Individual provider

Andrew Costerisan, PA-C

Physician Assistant Medicare enrolled

Andrew Costerisan, PA-C is a Physician Assistant in Dayton, OH, registered under NPI 1477825651.

Getting there

The practice address on file is 101 E ALEX BELL RD STE 190, Dayton, OH 45459. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

101 E ALEX BELL RD STE 190, Dayton, OH 45459 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
50.008187RX OH Physician Assistant primary
PA 9106409 FL Physician Assistant
085004969 IL Physician Assistant

Licences are recorded in 3 states: OH, FL, IL. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Physician Assistant
PAC ID
4789825522
Enrollment ID
I20230804003068

Medicare enrolment is recorded as approved under the provider type Practitioner - Physician Assistant. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 3 states

This provider holds licences in 3 states: Florida, Illinois and Ohio. The practice address on file is in Dayton, OH, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

FL Florida
Licence
PA 9106409
Specialty
Physician Assistant
Verify with the FL board →
IL Illinois
Licence
085004969
Specialty
Physician Assistant
Verify with the IL board →
OH Ohio practice address
Licence
50.008187RX
Specialty
Physician Assistant
Verify with the OH board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Physician Assistant covers

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. NUCC Health Care Provider Taxonomy, code 363A00000X
Physician Assistants & Advanced Practice Nursing Providers Physician Assistant

All registered taxonomy codes

This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
363A00000X Physician Assistant 50.008187RX OH primary
363A00000X Physician Assistant PA 9106409 FL
363A00000X Physician Assistant 085004969 IL

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1477825651 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateFeb 2, 2012
Last updatedOct 1, 2025
StatusActive
Sole proprietorNo
CredentialPA-C
Practice address 101 E ALEX BELL RD STE 190
Dayton, OH 45459
(937) 425-4030
Mailing address 2801 MATHERS RD
Springfield, IL 62711
This record was updated on Oct 1, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1477825651 passes the NPI check digit test The final digit 1 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 4 7 7 8 2 5 6 5
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 4 5 7 7 2 1 6 1

Sum = 59 · next multiple of 10 = 60 · check digit = 1 · actual last digit = 1

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1477825651?
NPI 1477825651 is the National Provider Identifier assigned to Andrew Costerisan, PA-C in Dayton, OH. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Physician Assistant cover?
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In…
How do I contact Andrew Costerisan, PA-C?
The phone number on file with NPPES is (937) 425-4030, last updated Oct 1, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Andrew Costerisan, PA-C accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1477825651 a valid number?
Yes. 1477825651 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.