James Christopher Costabile , PA-C
Physician Assistant • Forest, VA
18024 Forest Rd
Forest, VA 245514853
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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James Costabile is listed in NPPES under Physician Assistant.
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NPI assigned on October 3, 2011; this date does not establish years in practice.
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Published CMS data list 755 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99214 — Established patient outpatient office visit: 246 service units.
- 99213 — Established patient outpatient office visit: 215 service units.
- 96372 — Injection of drug or substance under skin or into muscle: 43 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 14 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 2,026 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Amlodipine Besylate — 126 prescription fills, including refills.
- Atorvastatin Calcium — 120 prescription fills, including refills.
- Losartan Potassium — 98 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 72 records in the table · Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 75% of clinicians listed under Physician Assistant in Virginia (2024, 2,247 clinicians with data). Median for this group: 288. Middle half: 107 to 693.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 501 in 2020 to 755 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
18024 Forest Rd
Forest, VA 245514853
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 1 additional practice-address record in Solomons, MD. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
CMS Doctors and Clinicians lists 1 group name: Calverthealth Medical Group, Llc. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
2011
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
215 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.
Medicare-allowed amount
About $48,235 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
Paid by Medicare
About $32,340 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
30-day fills
4,525 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$191,035 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $244.26 across 10 records.
By nature of payment
- Food and Beverage: $228.27 across 9 records.
- Education: $15.99 across 1 record.
Reporting-company totals (3 largest of 6)
- AstraZeneca Pharmaceuticals LP: $69.66 across 3 records.
- ABBVIE INC.: $58.34 across 2 records.
- Novo Nordisk Inc: $41.36 across 2 records.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
15 years (graduated 2011)
CMS Doctors and Clinicians data list 2011 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2011
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.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
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, “Does your provider accept Medicare as full payment?”
Telehealth (some services)
Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.
You may be able to have some visits without going to the office. Ask which visits can be done by telehealth.
What this does not show: Telehealth (some services)
It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
James Costabile has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists James Costabile as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Forest and Virginia
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 75% of clinicians listed under Physician Assistant in Virginia (2024, 2,247 clinicians with data). Median for this group: 288. Middle half: 107 to 693.
Too few clinicians listed under Physician Assistant in Forest have Medicare Part B data for 2024 to compare.
Medicare-allowed amount
A higher Medicare-allowed amount than 75% of clinicians listed under Physician Assistant in Virginia (2024, 2,247 clinicians with data). Median for this group: $23,153. Middle half: $9,003 to $44,800.
Too few clinicians listed under Physician Assistant in Forest have Medicare Part B data for 2024 to compare.
Paid by Medicare
A higher Medicare payment amount than 70% of clinicians listed under Physician Assistant in Virginia (2024, 2,247 clinicians with data). Median for this group: $17,218. Middle half: $6,803 to $32,639.
Too few clinicians listed under Physician Assistant in Forest have Medicare Part B data for 2024 to compare.
Medicare Part D prescriptions
More Part D prescriptions than 90% of clinicians listed under Physician Assistant in Virginia (2024, 2,256 clinicians with data). Median for this group: 247. Middle half: 75 to 708.
Too few clinicians listed under Physician Assistant in Forest have Medicare Part D data for 2024 to compare.
Part D drug cost
A higher Part D drug cost than 85% of clinicians listed under Physician Assistant in Virginia (2024, 2,256 clinicians with data). Median for this group: $3,441. Middle half: $640 to $57,211.
Too few clinicians listed under Physician Assistant in Forest have Medicare Part D data for 2024 to compare.
15 active clinicians are listed under Physician Assistant with a practice address in Forest, VA (4,411 in Virginia).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Forest
26.7% of these 15 clinicians have the CMS telehealth indicator.
66.7% of these 15 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 51% from 501 in 2020 to 755 in 2024.
- 2020: 501
- 2021: 526
- 2022: 745
- 2023: 610
- 2024: 755
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Medicare-allowed amount
Medicare-allowed amount increased 63% from $29,519 in 2020 to $48,235 in 2024.
