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Dr. Briana Teresa Costello, MD

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(Briana Costello, MD)

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Specializes in: Interventional Cardiology and Adult Cardiology

Wright State University, Boonshoft School of Medicine (2013)

Professional interests include: bradycardia (slow heart rate), high cholesterol (hyperlipidemia), hypertension (high blood pressure), and more.

1850 Old Knoxville Road Suite B
Tazewell, TN 37879

(423) 526-0700

Dr. Briana Teresa Costello, MD is an interventional cardiologist in Knoxville, TN specializing in interventional cardiology and adult cardiology. She graduated from Wright State University, Boonshoft School of Medicine in 2013 and has 11 years of experience. Dr. Briana Teresa Costello, MD is affiliated with Covenant Health, St. Luke's Health, TEXAS HEART MEDICAL GROUP, Fort Sanders Regional Medical Center and The Texas Heart Institute Center for Cardiovascular Care.

Office Locations

Address:

1819 Clinch Avenue Suite 108
Knoxville, TN 37916

Address:

1850 Old Knoxville Road Suite B
Tazewell, TN 37879

Address:

6624 Fannin Street Suite 2780-2
Houston, TX 77030

Address:

7625 Chapman Highway Suite 102
Knoxville, TN 37920

Some issues Dr. Briana Teresa Costello, MD can help you with:

Coronary Artery Disease

Coronary artery disease (CAD) is the most common type of heart disease. It happens when the blood vessels carrying blood to the heart, called coronary arteries, narrow and harden. This occurs when cholesterol, a type of fat found in the blood, builds up to form plaque, which sticks to the inner walls of the arteries. As plaque accumulates, less blood can flow through the arteries, which may lead to the following:

Angina, which is chest pain that occurs when the heart does not receive enough blood flow.
Heart attack, which happens if the arteries leading to the heart are completely blocked.
Arrhythmia, or irregular heartbeat, which can develop if the heart does not have enough blood supply.
Heart failure, which may occur if a heart attack damages the heart and it becomes too weak to pump enough blood to the rest of the body.

Certain factors may increase risk for the disease, like smoking, lack of exercise, being overweight, high cholesterol, high blood pressure, and diabetes. CAD tends to develop over decades, so it can go undetected until it has become quite severe. A diagnosis may be established using such tests as:

Electrocardiogram (ECG), which records the heart's electrical activity over a period of time. ECGs can detect whether there is enough blood flow to the heart or if a heart attack has occurred.
Echocardiogram (echo), which creates images of the heart using sound waves. Echos can show whether the heart is able to pump blood normally.
Stress tests, where an ECG or echo is combined with exercise, like riding a stationary bike or walking on a treadmill. This test is done to find out if the heart can function properly while performing a strenuous activity.

Treatments for the disease include medications such as vasodilators, like nitroglycerin, which dilates (widens) the coronary arteries. CAD may also be treated by a procedure called angioplasty with stent placement, where a balloon is inflated inside a diseased artery to flatten the plaque deposits against the artery walls, creating more room for blood to flow.

In some severe cases of the disease, multiple arteries may be blocked, and an open heart surgery called coronary artery bypass surgery may be necessary. This operation transplants a vessel from another part of the body to form a graft that goes past the narrowed arteries, thus enabling blood to flow around those arteries.

Heart Attack

A heart attack is a serious medical event that happens when the blood supplying oxygen to the heart is cut off, usually because of a blockage in an artery. This results in damage or death of part of the heart muscle. The heart can heal, but like any part of the body that was injured it leaves a scar. This scar tissue does not contract effectively, so the ability of the heart to pump is lowered after a heart attack.

A heart attack, sometimes called a myocardial infarction, can happen without warning. However there are certain factors that raise the risk of heart attack. Some of these are:

Age
Gender (most heart attack sufferers are male)
A family history of heart attacks
Smoking
Obesity
High cholesterol
High blood pressure
Diabetes
Unhealthy lifestyle choices (lack of exercise, poor diet, too much alcohol or stress)

Heart attacks typically feel like pain or pressure in the chest that can radiate out to the back, arm, or jaw. Some other symptoms can include fatigue or weakness, shortness of breath, sweating, and nausea.

Treatment aims to increase blood flow to the heart muscle by opening up blocked blood vessels. Medications are sometimes used to dissolve clots in the arteries. Aspirin and other medications such as Plavix can thin the blood and make clots less likely to form. Dilators can widen blood vessels to make room for more blood to flow. Doctors can also use a procedure called catheterization to look at the blood vessels around the heart directly, place stents, or widen vessels using angioplasty. In extreme cases bypass surgery can be used to help blood flow better. After recovery, it is important to lead a healthy lifestyle and take any prescribed medications in order to protect the heart.

