SEAN CONDON (MD) – MOHS-Micrographic Surgery Physician, NPI 1144663683

SEAN CONDON (MD) is a healthcare provider. based in Cleveland, Ohio. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. A154637 (CA). The NPI Number for SEAN CONDON (MD) is 1144663683

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
SEAN CONDON (MD)
NPI
1144663683
Phone
Not provided
Address
9500 EUCLID AVE
Enumeration Date
15 April 2013
Last Update Date
23 July 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8054971694
Graduation Year
2013 (13 years ago)
PAC ID
6507135084
Group Practice PAC ID
8325946015
Professional Enrollment ID
I20180409000684
Address ID
CA913604211TH267XXDRXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:13State licenses:1Digital endpointsOther names

2,140 DERMATOLOGY in CA

Provider Addresses for SEAN CONDON (MD)

  • 9500 EUCLID AVE

    CLEVELAND, OH 441950001

    Phone:

    Type: Mailing

  • 267 W HILLCREST DR

    THOUSAND OAKS, CA 913604211

    Phone: (805) 497-1694

    Type: Location

  • 105 W Mission St

    Santa Barbara, CA 931012899

    Phone: (805) 682-7874

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 67 Open Payments records for all available years, with a total value of $1,752.

Total Amount is formed as General ($1,752) + Research ($0) + Ownership ($0) = $1,752.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: UCB, Inc. ($217).

Total Amount

$1,752

General + Research + Ownership

Payments

67

Total payment records

General Amount

$1,752

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

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: 2018-04-09

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
I20180409000684IDermatologyCATBD

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
17003Destruction of precancer skin growth, 2-14 growths2,083282$0
99213Established patient office or other outpatient visit, 20-29 minutes974543$0
17000Destruction of precancer skin growth, 1 growth588357$0
17311Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks422287$0
11102Biopsy of related skin growth, first growth332243$0
View full utilization report →

Insurance plans in this area (ZIP 44195)

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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: 8325946015View full group profile
NameSpecialtyState
Physician AssistantCA
D E R M A T O L O G YNJ
D E R M A T O L O G YCA
Dermatology, Micrographic Dermatologic Surgery (Mds)CA
Physician AssistantCA
Physician AssistantCA
D E R M A T O L O G YCA
Physician AssistantCA
Nurse PractitionerCA
Dermatology, Micrographic Dermatologic Surgery (Mds)CA

Reviews

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Frequently asked questions

What NPI should I save for SEAN CONDON (MD)?
Save NPI 1144663683 if you need a stable reference for SEAN CONDON (MD).
Is SEAN CONDON (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does SEAN CONDON (MD) work in?
You can think of SEAN CONDON (MD) as practicing within MOHS-Micrographic Surgery Physician. Clinical services aligned with this taxonomy classification.
What location shows for SEAN CONDON (MD)?
We surface Cleveland, Ohio for SEAN CONDON (MD) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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