JOSEPH V CONDON MD
NPI 1831257286
Internal Medicine - Cardiovascular Disease in Billings, MT

Active since December 05, 2006PECOS Enrolled
100/100
CMS Quality Rating
801 N 29TH ST, BILLINGS, MT 59101(406) 238-2501 Get Directions Write a Review

NPPES record last updated: May 10, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 10, 2021, Oct 1, 2020, May 27, 2020 and 1 more (4 updates tracked since 2017).

About Joseph V Condon Md NPPES

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

JOSEPH V CONDON MD (NPI 1831257286) is an individual cardiovascular disease provider in Billings, Montana, licensed in Montana (MED-PHYS-LIC-53929) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Maui Memorial Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1831257286
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameJOSEPH V CONDONCredential: MD
Location Address801 N 29TH STBillings, MT 59101-0905
Mailing AddressPo Box 35100, Suite 230Billings, MT 59107-5100
Sole ProprietorNo
Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 1987
Enumeration DateDecember 5, 2006
Last NPPES UpdateMay 10, 20214 updates tracked since enumeration
NPPES CertifiedMay 10, 2021
NPI 1831257286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Licenses Licensed in MT · MED-PHYS-LIC-53929 Licensed in WA · MD00033528
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X · License MD00033528 (WA)
801 N 29TH ST, Billings, MT 59101

Secondary Practice Locations 2

Location 11775 Thompson RdCoos Bay, OR 97420-2125 · Phone (541) 269-8111
Location 2401 W Poplar StWalla Walla, WA 99362-2846 · Phone (509) 897-2600 · Fax (509) 897-5747

Other Identifiers 2

Medicaid500622348OR
Medicaid7114846WA

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Joseph V Condon Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8123010410
PECOS Enrollment IDI20231102001785
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 7

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
424 services363 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
139 services138 patients
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152
This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
40 services40 patients
Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist 93458
This procedure involves placing a tube into your left lower heart chamber and coronary artery. It helps doctors diagnose heart conditions by allowing them to view these areas in detail. A radiologist will review the images to ensure accurate diagnosis.
32 services32 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
20 services20 patients
Ultrasound of heart, follow-up 93308
A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.
14 services13 patients

Hospital Affiliations CMS Care Compare

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

Maui Memorial Medical Center

Acute Care Hospitals · Wailuku, HI
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number120002
Location221 Mahalani StreetWailuku, HI 96793 · Maui County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59101 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
$130.52 typical visit price
range $56.81 – $172.26
Typical copayment $32.63 (range $14.20 – $43.06)
Most-billed visit code 99204
Established Patient
$70.82 typical visit price
range $18.24 – $140.32
Typical copayment $17.70 (range $4.56 – $35.08)
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.

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
Quality100
Promoting Interoperability100
Improvement Activities40
Cost100

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.

Physical Therapist
801 N 29TH ST
BILLINGS, MT 59101
Physician Assistant (Surgical)
801 N 29TH ST
BILLINGS, MT 59101
Obstetrics & Gynecology (Gynecologic Oncology)
801 N 29TH ST
BILLINGS, MT 59101
Physician Assistant
801 N 29TH ST
BILLINGS, MT 59101
Occupational Therapist
801 N 29TH ST
BILLINGS, MT 59101
Ophthalmology
801 N 29TH ST
BILLINGS, MT 59101
Physician Assistant (Surgical)
801 N 29TH ST
BILLINGS, MT 59101
Family Medicine
801 N 29TH ST
BILLINGS, MT 59101

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 Joseph Condon's NPI number?

The NPI number for Joseph Condon is 1831257286. It was assigned to this individual provider in the NPPES registry on December 5, 2006.

Where is Joseph Condon located?

Joseph Condon practices at 801 N 29th St, Billings, MT 59101. The listed phone number is (406) 238-2501.

What is Joseph Condon's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Joseph Condon enrolled in Medicare?

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

What insurance does Joseph Condon accept?

Health plans from BridgeSpan Health Company, HMSA, PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan and 1 other insurer list Joseph 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 Joseph Condon affiliated with any hospitals?

According to CMS data, Joseph Condon is affiliated with Maui Memorial Medical Center.

When was this NPI record last updated?

The NPPES record for Joseph Condon was last updated on May 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.