EDWARD KONDROT MD
NPI 1497368336
Ophthalmology in Clearlake, CA

Q: What is Edward Kondrot's NPI number?

The NPI number for Edward Kondrot is 1497368336. It was assigned to this individual provider in the NPPES registry on August 30, 2020.

Q: What is Edward Kondrot's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Edward Kondrot was last updated on January 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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 30, 2020PECOS EnrolledAccepts Medicare Assignment

15230 LAKESHORE DR, CLEARLAKE, CA 95422(707) 995-4518(707) 995-4526 Get Directions Write a Review

NPPES record last updated: January 6, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 6, 2026, Aug 30, 2020 (2 updates tracked since 2020).

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About Edward Kondrot Md NPPES

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

EDWARD KONDROT MD (NPI 1497368336) is an individual ophthalmology provider in Clearlake, California, licensed in California (G89041) and active in the NPI registry since August 2020. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Hahnemann University College Of Medicine (1977).

NPPES Registry Identity

NPI1497368336

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameEDWARD KONDROTCredential: MD

Location Address15230 LAKESHORE DRClearlake, CA 95422-8107

Mailing Address15230 Lakeshore DrClearlake, CA 95422-8107 · (707) 995-4518 · Fax (707) 995-4526

Phone(707) 995-4518

Fax(707) 995-4526

Sole ProprietorYes

Medical School CMSHahnemann University College Of MedicineGraduated 1977

Enumeration DateAugust 30, 2020

Last NPPES UpdateJanuary 6, 20262 updates tracked since enumeration

NPPES CertifiedJanuary 6, 2026

✔ NPI 1497368336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

Licenses✔ Licensed in CA · G89041✔ Licensed in PA · MD021475E

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

15230 LAKESHORE DR, Clearlake, CA 95422

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Secondary Practice Locations 2

Location 1303 1st StCharleroi, PA 15022-1427 · Phone (724) 485-9099

Location 2487 S Main StLakeport, CA 95453-5315 · Phone (707) 995-5663 · Fax (707) 263-5327

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Edward Kondrot 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 ID2466345194

PECOS Enrollment IDI20240327001016

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 Edward Kondrot reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Adventist Health Clearlake Hospital Inc.

1.1 mi

Critical Access

15630 18TH AVE
Clearlake, CA 95422

Reassigned Medicare billing, California enrollment
182 clinicians in this Medicare group

NPI 1124018031 (707) 994-6486

Permanente Medical Group Inc

60 mi

Internal Medicine

975 SERENO DRIVE
Vallejo, CA 94589

Reassigned Medicare billing, California enrollment
20,078 clinicians in this Medicare group

NPI 1336222397 (707) 651-1000

Advanced Eyecare Solutions LLC

2,262 mi

Optometrist

303 1ST ST
Charleroi, PA 15022

Reassigned Medicare billing, Pennsylvania enrollment
8 clinicians in this Medicare group

NPI 1144557174 (724) 483-3675

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95422 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

$133.94 typical visit price

range $58.87 – $176.60

Typical copayment $33.48 (range $14.71 – $44.15)

Most-billed visit code 99204

Established Patient

$73.16 typical visit price

range $19.28 – $144.60

Typical copayment $18.29 (range $4.82 – $36.15)

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.

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.

AILEEN ELIZABETH KLEIN LCSW

Social Worker (Clinical)