Doctor profile · Federal record
Dr. Jack Costa, M.D.
Dermatology Physician (CMS: Dermatology) · Fairfax, VA
- NPI 1144393935
- Accepts Medicare
- MIPS 0.0 / 100 · 2023
- 55 yrs in practice
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
3650 Joseph Siewick Dr, Suite 202
Fairfax, VA 220331710
(703) 391-2516
fax (703) 476-8244 - Mailing address
-
3650 Joseph Siewick Drive, Suite 202
Fairfax, VA 22033
Credentials & registration
- NPI registered
- November 2006 — 20 yrs on file
- Profile last updated
- December 30, 2010
- Year of graduation
- 1971 — 55 yrs since
- Specialty taxonomy
- 207N00000X — NUCC code
- State license (1)
- Virginia #0101028288
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1144393935. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
2,593
Distinct HCPCS
10
Medicare allowed
$330,770
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
17003 |
Destruction of precancer skin growth, 2-14 growths | 483 | 101 | $8 | |
17000 |
Destruction of precancer skin growth, 1 growth | 266 | 149 | $45 | |
11104 |
Punch biopsy, first skin growth | 222 | 142 | $101 | |
27323 |
Biopsy of surface tissue of thigh or knee | 194 | 86 | $310 | |
27613 |
Biopsy of surface tissue of leg or ankle | 188 | 91 | $206 | |
21920 |
Biopsy of surface soft tissue to back or lower sides | 160 | 78 | $176 | |
99215 |
Established patient office or other outpatient visit, 40-54 minutes | 151 | 136 | $200 | |
17110 |
Destruction of skin growth, 1-14 growths | 135 | 96 | $81 | |
24065 |
Biopsy of surface tissue of upper arm or elbow | 117 | 75 | $210 | |
21550 |
Biopsy of soft tissue of neck or chest | 114 | 81 | $250 |
In context: peer comparison
Among 13 peers in this city , average services per provider: 154. This provider delivers 17× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
11
Patients
0
Total drug cost
$184
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Betamethasone Diprop Augmented (Betamethasone/Propylene Glyc) | Brand | 11 | 0 | $184 |
Frequently asked questions
What is Dr. Jack Costa's medical specialty?
Dr. Jack Costa practices Dermatology Physician in Fairfax, VA.
Where does Dr. Jack Costa practice?
Dr. Jack Costa practices at 3650 Joseph Siewick Dr, Fairfax, VA 220331710. Office phone: 7033912516.
What is Dr. Jack Costa's NPI?
Dr. Jack Costa's National Provider Identifier (NPI) is 1144393935, issued by NPPES.
Does Dr. Jack Costa accept Medicare assignment?
Yes. Dr. Jack Costa accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Jack Costa commonly perform?
Top Medicare-reported procedures in 2023: Destruction of precancer skin growth, 2-14 growths (HCPCS 17003); Destruction of precancer skin growth, 1 growth (HCPCS 17000); Punch biopsy, first skin growth (HCPCS 11104). Source: CMS Medicare Physician & Other Practitioners file.