In The News

“"Women often ignore symptoms of heart disease, which was historically felt to be a 'man's disease' -- this is far from the truth," says Dr. Briana Costello, a general and interventional...”—"7 lesser-known signs of heart trouble in women", Las Vegas Review-Journal, March 2023

“"When it happens to a young patient, it's earth-shattering," said Dr. Briana Costello, a cardiologist at the Texas Heart Institute and Baylor St. Luke's Medical Center who also volunteers with the...”—"Nonprofit founder, stroke survivor Kristi Schiller wishes she recognized warning signs", Houston Chronicle, June 2022

cardiac procedures	14
doctor visit	31
hospital care	28
inpatient care	28
ultrasound (sonogram)	15

**Gender**
Male	27
Female	29

**Ethnicity**
Non-Hispanic White	44
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	0
From 75 to 84	29
85 and over	0
Less than 65	0

Hypertension	75
High Cholesterol	75
Stroke	0
Ischemic Heart Disease	68
Depression	0
Chronic Kidney Disease	38
Asthma	0
Osteoperosis	0
Atrial Fibrilation	23
Heart Failure	36
Chronic Obstructive Pulmonary Disease	21
Diabetes	45
Dementia	0
Cancer	0

cardiac procedures	112
doctor visit	437
hospital care	245
inpatient care	245
stress testing	29
ultrasound (sonogram)	111
vascular procedures	50

Average Medicare Procedure Volume From 2020 - 2021

Volume of procedures performed by Dr. Briana Teresa Costello, MD for Medicare patients.

The highest averages for the top procedures that Dr. Briana Teresa Costello, MD treated as an interventional cardiologist in Knoxville, TN were hospital care, inpatient care, cardiac procedures and ultrasound (sonogram).

cardiac procedures	64
doctor visit	234
hospital care	136
inpatient care	136
stress testing	29
ultrasound (sonogram)	63
vascular procedures	50

Average Medicare Patient Data From 2020 - 2021

Information about Medicare patients treated by Dr. Briana Teresa Costello, MD.

**Gender**
Male	2
Female	2

**Ethnicity**
Black / African American	0
Asian / Pacific Islander	0
Non-Hispanic White	4
Native American / Alaskan Native	0
Hispanic	0
Other	0

**Age**
75 to 84	2
85 and over	0
Less than 65	0
65 to 74	0

Average of Total of Conditions of Medicare patients treated by Dr. Briana Teresa Costello, MD From 2020 - 2021

The highest averages of the most common conditions of Medicare patients that Dr. Briana Teresa Costello, MD treated were high cholesterol, hypertension, ischemic heart disease and diabetes.

Hypertension	7
High Cholesterol	7
Stroke	0
Ischemic Heart Disease	6
Depression	0
Chronic Kidney Disease	3
Asthma	0
Osteoporosis	0
Heart Failure	3
Chronic Obstructive Pulmonary Disease	2
Diabetes	4
Atrial Fibrillation	2
Cancer	0
Dementia	0

Education & Training

Dr. Briana Teresa Costello, MD graduated from Wright State University, Boonshoft School of Medicine in 2013. She completed residency at Rush University Medical Center. She is certified by the Interventional Cardiology Cardiovascular Disease Internal Medicine and has a state license in Tennessee.

Medical School: Wright State University, Boonshoft School of Medicine (2013)

Residency: Rush University Medical Center

Board Certification: Interventional Cardiology Cardiovascular Disease Internal Medicine

Licensed In: Tennessee

Affiliations & Hospitals

Dr. Briana Teresa Costello, MD is associated with these hospitals and organizations:

Covenant Health

St. Luke's Health

TEXAS HEART MEDICAL GROUP

Fort Sanders Regional Medical Center

The Texas Heart Institute Center for Cardiovascular Care

Insurance Information

Please note: Insurance information may change at any time, and the provider may accept your insurance plan even if it is not listed below. Please contact the provider's office to confirm that your insurance is accepted.

Dr. Briana Teresa Costello, MD appears to accept the following insurance providers: Blue Cross and Blue Shield of Texas ( HMO, POS, PPO, Fed Employees, Self-Insured), MultiPlan / Private Health Care Systems (PHCS, PPO, MultiplePlan, Complementary, MultiPlan Primary,, USA Managed Care (PPO), AETNA (HMO, PPO, POS), United HealthCare (HMO, PPO, POS, NPP), Galaxy Health Network (PPO), Humana National Transplant Network * Patient must be in Baylor St. Luke’s Medical Center, Cigna ( HMO, PPO, EPO), HealthSmart (PPO), BeechStreet (PPO), Evolutions Healthcare Systems (PPO), ZELIS (PPO, Select PPO, Premier Select), LifeTrac Transplant Network * Patient must be in Baylor St. Luke’s Medical Center, Interlink Health Services * Patient must be in Baylor St. Luke’s Medical Center, Shell Adult Cardiac Center of Excellence, Independent Medical Systems (PPO), Motiva Enterprises Adult Cardiac Center of Excellence, OptumHealth Care Solutions * Patient must be in Baylor St. Luke’s Medical Center, Humana PPO, CIGNA PPO, Aetna Elect Choice, CIGNA POS, Humana ChoiceCare Network, CIGNA HMO, WellCare Medicare Advantage, Humana Medicare Advantage PPO, Aetna Choice POS II, Medicare Advantage, HealthSpring, Humana POS, Humana HMO, Aetna QPOS, Aetna Open Choice PPO, Medicaid, Community Care Network (CCN), TRICARE, Aetna Select, Aetna Managed Choice POS, Aetna HMO, WellPoint, BlueAdvantage Ruby, BCBS Network S Bronze (B07), BCBS TennCare Select, NHC Advantage ISNP (Institutional Special Needs Plan), BCBS Network S Silver (S04A/B/C), BCBS Network S Silver (S01A/B/C), BlueEssential HMO, BlueCare TennCare, BlueCare Plus D-SNP, American Health Plan ISNP (Institutional Special Needs Plan), NovaNet Network Lease & WC, NX Health Network Monterey Mushroom Employees, BCBS Network S Silver (S01), BCBS Network S Silver (S04), BlueEssential SNP, BlueAdvantage Sapphire, BCBS Network S Gold (G06), BlueCross BlueShield of Tennessee Network P and Network S, BCBS TennCare Select CoverKids, BlueAdvantage PPO, Ambetter of Tennessee - All Plans, Traditional Medicare and BlueAdvantage Diamond.

