Doctor profile · Federal record
Dr. JACOB COSTELLO, DPT
Physical Therapist (CMS: PHYSICAL THERAPIST IN PRIVATE PRACTICE) · Physical Therapist · Prosthetic/Orthotic Supplier · OMAHA, NE
- NPI 1275737470
- Accepts Medicare
- MIPS 92.8 / 100 · 2023
- 19 yrs in practice
- Licensed in 2 states
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
825 N 90TH ST
OMAHA, NE 681142702
(402) 933-8900
fax (402) 393-9388 - Mailing address
-
8642 F ST
OMAHA, NE 681271639
Credentials & registration
- NPI registered
- June 2007 — 19 yrs on file
- Profile last updated
- June 12, 2020
- Year of graduation
- 2007 — 19 yrs since
- Specialty taxonomy
- 225100000X — NUCC code
- State licenses (2)
- Nebraska #2554 · Iowa #004086
- Medicaid (3)
- NE #10025410100 · NE #10025768700 · NE #47082113700
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1275737470. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
1,641
Distinct HCPCS
6
Medicare allowed
$44,703
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
97530 |
Therapy procedure using functional activities | 604 | 105 | $30 | |
97112 |
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 447 | 87 | $24 | |
97110 |
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 431 | 93 | $21 | |
97140 |
Therapy procedure using manual technique, each 15 minutes | 109 | 40 | $20 | |
97162 |
Evaluation for physical therapy, typically 30 minutes | 31 | 31 | $95 | |
97164 |
Re-evaluation for physical therapy, typically 20 minutes | 19 | 15 | $65 |
In context: peer comparison
Among 97 peers in this city , average services per provider: 386. This provider delivers 4.3× the peer median.