DR. JAMES K. CONDON M.D. NPI 1083683353

Internal Medicine (Hospice and Palliative Medicine) in New Port Richey, FL

NPI 1083683353 Individual Male Internal Medicine Hospice and Palliative Medicine PECOS Enrolled

About JAMES CONDON

James Condon is an internal medicine provider established in New Port Richey, Florida and his medical specialization is internal medicine (hospice and palliative medicine) . The NPI number of James Condon is 1083683353 and was assigned on March 2006. The practitioner's primary taxonomy code is 207RH0002X with license number ME-71437 (FL). The provider is registered as an individual and his NPI record was last updated 6 years ago.

An internist like Dr. James K. Condon M.d. is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

James Condon is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

James Condon is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

NPI

1083683353

Provider NameDR. JAMES K. CONDON M.D.
Provider Location Address6804 CECELIA DR NEW PORT RICHEY, FL 34653
Provider Mailing Address6804 CECELIA DR NEW PORT RICHEY, FL 34653
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date03-17-2006
Last Update Date09-11-2015


Primary Taxonomy

Taxonomy Code207RH0002X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
SpecializationHospice and Palliative Medicine
License No.ME-71437
License StateFL
Taxonomy DescriptionAn internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.

Business Address

DR. JAMES K. CONDON M.D.
6804 CECELIA DR
NEW PORT RICHEY, FL
ZIP 34653
Phone: (727) 232-0644
Fax: (888) 546-0488

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Mailing Address

DR. JAMES K. CONDON M.D.
6804 CECELIA DR
NEW PORT RICHEY, FL
ZIP 34653
Phone: (727) 232-0644
Fax: (888) 546-0488



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 695Physician re-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 to affirm the initial im (HCPCS:G0179)
  • 180Physician 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 to affirm the initial imple (HCPCS:G0180)
  • 22Administration of influenza virus vaccine (HCPCS:G0008)

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1208600000XAllopathic & Osteopathic PhysiciansSurgeryME0071437FLNo

Taxonomy Description: a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

22086S0102XAllopathic & Osteopathic PhysiciansSurgerySurgical Critical CareME-71437FLNo

Taxonomy Description: a surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

3208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)ME0071437FLNo

Taxonomy Description: a thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
32303UOTHER (01)FL
252311600MEDICAID (05)FL
B82097MEDICARE UPIN (02)FL

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1831140433MRS. PAMELA C DAILEY ARNP
Individual
Nurse Practitioner6804 CECELIA DR
NEW PORT RICHEY, FL 34653
(727) 232-0644
1689748840MRS. RITA K. NICHOLSON ARNP
Individual
Nurse Practitioner (Psychiatric/Mental Health)6804 CECELIA DR
NEW PORT RICHEY, FL 34653
(727) 232-0644
1740613850 VIKTORIYA RAKITA ARNP
Individual
Nurse Practitioner (Adult Health)6804 CECELIA DR
NEW PORT RICHEY, FL 34653
(727) 232-0644
1801137138MS. KATHY ANN THOMPSON ARNP-C
Individual
Nurse Practitioner (Adult Health)6804 CECELIA DR
NEW PORT RICHEY, FL 34653
(727) 232-0644
1144211061MR. ROBERT KLEID PA-C
Individual
Physician Assistant (Medical)6804 CECELIA DR
NEW PORT RICHEY, FL 34653
(727) 232-0644
1427149517 JOSEPHINE F ADELUFOSI ARNP
Individual
Nurse Practitioner (Adult Health)6804 CECELIA DR
NEW PORT RICHEY, FL 34653
(727) 232-0644
1538124383DR. WILLIAM THEODORE TRABULSI DPM
Individual
Podiatrist (Foot & Ankle Surgery)6804 CECELIA DR
NEW PORT RICHEY, FL 34653
(727) 232-0644
1336408483MRS. TIFFANY REICHBACH NP-C
Individual
Nurse Practitioner (Adult Health)6804 CECELIA DR
NEW PORT RICHEY, FL 34653
(727) 232-0644
1467469338 BETH ANN-PONTIUS MOORE ARNPC
Individual
Nurse Practitioner (Family)6804 CECELIA DR
NEW PORT RICHEY, FL 34653
(855) 232-0644
1003155110 BILLY SHANNON CLAY FNP-BC
Individual
Nurse Practitioner (Primary Care)6804 CECELIA DR
NEW PORT RICHEY, FL 34653
(727) 232-0644
1033366299DR. RICHARD JOSEPH CAMPANILE D.O.
Individual
Family Medicine6804 CECELIA DR
NEW PORT RICHEY, FL 34653
(727) 232-0644
1043284680 DOUGLAS P. NAGLE P.A.
Individual
Physician Assistant6804 CECELIA DR
NEW PORT RICHEY, FL 34653
(727) 232-0644
1457710287MRS. MELISSA G COLE ARNP, NP-C
Individual
Nurse Practitioner (Adult Health)6804 CECELIA DR
NEW PORT RICHEY, FL 34653
(727) 232-0644
1699785840DR. SAMUEL ANTHONY PETTINA D.O.
Individual
Family Medicine6804 CECELIA DR
NEW PORT RICHEY, FL 34653
(727) 232-0644
1306820394 PAMELA LYNN JUNE PHD
Individual
Psychologist (Clinical)6804 CECELIA DR SUITE 201
NEW PORT RICHEY, FL 34653
(727) 232-0644
1831554484 LISA M HIESTAND ARNP
Individual
Nurse Practitioner (Adult Health)6804 CECELIA DR
NEW PORT RICHEY, FL 34653
(855) 232-0644
1730521840DR. FERNANDO BARJA III O.D.
Individual
Optometrist6804 CECELIA DR
NEW PORT RICHEY, FL 34653
(727) 232-0644
1407954936MS. MELANIE MILLER RN PAC
Individual
Physician Assistant (Medical)6804 CECELIA DR
NEW PORT RICHEY, FL 34653
(727) 232-0644
1538665310 JENNIFER DANIELLE QUINN ARNP
Individual
Nurse Practitioner (Adult Health)6804 CECELIA DR
NEW PORT RICHEY, FL 34653
(727) 232-0644
1427497783MR. ANTHONY SCOTT CASINGER ARNP
Individual
Nurse Practitioner (Adult Health)6804 CECELIA DR
NEW PORT RICHEY, FL 34653
(727) 232-0644

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.