DR. LEESA BLAKE CONDRY M.D.
NPI 1073746160
Obstetrics & Gynecology - Gynecology in Dallas, TX

Q: What is Leesa Condry's NPI number?

The NPI number for Leesa Condry is 1073746160. It was assigned to this individual provider in the NPPES registry on August 24, 2009.

Q: What is Leesa Condry's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Q: Is Leesa Condry enrolled in Medicare?

No. Leesa Condry has opted out of Medicare through January 4, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Leesa Condry was last updated on August 24, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since August 24, 2009Opted out of Medicare · through Jan 4, 2028

3605 LEXINGTON AVE, DALLAS, TX 75205(214) 526-7995(214) 522-1460 Get Directions Write a Review

NPPES record last updated: August 24, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Leesa Blake Condry M.d. NPPES

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

DR. LEESA BLAKE CONDRY M.D. (NPI 1073746160) is an individual gynecology provider in Dallas, Texas, licensed in Texas (E9043) and active in the NPI registry since August 2009. She has opted out of Medicare through January 4, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1073746160

Entity TypeIndividualFemale

Primary Taxonomy207VG0400X

Provider Legal NameDR. LEESA BLAKE CONDRYCredential: M.D.

Location Address3605 LEXINGTON AVEDallas, TX 75205-3916

Mailing Address3605 Lexington AveDallas, TX 75205-3916 · (214) 526-7995 · Fax (214) 522-1460

Phone(214) 526-7995

Fax(214) 522-1460

Sole ProprietorYes

Enumeration DateAugust 24, 2009

✔ NPI 1073746160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207VG0400X

License✔ Licensed in TX · E9043

Definition

A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee

3605 LEXINGTON AVE, Dallas, TX 75205

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Leesa Blake Condry M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 4, 2016 through January 4, 2028.

Opt-Out Effective DateJanuary 4, 2016

Opt-Out In Effect ThroughJanuary 4, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75205 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

$131.01 typical visit price

range $57.18 – $172.86

Typical copayment $32.75 (range $14.29 – $43.21)

Most-billed visit code 99204

Established Patient

$71.28 typical visit price

range $18.48 – $141.20

Typical copayment $17.82 (range $4.62 – $35.30)

Most-billed visit code 99213

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

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 Leesa Condry's NPI number?

The NPI number for Leesa Condry is 1073746160. It was assigned to this individual provider in the NPPES registry on August 24, 2009.

Where is Leesa Condry located?

Leesa Condry practices at 3605 Lexington Ave, Dallas, TX 75205. The listed phone number is (214) 526-7995.

What is Leesa Condry's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Is Leesa Condry enrolled in Medicare?

No. Leesa Condry has opted out of Medicare through January 4, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Leesa Condry was last updated on August 24, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.