2026 NPPES data Adult Reconstructive Orthopaedic Surgery Physician NPI 1982677910 M.D.
Verify on CMS →

Anthony Costa, M.D.

Adult Reconstructive Orthopaedic Surgery Physician in Eatontown, New Jersey.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 1,286 in Adult Reconstructive Orthopaedic Surgery Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.

Federal data, no proprietary rating. We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
552
Medicare Part D claims · 320 beneficiaries · Adult Reconstructive Orthopaedic Surgery Physician avg: 537
Generic prescribing
98%
generic claims · 2% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
63.2/100
▼ 20 pts below national avg 83.5 · Mid-tier
Industry payments
$10.0K
22 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

Anthony Costa, M.D. reported a CMS MIPS final score of 63.2/100 - below the 83.5 national average - and filed 552 Medicare Part D claims in 2024.

63.2/100
MIPS score · -20 vs avg
552
Part D claims, 2024
98%
generic prescribing
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.

Federal trust snapshot

What official records show about Anthony Costa, M.D.

Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.

  • Verified

    NPI registry status

    Active listing in the CMS National Provider Identifier Registry (NPI 1982677910), first enumerated 02/09/2006.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 552 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.

    Source: CMS Part D Prescriber PUF

  • Reported

    CMS quality reporting (MIPS)

    Reported a CMS MIPS final score of 63.2/100 in the Quality Payment Program — a federal quality measure, not a patient review.

    Source: CMS Quality Payment Program

  • Reported

    Board certification signal

    Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.

    Source: NUCC taxonomy + CMS participation heuristic

  • Reported

    Hospital affiliations

    1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.

    Source: CMS Care Compare

  • Reported

    Industry payment transparency

    $10.0K in reported industry payments (22 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.

    Source: CMS Open Payments

  • Not in federal data

    Individual sanction lookup

    PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.

    Source: State medical board / FSMB

This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.

CMS NPPES provider registry desk

NPI 1982677910 · Adult Reconstructive Orthopaedic Surgery Physician

NPI-10 · ENUM-LEGACY · TAX-NARROW · MIPS-LOW · RX-LIGHT · BOOK-THIN · PHOTO-FINISH

  • NPI-10 1982677910
  • ENUM-LEGACY 2006
  • TAX-NARROW 1,286
  • MIPS-LOW 63.2/100
  • RX-LIGHT 552
  • BOOK-THIN 39 in New Jersey
  • PHOTO-FINISH Andrew Garber · ±0.1

MIPS final-score neighbourhood

Same-specialty nationwide peers by CMS final score, not geographic proximity

MIPS pts

What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).

Source CMS Quality Payment Program (MIPS) As of 2023

Anthony Costa, M.D.'s MIPS score vs every measured U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.

63 ≥ 6th percentile 6% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). Below this entry. 30–40: 2,746 measured providers (1%). Below this entry. 40–50: 2,928 measured providers (1%). Below this entry. 50–60: 5,882 measured providers (1%). Below this entry. 60–70: 13,906 measured providers (3%). This entry sits in this band. 70–80: 94,570 measured providers (21%). Above this entry. 80–90: 129,887 measured providers (29%). Above this entry. 90+: 189,403 measured providers (42%). Above this entry. This provider 0 100 every measured MIPS clinician, bucketed by value

Each bar is a band; taller bars hold more measured providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Where Anthony Costa, M.D. sits

This provider among adult reconstructive orthopaedic surgery physician peers

Across the 422 adult reconstructive orthopaedic surgery physician providers who report both Medicare Part D prescribing and a MIPS quality score, Anthony Costa, M.D. writes more Part D claims than 56% of them and scores higher on MIPS quality than 8% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.949.974.899.8Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 75Point, Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 53Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 65Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 3Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 78Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 13Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 2Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 12Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 77Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 18Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 28Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 5Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 87Anthony Costa, M.D., Part D claim volume, percentile in specialty: 56 · MIPS quality, percentile: 8
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one adult reconstructive orthopaedic surgery physician peer from a representative sample of 60; the gold marker is Anthony Costa, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

Board certification likely (heuristic, not verified)

Anthony Costa, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about Anthony Costa, M.D.?

Below national average

NPI registry status

Active

Issued 02/09/2006

NPI 1982677910

Primary specialty

Adult Reconstructive Orthopaedic Surgery Physician

Niche

1,286 US NPIs in this specialty

Medicare Part D claims

552 3% vs specialty avg

2024 prescription claims

Specialty avg: 537

MIPS final score

63.2/100 20.3 pts vs avg

Mid-tier band

vs 83.5 national avg

Specialty distribution in New Jersey

How Adult Reconstructive Orthopaedic Surgery Physician compares to other specialties among New Jersey providers

New Jersey providers
Mental Health Counselor6.2%Physical Therapist5.8%Student in an Organized Heal…5.6%Clinical Social Worker5.5%Pharmacist5%Internal Medicine Physician3.1%Adult Reconstructive Orthopa…0%
Largest specialties in New Jersey (% of in-state providers)

Medicare quality performance, MIPS

Anthony Costa, M.D.'s 2023 MIPS final score plotted against the Adult Reconstructive Orthopaedic Surgery Physician national average

