Jack Michael Costa, M.D.
Dermatology Physician · Fairfax, VA
Jack Michael Costa, M.D. is a dermatology physician with a practice address in Fairfax, Virginia, and NPI 1144393935, issued on Nov 17, 2006. Check the license (Virginia 0101028288, as entered in NPPES) on the Virginia Department of Health Professions; the Medicare figures below come from public CMS files.
- Name
- Jack Michael Costa
- Credential
- M.D.
- Primary taxonomy
- Dermatology Physician 207N00000X
- License number
- 0101028288 VA
Self-reported in NPPES; status is on the state search - Practice location
- 3650 Joseph Siewick Dr, Fairfax, VA 22033
- Phone
- (703) 391-2516
- Enumerated
- Nov 17, 2006
- Record last updated
- Dec 30, 2010 (not updated in 16 years: call before relying on the address or phone)
- Fax
- (703) 476-8244
- Medicare enrollment
- Enrolled (PECOS I20110415000235); accepts Medicare assignment
- Medical or professional school
- George Washington University School Of Medicine, 1971
- Entity
- Type 1 · individual
8 nearest dermatology physician records → All 422 in Virginia → Look up another NPI →
Also registered at 3650 Joseph Siewick Dr
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Katherine Booker, PTPhysical Therapist1023017076
Verify Jack Michael Costa in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersVirginia Department of Health Professions
Search for license 0101028288Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
89% fewer Medicare Part D claims than the average dermatology physician in 2024
91 Medicare Part D claims for 48 beneficiaries, against an average of 797 among the 12,802 providers of this specialty who prescribed in Part D.
Most prescribed
- Betamethasone Diprop Augmented16 claims
- Mupirocin11 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The MIPS final score for 2023 (Medicare payment program): 0 of 100
The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Jack Michael Costa among 422 dermatology physician records in Virginia
Jack Michael Costa, M.D. is one of 422 dermatology physician records with a practice address in Virginia. 83% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 10% of them.
- NPI issued2006 · 10% of these records are older, 57% newer
- In a Medicare fileYes · 83% of these records are
- In the CMS Doctors and Clinicians fileYes · 74% of these records are
- Graduated1971 · median 2007 among the 311 with a school on file
- Record last updated2010 · 47% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207N00000X and a Virginia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Dermatology Physician providers in Virginia
There are 422 dermatology physician records in Virginia.
All 422 in Virginia → Every provider in Fairfax → Dermatology Physician nationwide →
The 8 dermatology physician records with the nearest ZIP codes
- Rolla Jaber, M.D.Fairfax, VA 220331174724876
- Andrea Morris, MDFairfax, VA 220331912161209
- Benjamin Nia, MDFairfax, VA 220331003312729
- Dwana Shabazz, M.D.Fairfax, VA 220331548296817
- Kathy Tieu, M.D.Fairfax, VA 220331811973951
- Harry Wyre, M.D.Fairfax, VA 220331821096090
- Charles Aaronson, MDFairfax, VA 220311508276619
- Blair Allais, MDFairfax, VA 220311386141687
Common questions
What is Jack Michael Costa, M.D.'s NPI number?
Jack Michael Costa, M.D.'s National Provider Identifier (NPI) is 1144393935, issued on Nov 17, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Jack Michael Costa, M.D. located?
The NPPES record lists a practice address at 3650 Joseph Siewick Dr, Fairfax, VA, 22033. Phone: (703) 391-2516. Providers update this record themselves, so call before visiting.
How can I verify Jack Michael Costa, M.D.'s license?
NPPES lists Virginia license number 0101028288, as entered by the provider. Search the Virginia Department of Health Professions at https://dhp.virginiainteractive.org/lookup/index. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Jack Michael Costa, M.D. prescribe under Medicare Part D?
In 2024, Jack Michael Costa, M.D. had 91 Medicare Part D claims for 48 beneficiaries; the average among dermatology physician prescribers was 797. Part D covers Medicare prescriptions only.
What is Jack Michael Costa, M.D.'s MIPS final score?
The 2023 MIPS final score is 0 of 100. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.