NPI registry status
Active
2026 NPPES data Obstetrics & Gynecology Physician NPI 1578828703 M.D.
Verify on CMS → Anthony Costales, M.D.
Obstetrics & Gynecology Physician in Houston, Texas.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 44,313 in Obstetrics & Gynecology 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
178
Medicare Part D claims · 42 beneficiaries · Obstetrics & Gynecology Physician avg: 179
Generic prescribing
76%
generic claims · 24% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
84.1/100
▲ 1 pts above national avg 83.1 · Above neutral
Industry payments
$2.3K
3 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Anthony Costales, M.D. reported a CMS MIPS final score of 84.1/100 - above the 83.1 national average - and filed 178 Medicare Part D claims in 2023.
- 84.1/100
- MIPS score · +1 vs avg
- 178
- Part D claims, 2023
- 76%
- 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.
Anthony Costales, M.D.'s MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
84 45th percentile higher than 45% of 477,587 scored providers
Each bar is a band; taller bars hold more scored 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.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Anthony Costales, M.D. sits
This provider among obstetrics & gynecology physician peers
Across the 7,413 obstetrics & gynecology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Anthony Costales, M.D. writes more Part D claims than 70% of them and scores higher on MIPS quality than 40% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one obstetrics & gynecology physician peer from a representative sample of 60; the gold marker is Anthony Costales, 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 Costales, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations - 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 Costales, M.D.?
Near national averagePrimary specialty
Obstetrics & Gynecology Physician
Medicare Part D claims
178 1% vs specialty avg
MIPS final score
84.1/100 1 pts vs avg
Specialty distribution in Texas
How Obstetrics & Gynecology Physician compares to other specialties among Texas providers
Medicare quality performance, MIPS
Anthony Costales, M.D.'s 2023 MIPS final score plotted against the Obstetrics & Gynecology Physician national average
- MIPS Final Score
- 84.1/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Obstetrics & Gynecology Physician) - 84.1/100 vs national avg 83.1
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).
Anthony Costales, M.D. appears in the CMS NPPES registry as a Obstetrics & Gynecology Physician provider holding M.D. credentials at 1919 OLD SPANISH TRL FL 7, Houston, TX, 77054, with a listed phone of (713) 798-1999. NPI 1578828703 was issued on 07/13/2012.
Medicare Part D records for calendar year 2023 show 178 prescription claims written by this provider, covering 42 Medicare beneficiaries and totaling roughly $202K in drug spend, split 24% brand-name and 76% generic by claim count, with an opioid prescribing rate of 20.8%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 84.1/100 for the 2023 performance year (Quality 84.5, Cost 54.4), compared with the national average of 83.1.
Obstetrics & Gynecology Physician is a mid-sized specialty nationwide, with 44,313 enrolled providers across 56 states and an average of 179 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline.
Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist, always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.
Practice Address
Provider Details
| NPI | 1578828703 |
|---|---|
| Specialty | Obstetrics & Gynecology Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 07/13/2012 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
84.059
Final Score
Avg: 83.1
84.4904
Quality
54.3968
Cost
Reporting: Group practice
Hospital and facility affiliations
Facilities where Anthony Costales, 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.
Baylor College OF Medicine
Houston, TX
Baylor College OF Medicine
Houston, TX
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 Costales, M.D.. Source: openpaymentsdata.cms.gov.
Total received
$2.3K
Largest payer
Merck Sharp & Dohme LLC
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.
License & disciplinary context - Texas TMB 2023 annual report
Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~77K Texas medical licensees in 2023 - they are NOT specific to Anthony Costales, M.D.. To verify Anthony Costales, M.D.'s current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases
TMB publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Typical
Anthony Costales, M.D. - brand share 24.0%
Obstetrics & Gynecology Physician average
24% brand-name claims vs 76% generic, on 178 2023 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 2023.