Below national average
MIPS Final Score
63.2/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%63.2%
MIPS final score (Adult Reconstructive Orthopaedic Surgery Physician) - 63.2/100 vs national avg 83.5
How MIPS and board certification work

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

Practice Address

135 RT 35
Eatontown, NJ 07724

Provider Details

NPI 1982677910
Specialty Adult Reconstructive Orthopaedic Surgery Physician
Credentials M.D.
Gender Male
NPI Issued 02/09/2006

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

63.2373
Final Score
Measured-score avg: 83.5
38.9461
Quality
51.0116
Cost
85
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where Anthony Costa, M.D. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

Costa Orthopedics LLC
Eatontown, NJ

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) - CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Anthony Costa, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$10.0K

Largest payer

Stryker Corporation

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Brand vs generic prescribing mix · Generic-heavy

Anthony Costa, M.D. - brand share 2.0%
Adult Reconstructive Orthopaedic Surgery Physician average

2% brand-name claims vs 98% generic, on 552 2024 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2024.

552
Total Claims
$11K
Total Drug Cost
320
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
573.067
Total Day Supply
5,494
Brand vs Generic
2% brand / 98% generic
Brand Drug Cost
$4K
Generic Drug Cost
$7K
Opioid Claims
32 (5.8% rate)
Antibiotic Claims
407

Patient Demographics

Average Patient Age
73.1 years
Avg HCC Risk Score
0.86
Gender Split
69% female / 31% male
Age Distribution
<65: 13, 65-74: 181, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.

What Anthony Costa, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2024

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2024
Drug Claims
Amoxicillin
342
Clindamycin Hcl
46
Celecoxib
26
Diclofenac Sodium
15
Meloxicam
15
Tramadol Hcl
15
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
14
Cephalexin
13

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Adult Reconstructive Orthopaedic Surgery Physician Overview

How Anthony Costa, M.D. fits within the Adult Reconstructive Orthopaedic Surgery Physician landscape nationally.

1,286
Adult Reconstructive Orthopaedic Surgery Physician Providers in US
51
States with Adult Reconstructive Orthopaedic Surgery Physician
537
Avg Claims per Provider

Anthony Costa, M.D.'s 552 claims are above the specialty average of 537.

Nationwide Adult Reconstructive Orthopaedic Surgery Physician peers with similar MIPS or enrollment year

Two federal-record peer sets for Costa, both outside New Jersey so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (63.2 here).

Same NPPES enumeration year (2006)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Nearby Adult Reconstructive Orthopaedic Surgery Physician Providers in New Jersey

Other clinicians with the same primary specialty enrolled in New Jersey, drawn from the same CMS NPPES roster as Costa.

One of 39 Adult Reconstructive Orthopaedic Surgery Physician providers enrolled in New Jersey, 5 are shown here.

Compare Adult Reconstructive Orthopaedic Surgery Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is Anthony Costa, M.D.'s specialty?
Anthony Costa, M.D. specializes in Adult Reconstructive Orthopaedic Surgery Physician and practices in Eatontown, New Jersey. Credentials: M.D..
How much does Anthony Costa, M.D. prescribe under Medicare Part D?
In 2024, Anthony Costa, M.D. wrote 552 Medicare Part D claims totaling $11K in drug costs for 320 beneficiaries.
What is Anthony Costa, M.D.'s Medicare quality score?
Anthony Costa, M.D. has a CMS MIPS Final Score of 63.2/100 (Quality: 38.9, Cost: 51). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Anthony Costa, M.D. located?
Anthony Costa, M.D. is located at 135 RT 35, Eatontown, NJ, 07724. Phone: (732) 440-7322.
What is Anthony Costa, M.D.'s NPI number?
Anthony Costa, M.D.'s National Provider Identifier (NPI) is 1982677910, issued on 02/09/2006.
Does Anthony Costa, M.D. prescribe more brand-name or generic drugs?
Anthony Costa, M.D.'s prescribing is 2% brand-name and 98% generic drugs by claim count, with $4K in brand drug costs.
Does Anthony Costa, M.D. prescribe opioids?
Yes, Anthony Costa, M.D. had 32 opioid claims in 2024 with an opioid prescribing rate of 5.8%.
How many Adult Reconstructive Orthopaedic Surgery Physician providers are there in the US?
There are 1,286 Adult Reconstructive Orthopaedic Surgery Physician providers across 51 states in the US. The average Adult Reconstructive Orthopaedic Surgery Physician provider writes 537 Medicare Part D claims per year.
What drugs does Anthony Costa, M.D. prescribe most often?
Based on 2024 Medicare Part D data, Anthony Costa, M.D.'s most frequently prescribed drugs include Amoxicillin, Clindamycin Hcl, Celecoxib. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Anthony Costa, M.D. accept Medicare?
Anthony Costa, M.D. appears in CMS Medicare data with 552 Part D claims and 320 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Anthony Costa, M.D.'s credentials?
Anthony Costa, M.D.'s NPI is 1982677910 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

View source datasets and methodology notes
Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2024). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of August 2026 (NPPES) / 2024 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology

Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.