Medicare Enrolled
Dr. Elizabeth Costley, DO
Family Medicine · Kingston, NY
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Low-engagement
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating.
This page presents federal public records about Dr. Costley from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Costley
Dr. Elizabeth Costley is a family medicine specialist in Kingston, NY, with 21 years of NPI registration. Based on federal Medicare data, Dr. Costley performed 1,285 Medicare services across 897 unique beneficiaries.
Between the years covered by Open Payments, Dr. Costley received a total of $12,918 from 72 pharmaceutical and/or device companies across 718 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in family medicine. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Costley is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 21 years in practice
▲ Top 21% volume in NY
$12,918 industry payments
Medicare Practice Summary
Medicare Utilization ↗1,285
Medicare services
Top 21% in NY for family medicine
897
Unique beneficiaries
$42
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~61 Medicare services per year of practice
Top procedures by volume
Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.
| Procedure | Volume | Avg. paid | Avg. submitted |
|---|---|---|---|
| Office visit, established patient (30-39 min) A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition. |
549 | $51 | $201 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
154 | $31 | $136 |
| Office visit, established patient (20-29 min) An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition. |
117 | $46 | $150 |
| Electrocardiogram (EKG), 12-lead A standard heart rhythm test using at least 12 leads to record electrical activity. A healthcare provider interprets the results and provides a written report. |
116 | $10 | $20 |
| Urinalysis, manual A manual laboratory examination of a urine sample to check for various substances and cells. |
81 | $3 | $4 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
35 | $9 | $15 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
33 | $29 | $30 |
| Flu vaccine, high-dose High-dose seasonal influenza vaccine for adults aged 65 and older. Contains four times the antigen of standard-dose flu vaccines (60 mcg per strain), split-virus formulation, preservative-free, single-dose syringe. |
29 | $72 | $80 |
| Telephone medical discussion, 5-10 minutes A phone conversation with a physician lasting between 5 and 10 minutes to discuss medical matters. |
28 | $38 | $66 |
| Annual alcohol misuse screening, 5 to 15 minutes | 27 | $20 | $30 |
| Annual wellness visit, initial visit A yearly appointment to review your health and create a personalized prevention plan. This initial visit focuses on preventive care and health assessment. |
24 | $84 | $200 |
| COVID-19 amplified DNA/RNA probe detection A laboratory test that uses amplified DNA or RNA probes to detect the presence of severe acute respiratory syndrome coronavirus 2 (COVID-19) antigen. |
23 | $48 | $65 |
| Telephone medical discussion, 11-20 minutes A phone conversation with a physician lasting between 11 and 20 minutes. |
22 | $68 | $121 |
| New patient office visit (45-59 min) An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter. |
13 | $112 | $300 |
| Initial preventive physical examination, new Medicare beneficiary A comprehensive preventive health visit for new Medicare beneficiaries during their first 12 months of enrollment. The service is conducted as a face-to-face visit and is limited to preventive care. |
12 | $181 | $194 |
| Pelvic and clinical breast exam for cancer screening A physical examination of the pelvis and breasts to screen for cervical or vaginal cancer. This procedure involves a clinical assessment performed by a healthcare provider. |
11 | $44 | $45 |
| Pap smear screening test A screening test to collect and prepare a cervical or vaginal sample for laboratory analysis. |
11 | $48 | $53 |
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.
Industry Payment Transparency
Open Payments through 2024 ↗$12,918
Total received (2018-2024)
Avg $1,845/year across 7 years
Top 4% in NY for family medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
72
Companies
718
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →
Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$12,918 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$2,266
2023
$2,057
2022
$1,975
2021
$1,208
2020
$1,001
2019
$2,334
2018
$2,076
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
ABBVIE INC.
$639
AstraZeneca Pharmaceuticals LP
$443
Lilly USA, LLC
$301
Bayer Healthcare Pharmaceuticals Inc.
