DR. ERIC F. KONDRO (M.D.) – Family Medicine Physician, NPI 1336124023

DR. ERIC F. KONDRO (M.D.) is a healthcare provider. based in Wellsville, Missouri. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 109389 (MO). The NPI Number for DR. ERIC F. KONDRO (M.D.) is 1336124023

Main info

Male
Sole Proprietor
45 Years Of Experience
Accepts Medicare Assignment
Name
DR. ERIC F. KONDRO (M.D.)
NPI
1336124023
Phone
(573) 684-2208
Address
111 W BATES ST
Enumeration Date
14 December 2005
Last Update Date
27 December 2022

Doctor Profile

Medical School Name
UN OF CALIFORNIA, IRVINE, COLLEGE OF MEDICINE
Secondary Phone
5735821234
Graduation Year
1981 (45 years ago)
PAC ID
5496814378
Group Practice PAC ID
5395659403
Professional Enrollment ID
I20081106000682
Address ID
MO652653811ME340XXPKWY300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

4,186 INTERNAL MEDICINE in MO

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Provider Addresses for DR. ERIC F. KONDRO (M.D.)

  • 111, West Bates Street, Wellsville, Montgomery County, Missouri, 63384, United States

    WELLSVILLE, MO 633841616

    Phone: (573) 684-2208

    Fax: (573) 684-3277

    Type: Mailing

  • 340 Kelley Pkwy

    Mexico, MO 652653811

    Phone: (573) 582-1234

    Fax: (573) 582-1212

    Type: Location

  • 340 KELLEY PKWY

    MEXICO, MO 652653811

    Phone: (573) 582-1234

    Fax: (573) 582-1212

    Type: Mailing

  • 1225 AGUILAR DRIVE

    MONTGOMERY CITY, MO 63361

    Phone: (573) 582-1234

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 50 Open Payments records for all available years, with a total value of $837.

Total Amount is formed as General ($837) + Research ($0) + Ownership ($0) = $837.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Neurocrine BioSciences Inc. ($155).

Total Amount

$837

General + Research + Ownership

Payments

50

Total payment records

General Amount

$837

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

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: 2008-11-06

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
I20081106000682IInternal MedicineMOTBD

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 63384)

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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: 5395659403View full group profile
NameSpecialtyState
Nurse PractitionerMO
Nurse PractitionerMO
General PracticeMO
Nurse PractitionerMO
Certified Clinical Nurse Specialist (Cns)MO
O B S T E T R I C S/ G Y N E C O L O G YMO

Reviews

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Frequently asked questions

What NPI should I save for DR. ERIC F. KONDRO (M.D.)?
Save NPI 1336124023 if you need a stable reference for DR. ERIC F. KONDRO (M.D.).
Is DR. ERIC F. KONDRO (M.D.) active in the national directory?
DR. ERIC F. KONDRO (M.D.)'s public NPI profile is in an active state.
Can you summarize DR. ERIC F. KONDRO (M.D.)'s specialty in plain language?
Clinically, the directory lists DR. ERIC F. KONDRO (M.D.) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. ERIC F. KONDRO (M.D.)?
The page summarizes Wellsville, Missouri for DR. ERIC F. KONDRO (M.D.); expand the address list for detail.
Is DR. ERIC F. KONDRO (M.D.) a real provider?
This page reflects official NPPES data for NPI 1336124023. Always confirm identity and privileges with the practice and licensing boards.

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