- 2020: $29,519
- 2021: $42,299
- 2022: $50,617
- 2023: $40,268
- 2024: $48,235
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Paid by Medicare
Paid by Medicare increased 70% from $18,987 in 2020 to $32,340 in 2024.
- 2020: $18,987
- 2021: $27,439
- 2022: $33,172
- 2023: $25,171
- 2024: $32,340
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 97% from 1,029 in 2020 to 2,026 in 2024.
- 2020: 1,029
- 2021: 1,073
- 2022: 1,337
- 2023: 1,719
- 2024: 2,026
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30-day fills
30-day fills increased 137% from 1,906 in 2020 to 4,525 in 2024.
- 2020: 1,906
- 2021: 2,271
- 2022: 2,982
- 2023: 3,783
- 2024: 4,525
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Part D drug cost
Part D drug cost increased 202% from $63,357 in 2020 to $191,035 in 2024.
- 2020: $63,357
- 2021: $39,868
- 2022: $51,133
- 2023: $218,356
- 2024: $191,035
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $104.96 in 2021 to $244.26 in 2025.
- 2021: $104.96
- 2022: $110.02
- 2023: $183.15
- 2024: $125.13
- 2025: $244.26
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $244.26.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| AstraZeneca Pharmaceuticals LP |
Food and Beverage
In-kind items and services
|
AIRSUPRA | General | $33.45 |
| Eli Lilly and Company |
Food and Beverage
In-kind items and services
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MOUNJARO | General | $31.99 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
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VRAYLAR | General | $29.78 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
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VRAYLAR | General | $28.56 |
| Pfizer Inc. |
Food and Beverage
In-kind items and services
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NURTEC ODT | General | $28.45 |
| Novo Nordisk Inc |
Food and Beverage
In-kind items and services
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Wegovy | General | $26.72 |
| AstraZeneca Pharmaceuticals LP |
Food and Beverage
In-kind items and services
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AIRSUPRA | General | $20.22 |
| AstraZeneca Pharmaceuticals LP |
Education
In-kind items and services
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BREZTRI | General | $15.99 |
| Novo Nordisk Inc |
Food and Beverage
In-kind items and services
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Ozempic | General | $14.64 |
| Amgen Inc. |
Food and Beverage
In-kind items and services
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REPATHA | General | $14.46 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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246 | 140 | $256.00 | $91.39 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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215 | 135 | $181.00 | $62.40 |
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96372
Injection of drug or substance under skin or into muscle
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43 | 12 | $68.00 | $12.19 |
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G0008
Administration of influenza virus vaccine
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42 | 41 | $56.00 | $32.30 |
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90662
Influenza vaccine split virus, preservative free
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37 | 36 | $140.00 | $81.02 |
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81002
Urinalysis, manual test
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33 | 23 | $7.00 | $3.41 |
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93000
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report
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27 | 26 | $30.00 | $12.16 |
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96127
Assessment of emotional or behavioral problems
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25 | 24 | $10.00 | $4.49 |
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G0444
Annual depression screening, 5 to 15 minutes
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23 | 23 | $38.00 | $16.18 |
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94640
Inhalation treatment for airway obstruction or sputum production
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16 | 14 | $52.00 | $6.81 |
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90677