$90
Merck Sharp & Dohme LLC
$89
Otsuka America Pharmaceutical, Inc.
$84
Exact Sciences Corporation
$79
Amgen Inc.
$68
PFIZER INC.
$59
Dexcom, Inc.
$54
GlaxoSmithKline, LLC.
$43
ViiV Healthcare Company
$39
Abbott Laboratories
$39
Axsome Therapeutics, Inc.
$39
Radius Health, Inc.
$30
Kyowa Kirin, Inc.
$26
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$25
SCILEX PHARMACEUTICALS INC.
$24
Inspire Medical Systems, Inc.
$23
Astellas Pharma US Inc
$22
Phathom Pharmaceuticals, Inc.
$18
Lundbeck LLC
$18
IBSA Pharma Inc.
$15
Top 3 companies account for 61.0% of 2024 payments
All-time payments by company (2018-2024) ›
Novo Nordisk Inc
$2,068
AstraZeneca Pharmaceuticals LP
$1,251
GlaxoSmithKline, LLC.
$1,216
ABBVIE INC.
$1,078
Lilly USA, LLC
$933
AbbVie Inc.
$909
PFIZER INC.
$481
Amgen Inc.
$476
Boehringer Ingelheim Pharmaceuticals, Inc.
$284
Novartis Pharmaceuticals Corporation
$284
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$277
Merck Sharp & Dohme Corporation
$273
Otsuka America Pharmaceutical, Inc.
$230
Allergan, Inc.
$199
Allergan Inc.
$193
Bayer Healthcare Pharmaceuticals Inc.
$174
E.R. Squibb & Sons, L.L.C.
$174
Merck Sharp & Dohme LLC
$171
Bayer HealthCare Pharmaceuticals Inc.
$156
Exact Sciences Corporation
$156
AbbVie, Inc.
$102
Almatica Pharma LLC
$102
Avanir Pharmaceuticals, Inc.
$101
Philips Electronics North America Corporation
$95
ViiV Healthcare Company
$84
Astellas Pharma US Inc
$75
IDORSIA PHARMACEUTICALS US INC
$73
Harmony Biosciences LLC
$68
Paratek Pharmaceuticals, Inc.
$58
Janssen Biotech, Inc.
$57
JAZZ PHARMACEUTICALS INC.
$55
Dexcom, Inc.
$54
Jazz Pharmaceuticals Inc.
$46
Boston Scientific Corporation
$45
Takeda Pharmaceuticals U.S.A., Inc.
$45
Amneal Pharmaceuticals LLC
$44
Regeneron Healthcare Solutions, Inc.
$43
Amarin Pharma Inc.
$43
Abbott Laboratories
$39
Axsome Therapeutics, Inc.
$39
TETRAPHASE PHARMACEUTICALS, INC.
$37
Actelion Pharmaceuticals US, Inc.
$36
Currax Pharmaceuticals LLC
$35
Hologic, LLC
$31
Gilead Sciences, Inc.
$30
Radius Health, Inc.
$30
Kyowa Kirin, Inc.
$26
Xeris Pharmaceuticals, Inc.
$25
SCILEX PHARMACEUTICALS INC.
$24
Inspire Medical Systems, Inc.
$23
Seqirus USA Inc
$23
Electromed, Inc.
$22
Sunovion Pharmaceuticals Inc.
$20
Eisai Inc.
$20
Antares Pharma, Inc.
$19
Flexion Therapeutics, Inc.
$18
Celgene Corporation
$18
DEXCOM, INC.
$18
Phathom Pharmaceuticals, Inc.
$18
Lundbeck LLC
$18
Daiichi Sankyo Inc.
$17
AngioDynamics, Inc.
$16
SOBI, INC
$16
Edwards Lifesciences Corporation
$16
IBSA Pharma Inc.
$15
Insmed, Inc.
$15
Theratechnologies Inc.
$15
Teva Pharmaceuticals USA, Inc.
