MAUREEN CONDON M.D.
NPI 1215130729
Emergency Medicine in Rochester, NY

Active since June 11, 2007PECOS Enrolled
91.25/100
CMS Quality Rating
601 ELMWOOD AVE, BOX 655, ROCHESTER, NY 14642(585) 463-2940(585) 473-3516 Get Directions Write a Review

NPPES record last updated: September 14, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Maureen Condon M.d. NPPES

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

MAUREEN CONDON M.D. (NPI 1215130729) is an individual emergency medicine provider in Rochester, New York, licensed in New York (257626) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215130729
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameMAUREEN CONDONCredential: M.D.
Location Address601 ELMWOOD AVE, BOX 655Rochester, NY 14642-0001
Mailing Address2800 Marcus Ave, Box 655New Hyde Park, NY 11042-1113 · (585) 463-2940 · Fax (585) 473-3516
Fax(585) 473-3516
Sole ProprietorNo
Enumeration DateJune 11, 2007
Last NPPES UpdateSeptember 14, 2018
✔ NPI 1215130729 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in NY · 257626
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
601 ELMWOOD AVE, Rochester, NY 14642

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maureen Condon M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

5

Medicare enrollment records show Maureen Condon reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
6653 MAIN ST
Williamsville, NY 14221
  • Reassigned Medicare billing, New York enrollment
  • 195 clinicians in this Medicare group
Emergency Medicine
301 PROSPECT AVE
Syracuse, NY 13203
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Emergency Care Services Of New York PC
  • 240 clinicians in this Medicare group
Emergency Medicine
241 NORTH RD
Poughkeepsie, NY 12601
  • Reassigned Medicare billing, New York enrollment
  • 356 clinicians in this Medicare group
Urology
1010 NORTHERN BLVD STE 110
Great Neck, NY 11021
  • Reassigned Medicare billing, New York enrollment
  • 9,353 clinicians in this Medicare group
Urgent Care
555 N BROADWAY
Jericho, NY 11753
  • Reassigned Medicare billing, New York enrollment
  • 413 clinicians in this Medicare group

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 3

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
146 services146 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
51 services50 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
23 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14642 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

Physician Assistant
601 ELMWOOD AVE
ROCHESTER, NY 14642
Pediatrics (Neonatal-Perinatal Medicine)
601 ELMWOOD AVE, BOX 635
ROCHESTER, NY 14642
Radiology (Diagnostic Radiology)
601 ELMWOOD AVE, BOX 648
ROCHESTER, NY 14642
Nurse Practitioner (Family)
601 ELMWOOD AVE, BOX 652
ROCHESTER, NY 14642
Urology (Pediatric Urology)
601 ELMWOOD AVE, BOX 656
ROCHESTER, NY 14642
Nurse Practitioner (Adult Health)
601 ELMWOOD AVE, BOX 704
ROCHESTER, NY 14642
Student in an Organized Health Care Education/Training Program
601 ELMWOOD AVE, BOX 705
ROCHESTER, NY 14642
Radiology (Diagnostic Radiology)
601 ELMWOOD AVE
ROCHESTER, NY 14642

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 Maureen Condon's NPI number?

The NPI number for Maureen Condon is 1215130729. It was assigned to this individual provider in the NPPES registry on June 11, 2007.

Where is Maureen Condon located?

Maureen Condon practices at 601 Elmwood Ave Box 655, Rochester, NY 14642. The listed phone number is (585) 463-2940.

What is Maureen Condon's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Maureen Condon enrolled in Medicare?

Yes. Maureen Condon is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Maureen Condon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maureen Condon reassigns Medicare benefits to 5 organizations: Buffalo Emergency Associates LLP (Williamsville, NY), Emergency Care Services Of New York, P.C. (Syracuse, NY), Emergency Physician Services Of New York, P.C. (Poughkeepsie, NY), North Shore-Lij Medical PC (Great Neck, NY) and Optum Urgent Care, PLLC (Jericho, NY). 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 Maureen Condon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Maureen Condon was last updated on September 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.