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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CLAYTON CONDON APRN
NPI 1528702883
Nurse Practitioner - Acute Care in Louisville, KY

Active since April 22, 2022PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
2355 POPLAR LEVEL RD STE 200, LOUISVILLE, KY 40217(502) 891-8300(502) 634-9236 Get Directions Write a Review

NPPES record last updated: July 9, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 9, 2026, May 5, 2022, Apr 22, 2022 (3 updates tracked since 2022).

About Clayton Condon Aprn NPPES

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

CLAYTON CONDON APRN (NPI 1528702883) is an individual acute care provider in Louisville, Kentucky, licensed in Kentucky (3017674) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS, is affiliated with Norton Hospitals, Inc, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1528702883
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameCLAYTON CONDONCredential: APRN
Location Address2355 POPLAR LEVEL RD STE 200Louisville, KY 40217-1385
Mailing AddressPo Box 776351Chicago, IL 60677-6351 · (502) 588-9490 · Fax (502) 272-5116
Phone(502) 891-8300
Fax(502) 634-9236
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateApril 22, 2022
Last NPPES UpdateJuly 9, 20263 updates tracked since enumeration
NPPES CertifiedJuly 9, 2026
✔ NPI 1528702883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in KY · 3017674
2355 POPLAR LEVEL RD STE 200, Louisville, KY 40217
Open in Google Maps ↗

Other Identifiers 1

Other3017674KY · State License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Clayton Condon Aprn 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 ID446638647
PECOS Enrollment IDI20220531001367
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.

Areas of Expertise CMS Part B claims 6

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.
363 services287 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.
265 services218 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
64 services43 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.
26 services26 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.
19 services18 patients
Smoking and tobacco use intensive counseling, 4-10 minutes 99406
This service provides brief, intensive counseling (4-10 minutes) to support you in quitting smoking or tobacco use. It involves discussing the risks of tobacco use, benefits of quitting, and strategies to help you stop. It's a critical step towards a healthier lifestyle.
13 services12 patients

Hospital Affiliations CMS Care Compare

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

Norton Hospitals, Inc

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180088
Location200 East Chestnut StreetLouisville, KY 40202 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40217 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 4

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

CHERRY E NELSON APRN
Nurse Practitioner (Family)
2355 POPLAR LEVEL RD STE 200
LOUISVILLE, KY 40217
Jefferson County (502) 636-7444
ERIKA KEITHLEY APRN
Nurse Practitioner (Adult Health)
2355 POPLAR LEVEL RD STE 200
LOUISVILLE, KY 40217
Jefferson County (502) 891-8300
KATHRYN ANNE DUNLAP APRN
Nurse Practitioner (Family)
2355 POPLAR LEVEL RD STE 200, NORTON MEDICAL PLAZA WEST-AUDUBON
LOUISVILLE, KY 40217
Jefferson County (502) 636-7444
HUSSAYN JOSEPH ALRAYES DO
Internal Medicine (Interventional Cardiology)
2355 POPLAR LEVEL RD STE 200
LOUISVILLE, KY 40217
Jefferson County (502) 891-8300

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 Clayton Condon's NPI number?

The NPI number for Clayton Condon is 1528702883. It was assigned to this individual provider in the NPPES registry on April 22, 2022.

Where is Clayton Condon located?

Clayton Condon practices at 2355 Poplar Level Rd Ste 200, Louisville, KY 40217. The listed phone number is (502) 891-8300.

What is Clayton Condon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Clayton Condon enrolled in Medicare?

Yes. Clayton 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.

What insurance does Clayton Condon accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Clayton 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 Clayton Condon affiliated with any hospitals?

According to CMS data, Clayton Condon is affiliated with Norton Hospitals, Inc.

When was this NPI record last updated?

The NPPES record for Clayton Condon was last updated on July 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 42 days 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.