NPI registry status
Active
2026 NPPES data Sports Medicine (Family Medicine) Physician NPI 1528349396 DO
Verify on CMS → Kathleen Costanzo, DO
Sports Medicine (Family Medicine) Physician in Erie, Pennsylvania.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 2,087 in Sports Medicine (Family Medicine) 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
2K
Medicare Part D claims · 235 beneficiaries · Sports Medicine (Family Medicine) Physician avg: 1K
Generic prescribing
88%
generic claims · 11% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
93.8/100
▲ 11 pts above national avg 83.1 · Exceptional
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
Kathleen Costanzo, DO reported a CMS MIPS final score of 93.8/100 - above the 83.1 national average - and filed 2,340 Medicare Part D claims in 2023.
- 93.8/100
- MIPS score · +11 vs avg
- 2K
- Part D claims, 2023
- 88%
- 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.
Kathleen Costanzo, DO's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
94 Top 29% higher than 71% 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 Kathleen Costanzo, DO sits
This provider among sports medicine (family medicine) physician peers
Across the 571 sports medicine (family medicine) physician providers who report both Medicare Part D prescribing and a MIPS quality score, Kathleen Costanzo, DO writes more Part D claims than 88% of them and scores higher on MIPS quality than 75% - placing this provider in the high-volume, high-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 sports medicine (family medicine) physician peer from a representative sample of 60; the gold marker is Kathleen Costanzo, DO. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Kathleen Costanzo, DO 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 Kathleen Costanzo, DO?
High performer (top quartile)Primary specialty
Sports Medicine (Family Medicine) Physician
Medicare Part D claims
2,340 88% vs specialty avg
MIPS final score
93.8/100 10.7 pts vs avg
Specialty distribution in Pennsylvania
How Sports Medicine (Family Medicine) Physician compares to other specialties among Pennsylvania providers
Medicare quality performance, MIPS
Kathleen Costanzo, DO's 2023 MIPS final score plotted against the Sports Medicine (Family Medicine) Physician national average
- MIPS Final Score
- 93.8/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Sports Medicine (Family Medicine) Physician) - 93.8/100 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).
Kathleen Costanzo, DO appears in the CMS NPPES registry as a Sports Medicine (Family Medicine) Physician provider holding DO credentials at 311 W 24TH ST STE 305, Erie, PA, 16502, with a listed phone of (814) 454-4484. NPI 1528349396 was issued on 09/07/2011.
Medicare Part D records for calendar year 2023 show 2,340 prescription claims written by this provider, covering 235 Medicare beneficiaries and totaling roughly $215K in drug spend, split 11% brand-name and 88% generic by claim count, with an opioid prescribing rate of 3.9%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 93.8/100 for the 2023 performance year (Quality 85.1), compared with the national average of 83.1.
Sports Medicine (Family Medicine) Physician is a narrow specialty nationwide, with 2,087 enrolled providers across 52 states and an average of 1,242 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 | 1528349396 |
|---|---|
| Specialty | Sports Medicine (Family Medicine) Physician |
| Credentials | DO |
| Gender | Female |
| NPI Issued | 09/07/2011 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
93.7848
Final Score
Avg: 83.1
85.0781
Quality
100
Promoting Interoperability
Reporting: Alternative Payment Model
Hospital and facility affiliations
Facilities where Kathleen Costanzo, DO 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.
St Vincent Medical Education And Research Institute Inc
Erie, PA
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
License & disciplinary context - Pennsylvania PA-BOM 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 ~45K Pennsylvania medical licensees in 2023 - they are NOT specific to Kathleen Costanzo, DO. To verify Kathleen Costanzo, DO's current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases
PA-BOM 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 Pennsylvania disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Typical
Kathleen Costanzo, DO - brand share 11.0%
Sports Medicine (Family Medicine) Physician average
11% brand-name claims vs 88% generic, on 2,340 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.
