | 207R00000X | 036-126252 | IL |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Opt-out | Opted out Mar 7, 2025 – Mar 7, 2027 |
| 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 | 599 |
|---|---|
| Services billed | 1,577 across 34 procedure codes |
| Paid by Medicare | $129,254 |
Part D prescriptions in 2024
| Prescriptions (claims) | 12,252 · 31,406 30-day fills |
|---|---|
| Patients | 1,100 |
| Total drug cost | $1,100,961 |
| Generic share | 89% of claims |
Industry payments (Open Payments)
- 2025$169.48 · 10 payments from 6 companies
- 2024$907.39 · 45 payments from 18 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Cvrx, Inc. | $71.96 | 5 |
| Novo Nordisk Inc | $22.45 | 1 |
| Novartis Pharmaceuticals Corporation | $21.81 | 1 |
| Exact Sciences Corporation | $20.68 | 1 |
| Glaxosmithkline, LLC. | $18.20 | 1 |
What the 2025 payments were for
- Food and Beverage$169.48 · 10 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 317 internal medicine physicians in Naples · All internal medicine physicians in Florida