Doctor profile · Federal record
Dr. THEODORE COSTICH, M.D.
Obstetrics & Gynecology Physician (CMS: OBSTETRICS/GYNECOLOGY) · WILLIAMSVILLE, NY
- NPI 1245331818
- Accepts Medicare
- 39 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
41 MAPLE RD
WILLIAMSVILLE, NY 142212918
(716) 631-1045
fax (716) 631-1365
Credentials & registration
- NPI registered
- September 2006 — 20 yrs on file
- Profile last updated
- September 4, 2009
- Year of graduation
- 1987 — 39 yrs since
- Specialty taxonomy
- 207V00000X — NUCC code
- State license (1)
- New York #187420
- Medicaid
- NY #01406720
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1245331818. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
184
Distinct HCPCS
5
Medicare allowed
$8,207
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination | 59 | 59 | $38 | |
99212 |
Established patient office or other outpatient visit, 10-19 minutes | 36 | 24 | $55 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 32 | 26 | $87 | |
81003 |
Automated urinalysis test | 29 | 27 | $2 | |
Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 28 | 28 | $42 |
In context: peer comparison
Among 13 peers in this city , average services per provider: 45. This provider delivers 4.1× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
364
Patients
124
Total drug cost
$13,891
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Fluconazole | Generic | 60 | 34 | $595 |
| Estradiol | Generic | 52 | 16 | $4,881 |
| Nystatin | Generic | 48 | 18 | $913 |
| Valacyclovir (Valacyclovir Hcl) | Brand | 43 | 13 | $1,393 |
| Norethindrone | Generic | 38 | 0 | $1,055 |
| Clotrimazole-Betamethasone (Clotrimazole/Betamethasone Dip) | Brand | 28 | 16 | $1,075 |
| Tolterodine Tartrate Er (Tolterodine Tartrate) | Brand | 19 | 0 | $1,379 |
| Halobetasol Propionate | Generic | 18 | 13 | $1,423 |
| Metronidazole | Generic | 17 | 14 | $483 |
| Medroxyprogesterone Acetate | Generic | 16 | 0 | $468 |