Insurance Accepted by Provider includes:

According to our sources, Dr. Briana Teresa Costello, MD accepts the following insurance providers:

Blue Cross and Blue Shield of Texas ( HMO, POS, PPO, Fed Employees, Self-Insured)

MultiPlan / Private Health Care Systems (PHCS, PPO, MultiplePlan, Complementary, MultiPlan Primary,

USA Managed Care (PPO)

AETNA (HMO, PPO, POS)

United HealthCare (HMO, PPO, POS, NPP)

Galaxy Health Network (PPO)

Humana National Transplant Network * Patient must be in Baylor St. Luke’s Medical Center

Cigna ( HMO, PPO, EPO)

HealthSmart (PPO)

BeechStreet (PPO)

Evolutions Healthcare Systems (PPO)

ZELIS (PPO, Select PPO, Premier Select)

LifeTrac Transplant Network * Patient must be in Baylor St. Luke’s Medical Center

Interlink Health Services * Patient must be in Baylor St. Luke’s Medical Center

Shell Adult Cardiac Center of Excellence

Independent Medical Systems (PPO)

Motiva Enterprises Adult Cardiac Center of Excellence

OptumHealth Care Solutions * Patient must be in Baylor St. Luke’s Medical Center

Humana PPO

CIGNA PPO

Aetna Elect Choice

CIGNA POS

Humana ChoiceCare Network

CIGNA HMO

WellCare Medicare Advantage

Humana Medicare Advantage PPO

Aetna Choice POS II

Medicare Advantage

HealthSpring

Humana POS

Humana HMO

Aetna QPOS

Aetna Open Choice PPO

Medicaid

Community Care Network (CCN)

TRICARE

Aetna Select

Aetna Managed Choice POS

Aetna HMO

WellPoint

BlueAdvantage Ruby

BCBS Network S Bronze (B07)

BCBS TennCare Select

NHC Advantage ISNP (Institutional Special Needs Plan)

BCBS Network S Silver (S04A/B/C)

BCBS Network S Silver (S01A/B/C)

BlueEssential HMO

BlueCare TennCare

BlueCare Plus D-SNP

American Health Plan ISNP (Institutional Special Needs Plan)

NovaNet Network Lease & WC

NX Health Network Monterey Mushroom Employees

BCBS Network S Silver (S01)

BCBS Network S Silver (S04)

BlueEssential SNP

BlueAdvantage Sapphire

BCBS Network S Gold (G06)

BlueCross BlueShield of Tennessee Network P and Network S

BCBS TennCare Select CoverKids

BlueAdvantage PPO

Ambetter of Tennessee - All Plans

Traditional Medicare

BlueAdvantage Diamond

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General Payments

These charts describe general payments received by Dr. Briana Teresa Costello, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
Novo Nordisk Inc	$6,744 Ozempic $344	RYBELSUS $59	$6,341
Novartis Pharmaceuticals Corporation	$4,095 LEQVIO $3,169	ENTRESTO $927
Boston Scientific Corporation	$2,441 WATCHMAN $1,692	GENERAL STENTS $201	WATCHMAN Access System $176	Rotablator $125	ROTALINK $103	Other $143
Abbott Laboratories	$2,394 Xience V coronary stent system $1,279	Accent Pacemaker $148	CardioMEMS HF System $148	Quadra Assura CRT Defibrillator $126	Mitra Clip system $117	Other $577
Medtronic Vascular, Inc.	$1,761 CoreValve Evolut $1,696	Resolute $65
Other	$10,880 XARELTO $1,124	Repatha $787	ELIQUIS $655	BRILINTA $537	CLEANER $450	Other $7,327

**Types of Payments**
Food and Beverage	$14,443
Consulting Fee	$9,648
Travel and Lodging	$3,786
Education	$437

Biography

Dr. Briana Costello, who practices in Knoxville, TN, is a medical specialist in adult cardiology and interventional cardiology. She is a graduate of Wright State University, Boonshoft School of Medicine.