2,340
Total Claims
$215K
Total Drug Cost
235
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 5,298
- Total Day Supply
- 155,625
- Brand vs Generic
- 11% brand / 88% generic
- Brand Drug Cost
- $178K
- Generic Drug Cost
- $37K
- Opioid Claims
- 91 (3.9% rate)
- Antibiotic Claims
- 12
Patient Demographics
- Average Patient Age
- 69.4 years
- Avg HCC Risk Score
- 1.57
- Gender Split
- 58% female / 42% male
- Age Distribution
- <65: 52, 65-74: 114, 75-84: 52, 85+: 17
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Kathleen Costanzo, DO prescribes most
Top Medicare Part D drugs by claim count, 2023
- Atorvastatin Calcium
Atorvastatin Calcium
216 claims
- Lisinopril
Lisinopril
147 claims
- Levothyroxine Sodium
Levothyroxine Sodium
121 claims
- Amlodipine Besylate
Amlodipine Besylate
103 claims
- Hydrochlorothiazide
Hydrochlorothiazide
87 claims
- Metformin Hcl 80
Metformin Hcl
80 claims
- Pantoprazole Sodium 71
Pantoprazole Sodium
71 claims
- Omeprazole 70
Omeprazole
70 claims
| Drug | Claims |
|---|---|
| Atorvastatin Calcium | 216 |
| Lisinopril | 147 |
| Levothyroxine Sodium | 121 |
| Amlodipine Besylate | 103 |
| Hydrochlorothiazide | 87 |
| Metformin Hcl | 80 |
| Pantoprazole Sodium | 71 |
| Omeprazole | 70 |
| Gabapentin | 52 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 47 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Sports Medicine (Family Medicine) Physician in PA →
All providers in Pennsylvania →
Compare specialties →
Sports Medicine (Family Medicine) Physician Overview
How Kathleen Costanzo, DO fits within the Sports Medicine (Family Medicine) Physician landscape nationally.
2,087
Sports Medicine (Family Medicine) Physician Providers in US
52
States with Sports Medicine (Family Medicine) Physician
1,242
Avg Claims per Provider
Kathleen Costanzo, DO's 2,340 claims are above the specialty average of 1,242.
Nearby Sports Medicine (Family Medicine) Physician Providers in Pennsylvania
Other clinicians with the same primary specialty enrolled in Pennsylvania, drawn from the same CMS NPPES roster as Costanzo.
Dr. Faisal Al-Alim
M.D
Bethlehem, PA
Dr. Marco Alcala
M.D.
Canonsburg, PA
Dr. Kunal Anandpara
DO
Philadelphia, PA
Dr. Kelley Anderson
DO
Pittsburgh, PA
Dr. Joseph Andrie
M.D.
Camp Hill, PA
Compare Sports Medicine (Family Medicine) 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 Pennsylvania medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Sports Medicine (Family Medicine) 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 Kathleen Costanzo, DO's specialty? ▼
Kathleen Costanzo, DO specializes in Sports Medicine (Family Medicine) Physician and practices in Erie, Pennsylvania. Credentials: DO.
How much does Kathleen Costanzo, DO prescribe under Medicare Part D? ▼
In 2023, Kathleen Costanzo, DO wrote 2,340 Medicare Part D claims totaling $215K in drug costs for 235 beneficiaries.
What is Kathleen Costanzo, DO's Medicare quality score? ▼
Kathleen Costanzo, DO has a CMS MIPS Final Score of 93.8/100 (Quality: 85.1). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Kathleen Costanzo, DO located? ▼
Kathleen Costanzo, DO is located at 311 W 24TH ST STE 305, Erie, PA, 16502. Phone: (814) 454-4484.
What is Kathleen Costanzo, DO's NPI number? ▼
Kathleen Costanzo, DO's National Provider Identifier (NPI) is 1528349396, issued on 09/07/2011.
Does Kathleen Costanzo, DO prescribe more brand-name or generic drugs? ▼
Kathleen Costanzo, DO's prescribing is 11% brand-name and 88% generic drugs by claim count, with $178K in brand drug costs.
Does Kathleen Costanzo, DO prescribe opioids? ▼
Yes, Kathleen Costanzo, DO had 91 opioid claims in 2023 with an opioid prescribing rate of 3.9%.
How many Sports Medicine (Family Medicine) Physician providers are there in the US? ▼
There are 2,087 Sports Medicine (Family Medicine) Physician providers across 52 states in the US. The average Sports Medicine (Family Medicine) Physician provider writes 1,242 Medicare Part D claims per year.
What drugs does Kathleen Costanzo, DO prescribe most often? ▼
Based on 2023 Medicare Part D data, Kathleen Costanzo, DO's most frequently prescribed drugs include Atorvastatin Calcium, Lisinopril, Levothyroxine Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Kathleen Costanzo, DO accept Medicare? ▼
Kathleen Costanzo, DO appears in CMS Medicare data with 2,340 Part D claims and 235 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Kathleen Costanzo, DO's credentials? ▼
Kathleen Costanzo, DO's NPI is 1528349396 with credentials DO. 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.