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DR. EVAN FRANKLIN CONDEE D.O.
NPI 1952593998
Family Medicine in Grayson, KY

Active since August 14, 2007PECOS EnrolledAccepts Medicare Assignment
85.07/100
CMS Quality Rating
105 STATE HIGHWAY 1947, GRAYSON, KY 41143(606) 475-0152(606) 474-0040 Get Directions Write a Review

NPPES record last updated: February 10, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 10, 2022, Feb 8, 2019, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Dr. Evan Franklin Condee D.o. NPPES

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

DR. EVAN FRANKLIN CONDEE D.O. (NPI 1952593998) is an individual family medicine provider in Grayson, Kentucky, licensed in Kentucky (03295) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS, is affiliated with King's Daughters' Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1952593998
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. EVAN FRANKLIN CONDEECredential: D.O.
Location Address105 STATE HIGHWAY 1947Grayson, KY 41143-6825
Mailing AddressPo Box 1595Ashland, KY 41105-1595 · (606) 408-4000
Phone(606) 475-0152
Fax(606) 474-0040
Sole ProprietorNo
Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 2005
Enumeration DateAugust 14, 2007
Last NPPES UpdateFebruary 10, 20224 updates tracked since enumeration
NPPES CertifiedFebruary 10, 2022
✔ NPI 1952593998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in KY · 03295✔ Licensed in WV · 2187✔ Licensed in OH · 34.010170
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.
105 STATE HIGHWAY 1947, Grayson, KY 41143
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Secondary Practice Locations 2

Location 11901 Argonne RdPortsmouth, OH 45662-2827 · Phone (740) 991-0911 · Fax (740) 991-6050
Location 22245 Winchester AveAshland, KY 41101-7848 · Phone (606) 408-2600 · Fax (606) 408-2605

Other Identifiers 3

Medicaid3077709OH
Medicaid3810018911WV
Medicaid7100127960KY

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Evan Franklin Condee D.o. 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 ID6901098912
PECOS Enrollment IDI20101008000914, I20111215000626
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

2

Medicare enrollment records show Evan Condee reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ashland Hospital Coporation
1.4 mi
Family Medicine
609 N CAROL MALONE BLVD STE 100
Grayson, KY 41143
  • Reassigned Medicare billing, Kentucky and Ohio enrollments
  • Medicare enrollment name: Ashland Hospital Corporation
  • Also billed through NPI 1124304852 (Ohio)
  • 221 clinicians in this Medicare group
NPI 1346296035 (606) 474-7892
King's Daughters Medical Specialties, Inc.
19 mi
Rheumatology
1000 ASHLAND DR STE 102
Ashland, KY 41101
  • Reassigned Medicare billing, Ohio enrollment
  • Medicare enrollment name: Kings Daughters Medical Specialties Inc
  • 177 clinicians in this Medicare group
NPI 1467982462 (606) 408-7438

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

Areas of Expertise CMS Part B claims 5

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.
196 services174 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.
130 services119 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
87 services71 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
33 services32 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

King's Daughters' Medical Center

Acute Care Hospitals · Ashland, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180009
Location2201 Lexington AvenueAshland, KY 41101 · Boyd County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41143 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.

85.07/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.96
Promoting Interoperability100
Improvement Activities40
Cost64.52

Other Providers at the Same Location NPPES 2

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

HENRY G. ADKINS, M. D., P. S. C.
Family Medicine
105 STATE HIGHWAY 1947, SUITE B
GRAYSON, KY 41143
Carter County (606) 474-7808
DR. HENRY G ADKINS MD
Family Medicine
105 STATE HIGHWAY 1947, SUITE B
GRAYSON, KY 41143
Carter County (606) 474-7808

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 Evan Condee's NPI number?

The NPI number for Evan Condee is 1952593998. It was assigned to this individual provider in the NPPES registry on August 14, 2007.

Where is Evan Condee located?

Evan Condee practices at 105 State Highway 1947, Grayson, KY 41143. The listed phone number is (606) 475-0152.

What is Evan Condee's specialty?

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

Is Evan Condee enrolled in Medicare?

Yes. Evan Condee 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.

Which organizations bill Medicare for Evan Condee's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Evan Condee reassigns Medicare benefits to 2 organizations: Ashland Hospital Coporation (Grayson, KY) and King's Daughters Medical Specialties, Inc. (Ashland, KY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Evan Condee's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Evan Condee accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Evan Condee 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 Evan Condee affiliated with any hospitals?

According to CMS data, Evan Condee is affiliated with King's Daughters' Medical Center.

When was this NPI record last updated?

The NPPES record for Evan Condee was last updated on February 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.