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SALLY L CONDON MD
NPI 1568995744
Internal Medicine - Gastroenterology in Edmonds, WA

Active since April 05, 2017PECOS EnrolledAccepts Medicare Assignment
95.5/100
CMS Quality Rating
21600 HIGHWAY 99 STE 230, EDMONDS, WA 98026(206) 215-4250(425) 215-4252 Get Directions Write a Review

NPPES record last updated: January 13, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sally L Condon Md NPPES

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

SALLY L CONDON MD (NPI 1568995744) is an individual gastroenterology provider in Edmonds, Washington, licensed in Washington (MD61561446) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, is affiliated with Swedish Medical Center / Cherry Hill, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1568995744
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NameSALLY L CONDONCredential: MD
Location Address21600 HIGHWAY 99 STE 230Edmonds, WA 98026-8048
Mailing AddressPo Box 25608Salt Lake City, UT 84125-0608 · (206) 320-4476 · Fax (206) 568-7043
Phone(206) 215-4250
Fax(425) 215-4252
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateApril 5, 2017
Last NPPES UpdateJanuary 13, 2025
NPPES CertifiedJanuary 13, 2025
✔ NPI 1568995744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in WA · MD61561446
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD61561446 (WA)
Also ListedInternal Medicine · Transplant HepatologyTaxonomy 207RT0003X · License MD61561446 (WA)
21600 HIGHWAY 99 STE 230, Edmonds, WA 98026
Open in Google Maps ↗

Other Identifiers 1

Medicaid2296095WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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

Sally L Condon 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 ID6709135932
PECOS Enrollment IDI20240828000257
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.

Hospital Affiliations CMS Care Compare 4

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

Swedish Medical Center / Cherry Hill

Acute Care Hospitals · Seattle, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number500025
Location500 17th AvenueSeattle, WA 98122 · King County
Emergency services

Swedish Edmonds Hospital

Acute Care Hospitals · Edmonds, WA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500026
Location21601 76th Avenue WestEdmonds, WA 98026 · Snohomish County
Emergency services Birthing friendly

Swedish Medical Center

Acute Care Hospitals · Seattle, WA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500027
Location747 BroadwaySeattle, WA 98122 · King County
Emergency services Birthing friendly

Yakima Valley Memorial

Acute Care Hospitals · Yakima, WA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500036
Location2811 Tieton DriveYakima, WA 98902 · Yakima County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98026 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
$130.99 typical visit price
range $57.27 – $172.80
Typical copayment $32.74 (range $14.31 – $43.20)
Most-billed visit code 99204
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

95.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.59
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 6

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

DR. ELAINE YILIN SHAO MD
Internal Medicine (Gastroenterology)
21600 HIGHWAY 99 STE 230
EDMONDS, WA 98026
Snohomish County (206) 215-4250
CALVIN KIANI MD
Internal Medicine (Gastroenterology)
21600 HIGHWAY 99 STE 230
EDMONDS, WA 98026
Snohomish County (206) 215-4250
BRIANNE MARIE BOWEN PA-C
Physician Assistant (Medical)
21600 HIGHWAY 99 STE 230
EDMONDS, WA 98026
Snohomish County (206) 215-4250
MISS HUEI-WEN LIM M.D
Internal Medicine (Gastroenterology)
21600 HIGHWAY 99 STE 230
EDMONDS, WA 98026
Snohomish County (206) 215-4250
HYE YEON JHUN MD
Internal Medicine (Gastroenterology)
21600 HIGHWAY 99 STE 230
EDMONDS, WA 98026
Snohomish County (206) 215-4250
ROBERTA Y AFLATOONI ARNP
Nurse Practitioner
21600 HIGHWAY 99 STE 230
EDMONDS, WA 98026
Snohomish County (206) 215-4250

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 Sally Condon's NPI number?

The NPI number for Sally Condon is 1568995744. It was assigned to this individual provider in the NPPES registry on April 5, 2017.

Where is Sally Condon located?

Sally Condon practices at 21600 Highway 99 Ste 230, Edmonds, WA 98026. The listed phone number is (206) 215-4250.

What is Sally Condon's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Sally Condon enrolled in Medicare?

Yes. Sally 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 Sally Condon accept?

Health plans from CareSource, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Sally 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 Sally Condon affiliated with any hospitals?

According to CMS data, Sally Condon is affiliated with Swedish Medical Center / Cherry Hill, Swedish Edmonds Hospital, Swedish Medical Center and Yakima Valley Memorial.

When was this NPI record last updated?

The NPPES record for Sally Condon was last updated on January 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.