Doctor profile · Federal record

Dr. DAVID COSTELLO, C.R.N.P.

Family Nurse Practitioner (CMS: NURSE PRACTITIONER) · Family Nurse Practitioner · GULFPORT, MS

  • NPI 1104053420
  • Accepts Medicare
  • 17 yrs in practice
  • Licensed in 2 states
  • Male
  • Solo practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
4300 15TH ST
GULFPORT, MS 395012524
(228) 864-0828
Mailing address
12825 HANOVER DR
OCEAN SPRINGS, MS 395642612

Credentials & registration

NPPES · NUCC
NPI registered
June 2009 — 17 yrs on file
Profile last updated
August 9, 2022
Year of graduation
2009 — 17 yrs since
Specialty taxonomy
363LF0000X — NUCC code
State licenses (2)
Mississippi #904287 · Alabama #1-064521

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1104053420. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
2,051
Distinct HCPCS
10
Medicare allowed
$71,999
HCPCS Description Services Patients Avg allowed
95117 Professional service for multiple injections of allergen 700 40 $8
69210 Removal of impacted ear wax 351 239 $36
99213 Established patient office or other outpatient visit, 20-29 minutes 321 224 $70
J1040 Injection, methylprednisolone acetate, 80 mg 173 83 $12
99212 Established patient office or other outpatient visit, 10-19 minutes 128 98 $43
99214 Established patient office or other outpatient visit, 30-39 minutes 120 90 $98
96372 Injection of drug or substance under skin or into muscle 93 83 $11
99203 New patient office or other outpatient visit, 30-44 minutes 82 82 $87
92504 Exam of ear using a microscope 30 27 $21
99202 New patient office or other outpatient visit, 15-29 minutes 14 14 $55

In context: peer comparison

Among 42 peers in this city , average services per provider: 92. This provider delivers 22× the peer median.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$131
Transactions
5
Manufacturers
3
Payer (manufacturer) Industry Txns Amount
GENZYME CORPORATION 3 $88.68
Optinose US, Inc. 1 $24.25
Regeneron Healthcare Solutions, Inc. 1 $18.40

By nature of payment

Food and Beverage
$131

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
864
Patients
451
Total drug cost
$9,525
Drug Type Claims Patients Total cost
Fluticasone Propionate Generic 405 167 $4,208
Amoxicillin-Clavulanate Potass (Amoxicillin/Potassium Clav) Brand 102 83 $1,353
Mupirocin Generic 63 53 $561
Azelastine Hcl Generic 50 32 $1,483
Mometasone Furoate Generic 46 37 $630
Montelukast Sodium Generic 46 0 $228
Prednisone Generic 38 36 $121
Ipratropium Bromide Generic 20 0 $490
Fluconazole Generic 19 13 $105
Omeprazole Generic 19 0 $44