$15
SANOFI PASTEUR INC.
$14
Kowa Pharmaceuticals America, Inc.
$14
Janssen Pharmaceuticals, Inc
$13
ARBOR PHARMACEUTICALS, INC.
$12
Top 3 companies account for 35.1% of all-time payments
Associated products mentioned in payments ›
(8874) inCourage · ABILIFY MYCITE · AIRSUPRA · AJOVY · AMJEVITA · ANORO · ANORO ELLIPTA · AREXVY · AVYCAZ · Age Based Codes · Aimovig · Aptima HPV · Arikayce · Auvelity · BELSOMRA · BEVESPI AEROSPHERE · BOOSTRIX · BREO · BREZTRI · BREZTRI AEROSPHERE · BYSTOLIC · CHANTIX · CONTRAVE · COSENTYX · CRESEMBA · CUVITRU · Cologuard Collection Kit · Crysvita · DALIRESP · DALVANCE · DEXCOM G6 TRANSMITTER · DUPIXENT · Dayvigo · Dexcom G6 Transmitter · EGRIFTA · ELIQUIS · EMGALITY · ENTRESTO · EUCRISA · EVENITY · Edwards SAPIEN 3 Transcatheter Heart Valve · Enbrel · FARXIGA · FREESTYLE LIBRE 3 · Fluad Quadrivalent · GARDASIL · GEMTESA · GRALISE · GVOKE PFS · Horizant · Humira · INSPIRE · ISENTRESS · JANUVIA · JARDIANCE · KEVZARA SARILUMAB INJECTION · KINERET · Kerendia · LINZESS · LO LOESTRIN FE · LYRICA · Livalo · MOUNJARO · MOVANTIK · Movantik · NOCDURNA · NUCALA · NUEDEXTA · NUZYRA · Nuedexta · OPSUMIT · OPSUMIT MACITENTAN · Otezla · Ozempic · PENTACEL · PIFELTRO · PNEUMOVAX 23 · PREMARIN · PREVNAR - 13 · PREVNAR 20 · Prolia · QULIPTA · QUVIVIQ · RENFLEXIS · REXULTI · RINVOQ · RUKOBIA · RYBELSUS · Rinvoq · Rybelsus · SHINGRIX · SMARTVEST · SPIRIVA RESPIMAT · STIOLTO RESPIMAT · SUNOSI · SYMBICORT · SYNTHROID · Saxenda · Symtuza · TRELEGY ELLIPTA · TRINTELLIX · TRULANCE · TRULICITY · Tirosint · Tresiba · Trilogy 100 · Trintellix · Tymlos · UBRELVY · UNITHROID · VOQUEZNA · VRAYLAR · Vascepa · Veozah · Victoza · WAKIX · XARELTO · XERAVA · XIFAXAN · XOLAIR · XYWAV · Xerava · Xyrem · ZTLido · Zilretta · inCourage
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
Most payments (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 4% for family medicine in NY.
Geographic Context
Family medicine physicians within 10 mi
164
Per 100K population
90.1
County median income
$81,804
Nearest hospital
HEALTHALLIANCE HOSPITAL MARYS AVENUE CAMPUS
0.0 mi
0.0 mi
Data Sources
| Provider Registry | ✓ NPPES | Weekly updates |
| Medicare Enrollment | ✓ PECOS | Monthly updates |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not public | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Costley is a clinical cardiology specialist, with above-average Medicare volume (top 21% in NY), with low-engagement industry engagement in the top 4% of NY peers, with 21 years of NPI registration.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Costley experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Costley performed 549 office visit, established patient (30-39 min) services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Costley receive payments from pharmaceutical companies?
Yes. Dr. Costley received a total of $12,918 from 72 companies across 718 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Costley's costs compare to other family medicine physicians in Kingston?
Dr. Costley's average Medicare payment per service is $42. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Costley) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
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About this page
All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.
This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.
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