Doctor profile · Federal record
Dr. KATHERINE COSTELLO, MD
Family Medicine Physician (CMS: FAMILY PRACTICE) · Family Medicine Physician · SHIPROCK, NM
- NPI 1619104916
- Accepts Medicare
- 17 yrs in practice
- Licensed in 2 states
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
US HWY 491 NORTH
SHIPROCK, NM 87420
(505) 368-6001
fax (505) 368-7011 - Mailing address
-
PO BOX 160
SHIPROCK, NM 874200160
Credentials & registration
- NPI registered
- June 2009 — 17 yrs on file
- Profile last updated
- September 25, 2015
- Year of graduation
- 2009 — 17 yrs since
- Specialty taxonomy
- 207Q00000X — NUCC code
- State licenses (2)
- New Mexico #MD2012-053 · Massachusetts #241082
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1619104916. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
267
Distinct HCPCS
6
Medicare allowed
$24,564
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 94 | 65 | $64 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 73 | 49 | $95 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 41 | 41 | $129 | |
99215 |
Established patient office or other outpatient visit, 40-54 minutes | 37 | 27 | $138 | |
99203 |
New patient office or other outpatient visit, 30-44 minutes | 11 | 11 | $80 | |
99212 |
Established patient office or other outpatient visit, 10-19 minutes | 11 | 11 | $34 |
In context: peer comparison
Among 7 peers in this city , average services per provider: 97. This provider delivers 2.8× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
343
Patients
49
Total drug cost
$5,343
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Atorvastatin Calcium | Generic | 33 | 14 | $794 |
| Levothyroxine Sodium | Generic | 33 | 12 | $528 |
| Lisinopril | Generic | 30 | 12 | $279 |
| Metformin Hcl | Generic | 27 | 0 | $273 |
| Gabapentin | Generic | 24 | 0 | $341 |
| Lorazepam | Generic | 23 | 0 | $238 |
| Losartan Potassium | Generic | 23 | 11 | $429 |
| Oxycodone Hcl | Generic | 21 | 0 | $198 |
| Tramadol Hcl | Generic | 21 | 0 | $193 |
| Metoprolol Succinate | Generic | 19 | 0 | $362 |