178
Total Claims
$202K
Total Drug Cost
42
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 201
- Total Day Supply
- 3,745
- Brand vs Generic
- 24% brand / 76% generic
- Brand Drug Cost
- $200K
- Generic Drug Cost
- $2K
- Opioid Claims
- 37 (20.8% rate)
Patient Demographics
- Average Patient Age
- 66.8 years
- Avg HCC Risk Score
- 1.96
- Gender Split
- 100% female / 0% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Anthony Costales, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Hydrocodone-Acetam…
Hydrocodone-Acetaminophen
23 claims
- Ondansetron Hcl
Ondansetron Hcl
21 claims
- Eliquis
Eliquis
20 claims
- Lynparza
Lynparza
19 claims
- Ibuprofen
Ibuprofen
16 claims
| Drug | Claims |
|---|---|
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 23 |
| Ondansetron Hcl | 21 |
| Eliquis Apixaban | 20 |
| Lynparza Olaparib | 19 |
| Ibuprofen | 16 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Obstetrics & Gynecology Physician Overview
How Anthony Costales, M.D. fits within the Obstetrics & Gynecology Physician landscape nationally.
44,313
Obstetrics & Gynecology Physician Providers in US
56
States with Obstetrics & Gynecology Physician
179
Avg Claims per Provider
Anthony Costales, M.D.'s 178 claims are below the specialty average of 179.
Nearby Obstetrics & Gynecology Physician Providers in Texas
Other clinicians with the same primary specialty enrolled in Texas, drawn from the same CMS NPPES roster as Costales.
Dr. Soroush Aalipourbirgani
MD
Houston, TX
Dr. Dennis Abbas
M.D.
Dallas, TX
Dr. Mina Abbassi-Ghanavati
MD
Dallas, TX
Dr. Lillian Abbott
MD
Webster, TX
Dr. Jasmin Abdeldayem
MD
Houston, TX
Compare Obstetrics & Gynecology Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Texas medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Obstetrics & Gynecology Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
What is Anthony Costales, M.D.'s specialty? ▼
Anthony Costales, M.D. specializes in Obstetrics & Gynecology Physician and practices in Houston, Texas. Credentials: M.D..
How much does Anthony Costales, M.D. prescribe under Medicare Part D? ▼
In 2023, Anthony Costales, M.D. wrote 178 Medicare Part D claims totaling $202K in drug costs for 42 beneficiaries.
What is Anthony Costales, M.D.'s Medicare quality score? ▼
Anthony Costales, M.D. has a CMS MIPS Final Score of 84.1/100 (Quality: 84.5, Cost: 54.4). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Anthony Costales, M.D. located? ▼
Anthony Costales, M.D. is located at 1919 OLD SPANISH TRL FL 7, Houston, TX, 77054. Phone: (713) 798-1999.
What is Anthony Costales, M.D.'s NPI number? ▼
Anthony Costales, M.D.'s National Provider Identifier (NPI) is 1578828703, issued on 07/13/2012.
Does Anthony Costales, M.D. prescribe more brand-name or generic drugs? ▼
Anthony Costales, M.D.'s prescribing is 24% brand-name and 76% generic drugs by claim count, with $200K in brand drug costs.
Does Anthony Costales, M.D. prescribe opioids? ▼
Yes, Anthony Costales, M.D. had 37 opioid claims in 2023 with an opioid prescribing rate of 20.8%.
How many Obstetrics & Gynecology Physician providers are there in the US? ▼
There are 44,313 Obstetrics & Gynecology Physician providers across 56 states in the US. The average Obstetrics & Gynecology Physician provider writes 179 Medicare Part D claims per year.
What drugs does Anthony Costales, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Anthony Costales, M.D.'s most frequently prescribed drugs include Hydrocodone-Acetaminophen, Ondansetron Hcl, Eliquis. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Anthony Costales, M.D. accept Medicare? ▼
Anthony Costales, M.D. appears in CMS Medicare data with 178 Part D claims and 42 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Anthony Costales, M.D.'s credentials? ▼
Anthony Costales, M.D.'s NPI is 1578828703 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 (2023). 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 April 2026 (NPPES) / 2023 (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
Compiled from official public sources by the PlainDoctor editorial team.