Active NPI 1316983083 Individual Practitioner Male Practitioner

Dr. James Andrew Conrad , MD

Surgery • Trinidad, CO

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. James Conrad, MD is a certified Surgery practicing in Trinidad, CO. With approximately 32 years of clinical experience since graduating from Vanderbilt University School Of Medicine in 1994, Dr. Conrad delivers high-quality medical care to the local community at 410 BENEDICTA AVE.

Dr. Conrad maintains professional affiliations with Teton County Hospital District, Trinidad Area Health Association and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

410 Benedicta Ave

Trinidad, CO 810822005

Telephone 7198469213

Fax 7198467823

Associated Practice Facility / Clinic

🏢 Trinidad Area Health Association Facility NPI 1184616740

Medicare Profile & Education

Medical School

Vanderbilt University School Of Medicine

Graduation Year

1994

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Trinidad, CO

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

32 Yrs Matches City Avg

City Avg: 32.0 Yrs

State Avg: 23.8 Yrs

Regional Practice Density

3 Specialists

Practicing in Trinidad, CO (635 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

50.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Conrad (32 Years) 32 Yrs

Trinidad Specialty Average (32.0 Years) 32.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	101	101	$395.00	$164.05
99213 Established patient office or other outpatient visit, typically 15 minutes	93	73	$144.00	$88.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	58	46	$241.00	$128.26
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$215.00	$108.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	51	29	$140.50	$92.73
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	44	44	$382.58	$167.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	37	27	$235.00	$131.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$358.54	$169.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	22	$222.00	$130.43
99213 Established patient office or other outpatient visit, typically 15 minutes	26	11	$134.54	$92.23
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$187.73	$113.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	13	11	$139.15	$94.24
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$180.00	$115.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	40	27	$278.52	$73.51
99213 Established patient office or other outpatient visit, typically 15 minutes	25	18	$210.00	$76.80
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	25	24	$308.00	$105.66
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$340.00	$110.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	35	23	$192.00	$76.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$272.21	$110.99
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	28	28	$555.11	$139.93
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	13	13	$308.00	$106.19
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$516.00	$206.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	39	28	$120.00	$73.89
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	38	38	$396.00	$138.16
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	19	15	$159.00	$73.49
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$194.00	$109.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	47	47	$396.00	$137.72
99213 Established patient office or other outpatient visit, typically 15 minutes	34	27	$120.00	$73.63
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	20	15	$159.00	$72.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$194.00	$109.53

Medical Specialties & State Licenses

CMS Verified: 2022-05-12

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License CO 37868

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

76159779 (CO)

Hospital & Practice Group Affiliations

Teton County Hospital District

555 E Broadway Ave, Jackson, WY 830018640

Phone: 3077397690

Trinidad Area Health Association

400 Benedicta Ave, Trinidad, CO 810822089

Phone: 7198462206

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners

Fatima Pina , RD, LD

Dietitian, Registered

NPI 1124352620

Registered Dietitian, Licensed Dietitian

Jose Flores

Pediatrics

NPI 1265481410

Dr. Precious Castro-Flores , MD

Internal Medicine

NPI 1568411718

Doctor of Medicine (M.D.)

Dr. David Reitter , MD

Surgery

NPI 1639156177

Doctor of Medicine (M.D.)

Dr. Katherine Broman , MD

Family Medicine

NPI 1780663294

Doctor of Medicine (M.D.)

Leona Myers

Registered Nurse

NPI 1801682430

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events

📍

Updated Practice Location May 12, 2022

Registered at 410 BENEDICTA AVE, TRINIDAD, CO 810822005 (Tel: 7198469213)

📍

Updated Business Mailing Address May 12, 2022

Registered at 410 BENEDICTA AVE, TRINIDAD, CO 810822005 (Tel: 7198469213)

👤

Provider Name / Credentials Updated May 12, 2022

Recorded as JAMES CONRAD, M.D.

✅

NPI Profile Active July 20, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location July 20, 2012

Registered at 1600 N GRAND AVE, SUITE 430, PUEBLO, CO 810032700 (Tel: 7195458240)

📍

Updated Business Mailing Address July 20, 2012

Registered at 1600 N GRAND AVE, SUITE 430, PUEBLO, CO 810032700 (Tel: 7195458240)

👤

Provider Name / Credentials Updated July 20, 2012

Recorded as J CONRAD, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 20, 2012

Surgery (License #37868 in CO)

🟢

Initial NPI Registration & Enumeration June 21, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1316983083

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 21, 2006

Last Update: May 12, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

410 Benedicta Ave

Trinidad, CO 810822005

Phone: 7198469213

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.