NATHAN CLYDE CONDIE (D.O.) – Physical Medicine & Rehabilitation Physician, NPI 1861628430

NATHAN CLYDE CONDIE (D.O.) is a healthcare provider. based in Lansing, Michigan. specializing in PHYSICAL MEDICINE AND REHABILITATION. They hold the professional credentials D.O.. They hold a License No. 5101018410 (MI). The NPI Number for NATHAN CLYDE CONDIE (D.O.) is 1861628430

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
NATHAN CLYDE CONDIE (D.O.)
NPI
1861628430
Phone
(517) 364-5260
Address
1200 E Michigan Ave Ste 520
Enumeration Date
9 June 2009
Last Update Date
31 July 2025

Doctor Profile

Medical School Name
MIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Secondary Phone
5173645260
Graduation Year
2009 (17 years ago)
PAC ID
1456599117
Group Practice PAC ID
8628404936
Professional Enrollment ID
I20130607000627
Address ID
MI489121899LA1200XAVEX403
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness85
Years active:17State licenses:1Digital endpointsOther names

565 PHYSICAL MEDICINE AND REHABILITATION in MI

Provider Addresses for NATHAN CLYDE CONDIE (D.O.)

  • 1200 E Michigan Ave Ste 520

    Lansing, MI 489121899

    Phone: (517) 364-5260

    Fax: (517) 364-5251

    Type: Location

  • 804 SERVICE RD # A109F

    EAST LANSING, MI 488247015

    Phone: (517) 884-2976

    Fax: (517) 432-3928

    Type: Mailing

  • 804 SERVICE RD # A109B

    EAST LANSING, MI 488247015

    Phone: (517) 353-4911

    Fax: (517) 432-3928

    Type: Mailing

  • 804 SERVICE RD STE A202

    EAST LANSING, MI 488247015

    Phone: (517) 884-8701

    Fax: (517) 884-8787

    Type: Mailing

  • 4660 S HAGADORN RD STE 500

    EAST LANSING, MI 488236804

    Phone: (517) 884-8701

    Fax: (517) 884-8787

    Type: Location

  • South Hagadorn Road, East Lansing, Ingham County, Michigan, 48824, United States

    EAST LANSING, MI 488236804

    Phone: (517) 884-8701

    Fax: (517) 884-8787

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 23 Open Payments records for all available years, with a total value of $604.

Total Amount is formed as General ($604) + Research ($0) + Ownership ($0) = $604.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($259).

Total Amount

$604

General + Research + Ownership

Payments

23

Total payment records

General Amount

$604

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

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: 2013-06-07

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
I20130607000627IPhysical Medicine And RehabilitationMITBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J1100Injection, dexamethasone sodium phosphate, 1 mg65527$0
Q9966Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml22239$0
99214Established patient office or other outpatient visit, 30-39 minutes20499$0
95886Needle measurement of electrical activity in arm or leg muscles, complete study7653$0
99213Established patient office or other outpatient visit, 20-29 minutes7556$0
View full utilization report →

Insurance plans in this area (ZIP 48912)

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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: 8628404936View full group profile
NameSpecialtyState
Osteopathic Manipulative MedicineMI
Osteopathic Manipulative MedicineMI
Family PracticeMI
Osteopathic Manipulative MedicineMI
-MI
Physical Medicine And Rehabilitation, Osteopathic Manipulative MedicineMI
Osteopathic Manipulative MedicineMI
-MI
Internal MedicineMI
P S Y C H I A T R YMI

Reviews

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Frequently asked questions

Can I use this page to confirm NATHAN CLYDE CONDIE (D.O.)'s NPI?
Yes. NATHAN CLYDE CONDIE (D.O.) is listed with NPI 1861628430 in the public NPI dataset.
Does CMS list NATHAN CLYDE CONDIE (D.O.) as active?
Yes — NATHAN CLYDE CONDIE (D.O.) is active in the NPI listing used on this page.
What is NATHAN CLYDE CONDIE (D.O.)'s primary classification?
Physical Medicine & Rehabilitation Physician is the headline specialty for NATHAN CLYDE CONDIE (D.O.) here. Clinical services aligned with this taxonomy classification.
Where is NATHAN CLYDE CONDIE (D.O.) based?
NATHAN CLYDE CONDIE (D.O.) is tied to Lansing, Michigan in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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