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DR. ROY E GONDO M.D.
NPI 1669476131
Family Medicine in Wapato, WA

Active since June 11, 2005PECOS EnrolledAccepts Medicare Assignment
620 W 1ST ST, WAPATO, WA 98951(509) 877-4111 Get Directions Write a Review

NPPES record last updated: November 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 26, 2025, Mar 13, 2017 (2 updates tracked since 2017).

About Dr. Roy E Gondo M.d. NPPES

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

DR. ROY E GONDO M.D. (NPI 1669476131) is an individual family medicine provider in Wapato, Washington, licensed in Washington (MD00035498) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Yakima Valley Memorial, and maintains a secondary practice location in Yakima.

NPPES Registry Identity

NPI1669476131
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ROY E GONDOCredential: M.D.
Location Address620 W 1ST STWapato, WA 98951-1108
Mailing AddressPo Box 190Toppenish, WA 98948-0190
Phone(509) 877-4111
Sole ProprietorNo
Medical School CMSMayo Medical SchoolGraduated 1992
Enumeration DateJune 11, 2005
Last NPPES UpdateNovember 26, 20252 updates tracked since enumeration
NPPES CertifiedNovember 26, 2025
✔ NPI 1669476131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WA · MD00035498
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedPhlebologyTaxonomy 202K00000X · License MD00035498 (WA)
620 W 1ST ST, Wapato, WA 98951
Open in Google Maps ↗

Secondary Practice Location 1

Location 1611 N 39TH AVEYAKIMA, WA 98902-6348 · Phone (509) 225-6691

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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

Dr. Roy E Gondo M.d. 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 ID5092746826
PECOS Enrollment IDI20050822001098
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 12

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.
990 services323 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
196 services196 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.
117 services71 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.
105 services85 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
87 services87 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
67 services31 patients

Hospital Affiliations CMS Care Compare 2

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

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

Prosser Memorial Hospital

Critical Access Hospitals · Prosser, WA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number501312
Location723 Memorial StreetProsser, WA 99350 · Benton County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98951 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
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.

Reported Quality Measures

Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
68%103 patients3/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
90%3,094 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
95%4,304 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
87%293 patients4/55-star benchmark: 99%
Patient-Generated Health Data
Patient-generated health data or data from a non-clinical setting is incorporated into the certified EHR technology for at least one unique patient seen by the MIPS eligible clinician during the performance period.
0%938 patients
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from certified EHR technology to identify patient-specific educational resources and provide electronic access to those materials to at least one unique patient seen by the MIPS eligible…
0%938 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
86%892 patients4/55-star benchmark: 97%
Provide Patient Access
For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician…
2%938 patients1/55-star benchmark: 100%
Request/Accept Summary of Care
For at least one transition of care or referral received or patient encounter in which the MIPS eligible clinician has never before encountered the patient, the MIPS eligible clinician receives or retrieves and incorporates into the patient's record an…
1%938 patients1/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of certified EHR technology to the patient (or the patient-authorized representative), or in…
0%938 patients1/55-star benchmark: 75%
Send a Summary of Care
For at least one transition of care or referral, the MIPS eligible clinician that transitions or refers their patient to another setting of care or health care provider-(1) creates a summary of care record using certified EHR technology; and (2)…
1%938 patients1/55-star benchmark: 100%
View, Download and Transmit (VDT)
During the performance period, at least one unique patient (or patient-authorized representatives) seen by the MIPS eligible clinician actively engages with the EHR made accessible by the MIPS eligible clinician.
1%938 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers11 claims19 services$5.22 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier17 claims17 services$5.28 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers31 claims31 services$82.93 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$21.92 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers11 claims11 services$206.57 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 11

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

MONICA AMY SANCHEZ RN, BSN
Registered Nurse (Community Health)
620 W 1ST ST
WAPATO, WA 98951
Yakima County (509) 270-5403
MICHAEL HOWARD GRAVATT II MD
Family Medicine
620 W 1ST ST
WAPATO, WA 98951
Yakima County (509) 877-4111
PAMELA SMITH
Pediatrics
620 W 1ST ST
WAPATO, WA 98951
Yakima County (509) 877-4111
GRACEANN A FREEMAN
Nurse Practitioner
620 W 1ST ST
WAPATO, WA 98951
Yakima County (509) 887-4111
NARGIS MOZAFARI
Psychologist (Clinical)
620 W 1ST ST
WAPATO, WA 98951
Yakima County (509) 877-4111
BONNIE OXFORD FNP
Nurse Practitioner
620 W 1ST ST
WAPATO, WA 98951
Yakima County (509) 877-4111
LABORATORY CORPORATION OF AMERICA
Clinical Medical Laboratory
620 W 1ST ST
WAPATO, WA 98951
Yakima County (509) 480-9345
BRIAN ULLOM
Pediatrics
620 W 1ST ST
WAPATO, WA 98951
Yakima County (509) 877-4111

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 Roy Gondo's NPI number?

The NPI number for Roy Gondo is 1669476131. It was assigned to this individual provider in the NPPES registry on June 11, 2005.

Where is Roy Gondo located?

Roy Gondo practices at 620 W 1st St, Wapato, WA 98951. The listed phone number is (509) 877-4111.

What is Roy Gondo's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Roy Gondo enrolled in Medicare?

Yes. Roy Gondo 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 Roy Gondo accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Roy Gondo 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 Roy Gondo affiliated with any hospitals?

According to CMS data, Roy Gondo is affiliated with Yakima Valley Memorial and Prosser Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Roy Gondo was last updated on November 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.