MARIE T. WALSH CONDON MD
NPI 1033301486
Family Medicine in Medford, MA

Q: What is Marie Walsh Condon's NPI number?

The NPI number for Marie Walsh Condon is 1033301486. It was assigned to this individual provider in the NPPES registry on August 9, 2007.

Q: What is Marie Walsh Condon's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since August 09, 2007PECOS EnrolledAccepts Medicare Assignment

91.41/100

CMS Quality Rating

75 RIVERSIDE AVE, SUITE 2, MEDFORD, MA 02155(781) 306-0200(781) 306-0264 Get Directions Write a Review

NPPES record last updated: January 29, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 29, 2020, Mar 23, 2017 (2 updates tracked since 2017).

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About Marie T. Walsh Condon Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARIE T. WALSH CONDON MD (NPI 1033301486) is an individual family medicine provider in Medford, Massachusetts, licensed in Massachusetts (243618) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS, is affiliated with Melrosewakefield Healthcare, and is a graduate of Tufts University School Of Medicine (2007).

NPPES Registry Identity

NPI1033301486

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameMARIE T. WALSH CONDONCredential: MD

Location Address75 RIVERSIDE AVE, SUITE 2Medford, MA 02155

Mailing Address75 Riverside Ave, Suite 2Medford, MA 02155 · (781) 756-7273 · Fax (781) 721-0725

Phone(781) 306-0200

Fax(781) 306-0264

Sole ProprietorNo

Medical School CMSTufts University School Of MedicineGraduated 2007

Enumeration DateAugust 9, 2007

Last NPPES UpdateJanuary 29, 20202 updates tracked since enumeration

✔ NPI 1033301486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MA · 243618

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

75 RIVERSIDE AVE, Medford, MA 02155

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Taro Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Marie T. Walsh Condon Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2062605199

PECOS Enrollment IDI20101021001043

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Marie Walsh Condon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Winchester Physician Associates, Inc

2.9 mi

Internal Medicine

11 SHORE RD
Winchester, MA 01890

Reassigned Medicare billing, Massachusetts enrollment
221 clinicians in this Medicare group

NPI 1184606865 (781) 729-1810

Beth Israel Lahey Health Primary Care, Inc.

7.8 mi

Urology

41 MALL RD
Burlington, MA 01805

Reassigned Medicare billing, Massachusetts enrollment
410 clinicians in this Medicare group

NPI 1043710791 (781) 744-8000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 15

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

318 services181 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

120 services81 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

105 services105 patients

Annual alcohol misuse screening, 5 to 15 minutes G0442

An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.

98 services98 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

88 services88 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

81 services81 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

63 services63 patients

Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438

An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.

53 services53 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

44 services31 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

25 services25 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

25 services25 patients

Transitional care management services for problem of at least moderate complexity 99495

Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.

18 services15 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

17 services16 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

15 services13 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

11 services11 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Melrosewakefield Healthcare

Acute Care Hospitals · Melrose, MA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220070

Location585 Lebanon StreetMelrose, MA 02176 · Middlesex County

Emergency services Birthing friendly

Massachusetts General Hospital

Acute Care Hospitals · Boston, MA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220071

Location55 Fruit StreetBoston, MA 02114 · Suffolk County

Emergency services Birthing friendly

Beth Israel Deaconess Medical Center

Acute Care Hospitals · Boston, MA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220086

Location330 Brookline AvenueBoston, MA 02215 · Suffolk County

Emergency services Birthing friendly

Winchester Hospital

Acute Care Hospitals · Winchester, MA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220105

Location41 Highland AvenueWinchester, MA 01890 · Middlesex County

Emergency services Birthing friendly

Lahey Hospital & Medical Center, Burlington

Acute Care Hospitals · Burlington, MA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220171

Location41 & 45 Mall RoadBurlington, MA 01803 · Middlesex County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02155 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$97.64 typical visit price

range $63.72 – $189.86

Typical copayment $24.41 (range $15.93 – $47.46)

Most-billed visit code 99203

Established Patient

$111.18 typical visit price

range $21.07 – $155.29

Typical copayment $27.79 (range $5.26 – $38.82)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.41/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

76.87

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

11 suppliers28 claims76 services$6.46 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier16 claims16 services$2.95 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WINCHESTER PHYSICIAN ASSOCIATES

Pediatrics

75 RIVERSIDE AVE, 2
MEDFORD, MA 02155

Middlesex County (781) 391-8821

WINCHESTER PHYSICIAN ASSOCIATES

Internal Medicine

75 RIVERSIDE AVE, SUITE 3
MEDFORD, MA 02155

Middlesex County (781) 396-3701

NANCY MADDOX R.D.

Dietitian, Registered

75 RIVERSIDE AVE
MEDFORD, MA 02155

Middlesex County (781) 396-6221

MS. DIANE M DOUCETTE FNP

Registered Nurse (Diabetes Educator)

75 RIVERSIDE AVE, SUITE 3
MEDFORD, MA 02155

Middlesex County (781) 396-6437

MRS. KATHLEEN ANNE BUTLER R.D.

Dietitian, Registered

75 RIVERSIDE AVE, SUITE 3
MEDFORD, MA 02155

Middlesex County (781) 396-6221

JANET NOLAN RD, LDN

Dietitian, Registered

75 RIVERSIDE AVE, SUITE 3
MEDFORD, MA 02155

Middlesex County (781) 396-6221

CLIFFORD MICHAELSON M.D.

Ophthalmology

75 RIVERSIDE AVE, SUITE 3
MEDFORD, MA 02155

Middlesex County (781) 756-7273

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marie Walsh Condon's NPI number?

The NPI number for Marie Walsh Condon is 1033301486. It was assigned to this individual provider in the NPPES registry on August 9, 2007.

Where is Marie Walsh Condon located?

Marie Walsh Condon practices at 75 Riverside Ave Suite 2, Medford, MA 02155. The listed phone number is (781) 306-0200.

What is Marie Walsh Condon's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Marie Walsh Condon enrolled in Medicare?

Yes. Marie Walsh Condon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Marie Walsh Condon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marie Walsh Condon reassigns Medicare benefits to 2 organizations: Winchester Physician Associates, Inc (Winchester, MA) and Beth Israel Lahey Health Primary Care, Inc. (Burlington, MA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Marie Walsh Condon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marie Walsh Condon accept?

Health plans from Taro Health list Marie Walsh Condon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Marie Walsh Condon affiliated with any hospitals?

According to CMS data, Marie Walsh Condon is affiliated with Melrosewakefield Healthcare, Massachusetts General Hospital, Beth Israel Deaconess Medical Center, Winchester Hospital and Lahey Hospital & Medical Center, Burlington.

When was this NPI record last updated?

The NPPES record for Marie Walsh Condon was last updated on January 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.