SALLY L CONDON (MD) – Gastroenterology Physician, NPI 1568995744

SALLY L CONDON (MD) is a healthcare provider. based in Louisville, Kentucky. specializing in GASTROENTEROLOGY. They hold the professional credentials MD. They hold a License No. MD61561446 (WA). The NPI Number for SALLY L CONDON (MD) is 1568995744

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
SALLY L CONDON (MD)
NPI
1568995744
Phone
(502) 852-5241
Address
550 S JACKSON ST
Enumeration Date
5 April 2017
Last Update Date
13 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2063863660
Graduation Year
2017 (9 years ago)
PAC ID
6709135932
Group Practice PAC ID
0244138196
Professional Enrollment ID
I20240828000257
Address ID
WA981042046SE1124XSTXX301
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:9State licenses:1Digital endpointsOther names

259 GASTROENTEROLOGY in KY

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Provider Addresses for SALLY L CONDON (MD)

  • 550, South Jackson Street, Louisville, Jefferson County, Kentucky, 40202, United States

    3RD FLOOR

    LOUISVILLE, KY 402021622

    Phone: (502) 852-5241

    Type: Mailing

  • PO BOX 25608

    SALT LAKE CITY, UT 841250608

    Phone: (206) 320-4476

    Fax: (206) 568-7043

    Type: Mailing

  • 21600 HIGHWAY 99 STE 230

    EDMONDS, WA 980268048

    Phone: (206) 215-4250

    Fax: (425) 215-4252

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $326.

Total Amount is formed as General ($326) + Research ($0) + Ownership ($0) = $326.

Last reported payment date: 2024-10-29 • Largest payer in this snapshot: Madrigal Pharmaceuticals ($124).

Total Amount

$326

General + Research + Ownership

Payments

4

Total payment records

General Amount

$326

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-29

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-08-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240828000257IGastroenterologyWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 40202)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0244138196View full group profile
NameSpecialtyState
-WA
General SurgeryWA
P S Y C H I A T R YWA
Hospitalist, Hospice/Palliative Care, Internal MedicineWA
Hospitalist, Hospice/Palliative CareWA
Physician AssistantWA
N E U R O L O G YWA
N E U R O L O G YWA
Hospitalist, Hospice/Palliative Care, Internal MedicineND
Critical Care (Intensivists), Pulmonary DiseaseWA

Reviews

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Frequently asked questions

What identifier follows SALLY L CONDON (MD) across health systems?
The NPI 1568995744 uniquely identifies SALLY L CONDON (MD) in U.S. healthcare data.
Does the public listing show SALLY L CONDON (MD) as active?
SALLY L CONDON (MD)'s NPI record reflects an active status in NPPES.
How should patients interpret SALLY L CONDON (MD)'s specialty?
The extract shows Gastroenterology Physician for SALLY L CONDON (MD). Clinical services aligned with this taxonomy classification.
Which community is linked to SALLY L CONDON (MD)?
SALLY L CONDON (MD) shows a connection to Louisville, Kentucky in registry-derived data.
Can I export SALLY L CONDON (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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