Edward Condon, MD
NPI 1225058969 · Endocrinology, Diabetes & Metabolism Physician · Commack, NY
Enrolled with Medicare as Practitioner - Endocrinology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Edward Condon, MD is a Endocrinology, Diabetes & Metabolism Physician provider in Commack, NY (NPI 1225058969).
Provider details
- NPI number
- 1225058969
- Entity type
- Individual
- Primary specialty
- Endocrinology, Diabetes & Metabolism PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 127245 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
39,454 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 2,957 | $144 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 2,004 | $9 |
| Blood Test, Thyroid Stimulating Hormone (tsh)84443 | 1,843 | $16 |
| Microsomal Antibodies (autoantibody) Measurement86376 | 1,841 | $14 |
| Thyroxine (thyroid Chemical), Free84439 | 1,839 | $9 |
| Thyroid Hormone, T3 Measurement, Free84481 | 1,838 | $16 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 4 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Metformin Hclbrand: Metformin Hcl Er | 51 | 21 |
| Levothyroxine Sodium | 38 | 11 |
| Semaglutidebrand: Ozempic | 13 | — |
| Calcitriol | 11 | — |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$2,321 across 114 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-07-19
- Last updated
- 2012-07-31
Frequently asked questions
- What is Edward Condon's NPI number?
- Edward Condon's National Provider Identifier (NPI) is 1225058969, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Edward Condon's specialty?
- Edward Condon is listed in the NPPES registry with a primary specialty of Endocrinology, Diabetes & Metabolism Physician (Allopathic & Osteopathic Physicians).
- Where is Edward Condon located?
- Edward Condon's practice location on file with NPPES is 6080 Jericho Tpke, Commack, NY 11725-2850.
- What is Edward Condon's phone number?
- The practice phone number listed in the NPPES registry for Edward Condon is (631) 462-2200.
- Does Edward Condon accept Medicare?
- Edward Condon is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Edward Condon's NPI active?
- Yes — Edward Condon's NPI (1225058969) is active in the NPPES registry as of the last update on 2012-07-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.