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Gary Costa

Case Manager/Care Coordinator β€’ Bend, OR

Active NPI 1568820777 Individual Practitioner Male Practitioner
Practice location in NPPES

1128 Nw Harriman St
Bend, OR 977031947

Call 5417770755 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1128 Nw Harriman St

Bend, OR 977031947

Telephone 5417770755
Organization at the Same NPPES Address or Phone
Mosaic Community Health Facility NPI 1215368329

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 2 distinct additional practice-address records in Bend, OR; Eugene, OR. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2016

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Bend and Oregon

130 active clinicians are listed under Case Manager/Care Coordinator with a practice address in Bend, OR (4,193 in Oregon).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Bend

0% of these 130 clinicians have the CMS telehealth indicator.

0% of these 130 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-05-16
Case Manager/Care Coordinator Primary Specialty

NUCC Taxonomy Code: 171M00000X

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oregon Medical Board.
Look Up on State Board Site

Secondary Practice Locations

1461 Oak St

Eugene, OR 974014007

Phone: 5413930777

2577 Ne Courtney Drive

Bend, OR 97701

Phone: 5413227500

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

7 listed
Kelly Belczyk , LCSW

Social Worker - Clinical

NPI 1548592298

Licensed Clinical Social Worker

Dr. Tina Busby , MD

Family Medicine

NPI 1578582631

Doctor of Medicine (M.D.)

Amanda Copeland

Social Worker - Clinical

NPI 1558854521
Brian Fulmer

Psychiatry & Neurology - Psychiatry

NPI 1033572573
Lindsey Hurtado

Nurse Practitioner - Psychiatric/Mental Health

NPI 1003500836
Mikaela Miller

Psychiatry & Neurology - Psychiatry

NPI 1639752355

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸ“
Updated Practice Location May 16, 2023

Registered at 1128 NW HARRIMAN ST, BEND, OR 977031947 (Tel: 5417770755)

βœ…
NPI Profile Active February 02, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) February 02, 2016

Registered at 1461 OAK ST, EUGENE, OR 974014007 (Tel: 5413930777)

πŸ“
Business Mailing Address (Initial Record) February 02, 2016

Registered at 78 CENTENNIAL LOOP STE A, EUGENE, OR 974017900

πŸ‘€
Provider Name / Credentials (Initial Record) February 02, 2016

Recorded as GARY COSTA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 02, 2016

Counselor

🟒
Initial NPI Registration & Enumeration February 02, 2016

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1568820777
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 02, 2016
Last Update: May 16, 2023
Sole Proprietor: No

Mailing Address

78 Centennial Loop Ste A

Eugene, OR 974017900

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.