Kevin Costello, MD
Interventional Pain Medicine · Greenville, NCNPI 1215170204
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $17,264 of the $21,507 with a category attached, or 80.3%. 15 manufacturers reported payments, led by Boston Scientific at 58.6% of the total. Reporting peaked in 2022 at $5,873 and has fallen 59.9% since, to $2,353 in 2025. Among interventional pain medicine clinicians in NC with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 318 payments — averaging $67.63 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Boston Scientific$13K
- Abbott$2K
- Nevro Corp.$2K
- SPR Therapeutics, Inc$2K
- Medtronic$1K
- Curonix LLC$514
- plus $1K from 9 others
What the payments were for
- Travel & lodging$4,24320%
- Food & beverage$17,26480%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| Boston Scientific | 210 | $12,604 |
| Abbott | 30 | $2,118 |
| Nevro Corp. | 28 | $2,101 |
| SPR Therapeutics, Inc | 14 | $2,074 |
| Medtronic(2 entities) | 18 | $1,059 |
| Curonix LLC | 3 | $514 |
| Nalu Medical, Inc. | 4 | $337 |
| Avanos Medical | 1 | $190 |
| Stimwave Technologies Incorporated | 1 | $176 |
| MML US, Inc. | 1 | $130 |
| Saluda Medical Americas, Inc. | 1 | $56 |
| Vertex | 2 | $55 |
| Merck | 3 | $45 |
| AbbVie | 1 | $30 |
| Virtus Pharmaceuticals LLC | 1 | $19 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
- WaveWriter Alpha Prime 16$3,262
- SPRINT PNS System$1,765
- GENERAL PAIN MANAGEMENT$1,756
- PROCLAIM$832
- Superion Indirect Decompression System$820
- Senza Spinal Cord Stimulation System$576
- Omnia$541
- Senza$504
- PNS FREEDOM-4A PERMANENT NEUROSTIMULATOR RECEIVER KIT CHANNEL A$475
- INTELLIS$351
- SPECTRA WAVEWRITER$317
- Nalu Neurostimulation System$279
- Proclaim Family of SCS IPGs$267
- Proclaim IPG$223
- GENERATOR$190
- PRECISION$170
- INCEPTIV$168
- INTELLIS ADAPTIVESTIM$131
- ReActiv8$130
- SUPERION$121
How this compares
$21,507 in reported general payments places this provider in the 90th percentile of 45 interventional pain medicine providers in North Carolina.
See all interventional pain medicine providers in North Carolina →
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 566 | $17,277 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 526 | $13,965 |
| Xtampza ErOxycodone Myristate | 18 | $13,342 |
| Pregabalin | 209 | $6,661 |
| OxycontinOxycodone Hcl | 16 | $6,255 |
| Lidocaine | 48 | $5,608 |
| Gabapentin | 199 | $4,635 |
| Fentanyl | 23 | $3,153 |
| Oxycodone Hcl | 183 | $2,980 |
| Diclofenac Sodium | 55 | $2,499 |
| Tizanidine Hcl | 175 | $2,376 |
| Morphine Sulfate ErMorphine Sulfate | 87 | $2,100 |
| Tramadol Hcl | 226 | $1,834 |
| Duloxetine Hcl | 42 | $1,080 |
| Celecoxib | 29 | $870 |
Paid to pharmacies, not to this prescriber.
Other interventional pain medicine in Greenville
- Timothy ChafinAhoskie$59K
- Robert WilsonSalisbury$37K
- John MansfieldAsheville$25K
- Erin ChaneyJacksonville$22K
- Scott JohnstonJacksonville$20K
- Harsh GovilStatesville$19K
- Troy GingerichCharlotte$19K
- Brent HarkriderNew Bern$14K
- Carey-Walter ClossonCharlotte$14K
- John HolderHampstead$9K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.