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use
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13 | 13 | $568.00 | $291.37 |
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G0009
Administration of pneumococcal vaccine
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13 | 13 | $56.00 | $32.30 |
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90480
Admn sarscov2 vacc 1 dose
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11 | 11 | $80.00 | $43.07 |
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91322
Sarscov2 vac 50 mcg/0.5ml im
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11 | 11 | $292.00 | $158.42 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Amlodipine Besylate | Amlodipine Besylate | 126 | 9,170 | $580.19 | 37 |
| Atorvastatin Calcium | Atorvastatin Calcium | 120 | 10,580 | $1,089.69 | 39 |
| Losartan Potassium | Losartan Potassium | 98 | 8,010 | $966.69 | 28 |
| Lisinopril | Lisinopril | 71 | 5,860 | $336.32 | 20 |
| Metformin Hcl | Metformin Hcl | 64 | 4,980 | $217.88 | 20 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 62 | 1,835 | $1,434.47 | 28 |
| Hydrochlorothiazide | Hydrochlorothiazide | 59 | 5,104 | $167.92 | 20 |
| Levothyroxine Sodium | Levothyroxine Sodium | 58 | 4,970 | $832.38 | 23 |
| Gabapentin | Gabapentin | 57 | 2,670 | $594.55 | 16 |
| Omeprazole | Omeprazole | 51 | 4,055 | $753.83 | 13 |
| Trazodone Hcl | Trazodone Hcl | 49 | 3,487 | $249.84 | 17 |
| Montelukast Sodium | Montelukast Sodium | 44 | 2,586 | $636.78 | — |
| Pantoprazole Sodium | Pantoprazole Sodium | 44 | 2,826 | $617.84 | 11 |
| Tamsulosin Hcl | Tamsulosin Hcl | 43 | 3,330 | $491.17 | 14 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 43 | 3,007 | $554.40 | 14 |
| Metoprolol Succinate | Metoprolol Succinate | 40 | 3,560 | $746.66 | 13 |
| Metoprolol Tartrate | Metoprolol Tartrate | 32 | 2,730 | $299.97 | 14 |
| Meloxicam | Meloxicam | 30 | 1,340 | $110.87 | 11 |
| Famotidine | Famotidine | 30 | 1,678 | $267.45 | — |
| Ezetimibe | Ezetimibe | 29 | 2,610 | $879.30 | — |
| Chlorthalidone | Chlorthalidone | 26 | 2,220 | $715.68 | — |
| Furosemide | Furosemide | 26 | 2,430 | $120.58 | — |
| Simvastatin | Simvastatin | 25 | 2,250 | $165.98 | — |
| Escitalopram Oxalate | Escitalopram Oxalate | 24 | 2,100 | $233.51 | 11 |
| Fluticasone Propionate | Fluticasone Propionate | 24 | 1,740 | $732.89 | — |
(top 25 shown)
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2026-05-23NUCC Taxonomy Code: 363A00000X
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
NUCC Taxonomy Code: 363AM0700X
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PHYSICIAN ASSISTANT
I20180919000955
MD
3779758008
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Calverthealth Medical Group, Llc
110 Hospital Rd, Prince Frederick, MD 206784019
Phone: 4105358195
Calverthealth Medical Group, Llc
8924 Chesapeake Ave, North Beach, MD 207144050
Phone: 4102577279
Calverthealth Medical Group, Llc
14090 Hg Trueman Rd, Solomons, MD 206883151
Secondary Practice Locations
14090 Hg Trueman Rd Ste 2100
Solomons, MD 206883151
Phone: 4103943712
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Family Medicine
Doctor of Osteopathic Medicine (D.O.)
Nurse Practitioner - Family
Family Nurse Practitioner (Board Certified), Doctor of Nursing Practice
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 18024 FOREST RD, FOREST, VA 245514853 (Tel: 4342140722)
Registered at 18024 FOREST RD, FOREST, VA 245514853 (Tel: 4342140722)
Physician Assistant (license number reported to NPPES: VA 0110011169)
Registered at 14090 HG TRUEMAN RD STE 2100, SOLOMONS, MD 206883151 (Tel: 4103943712)
Registered at 14090 HG TRUEMAN RD STE 2100, SOLOMONS, MD 206883151 (Tel: 4103943712)
Registered at 11845 HG TRUEMAN RD, LUSBY, MD 20657 (Tel: 4103566344)
Registered at 633 RED ROCK TRL, LUSBY, MD 206573797 (Tel: 3015181535)
NPI status registered as active in NPPES database
Registered at 4825 W TILGHMAN ST, ALLENTOWN, PA 181049322 (Tel: 6103669242)
Registered at 3006 HARVEST CT, CENTER VALLEY, PA 180349241 (Tel: 3015181535)
Recorded as JAMES COSTABILE, PA-C
Physician Assistant (license number reported to NPPES: PA MA056078)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Physician Assistants in Forest
- Kaitlin Martin, PA
- Brandon Wooldridge, PA-C
- Daniel Acevedo, PA-C
- Kevin Arp, PA-C
- Karolyn Miller, PA-C
- Jonathan Moreno, PA
Mailing Address
18024 Forest Rd
Forest, VA 245514853
Phone: 4342140722