Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CONRAD B. ADDISON MD
NPI 1194228916
Pediatrics - Pediatric Pulmonology in Salt Lake City, UT

Active since March 18, 2018PECOS EnrolledAccepts Medicare Assignment
94.3/100
CMS Quality Rating
30 N 1900 E RM 4C104, SALT LAKE CITY, UT 84132(801) 408-1618 Get Directions Write a Review

NPPES record last updated: June 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 4, 2025, Jun 6, 2024, Aug 22, 2022 and 3 more (6 updates tracked since 2018).

About Conrad B. Addison Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CONRAD B. ADDISON MD (NPI 1194228916) is an individual pediatric pulmonology provider in Salt Lake City, Utah, licensed in Utah (12229852-1205) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, is affiliated with Billings Clinic, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1194228916
Entity TypeIndividualMale
Primary Taxonomy2080P0214X
Provider Legal NameCONRAD B. ADDISONCredential: MD
Location Address30 N 1900 E RM 4C104Salt Lake City, UT 84132-0002
Mailing Address30 N 1900 E Rm 4c104Salt Lake City, UT 84132-0002 · (801) 408-1618
Sole ProprietorNo
Medical School CMSUniversity Of Washington School Of MedicineGraduated 2018
Enumeration DateMarch 18, 2018
Last NPPES UpdateJune 30, 20266 updates tracked since enumeration
NPPES CertifiedJune 30, 2026
NPI 1194228916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPediatrics · Pediatric PulmonologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0214X
License Licensed in UT · 12229852-1205
Definition
A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques.
Also ListedInternal MedicineTaxonomy 207R00000X · License MED-RES-LIC-67459 (MT)
Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License 12229852-1205 (UT), 109458 (MT)
30 N 1900 E RM 4C104, Salt Lake City, UT 84132

Secondary Practice Locations 2

Location 12800 10th Ave NBillings, MT 59101 · Phone (406) 238-2500
Location 2350 Heritage Way Ste 2300Kalispell, MT 59901-3167 · Phone (406) 751-5455 · Fax (406) 257-8996

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Conrad B. Addison Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2365797743
PECOS Enrollment IDI20220715001597, I20230921001526
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 13

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Sleep study in sleep lab with continuous airway pressure (6 years or older) 95811
A sleep study in a sleep lab with continuous airway pressure is a test for individuals aged 6 and above. It monitors your sleep patterns to check for disorders like sleep apnea. Continuous airway pressure helps keep your airways open while you sleep, improving your breathing.
196 services179 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
188 services165 patients
Sleep study including heart rate, breathing, airflow, and effort 95806
A sleep study monitors your heart rate, breathing patterns, airflow, and physical effort while you sleep. It helps identify sleep disorders by tracking your sleep stages and cycles. This data aids doctors in diagnosing and treating sleep-related issues.
132 services130 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
95 services85 patients
Sleep study in sleep lab (6 years or older) 95810
A sleep study in a sleep lab is a non-invasive overnight test that monitors your body while you sleep. It helps doctors understand your sleep patterns and identify any issues like sleep apnea or insomnia. You'll be connected to equipment that tracks your heart rate, brain waves, breathing, and movements.
84 services84 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
82 services82 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Billings Clinic

Acute Care Hospitals · Billings, MT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number270004
Location2800 10th Ave NBillings, MT 59101 · Yellowstone County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.58
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
4 suppliers16 claims16 services$39.33 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
4 suppliers13 claims13 services$60.01 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
4 suppliers17 claims17 services$20.11 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
5 suppliers19 claims40 services$2.55 avg. paid by Medicare
Humidifier, heated, used with positive airway pressure device E0562
DME-Other DME · category DE001N
4 suppliers33 claims33 services$13.80 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
5 suppliers32 claims32 services$42.66 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
30 N 1900 E RM 4C104
SALT LAKE CITY, UT 84132
Student in an Organized Health Care Education/Training Program
30 N 1900 E RM 4C104
SALT LAKE CITY, UT 84132
Internal Medicine
30 N 1900 E RM 4C104
SALT LAKE CITY, UT 84132
Internal Medicine
30 N 1900 E RM 4C104
SALT LAKE CITY, UT 84132
Internal Medicine
30 N 1900 E RM 4C104
SALT LAKE CITY, UT 84132
Internal Medicine (Hospice and Palliative Medicine)
30 N 1900 E RM 4C104
SALT LAKE CITY, UT 84132
Internal Medicine (Hospice and Palliative Medicine)
30 N 1900 E RM 4C104
SALT LAKE CITY, UT 84132
Internal Medicine
30 N 1900 E RM 4C104
SALT LAKE CITY, UT 84132

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Conrad Addison's NPI number?

The NPI number for Conrad Addison is 1194228916. It was assigned to this individual provider in the NPPES registry on March 18, 2018.

Where is Conrad Addison located?

Conrad Addison practices at 30 N 1900 E Rm 4c104, Salt Lake City, UT 84132. The listed phone number is (801) 408-1618.

What is Conrad Addison's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Pulmonology, with taxonomy code 2080P0214X.

Is Conrad Addison enrolled in Medicare?

Yes. Conrad Addison is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Conrad Addison accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Montana, BridgeSpan Health Company, Molina Healthcare and Mountain Health CO-OP and 2 other insurers list Conrad Addison as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Conrad Addison affiliated with any hospitals?

According to CMS data, Conrad Addison is affiliated with Billings Clinic.

When was this NPI record last updated?

The NPPES record for Conrad Addison was last updated on June 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 41 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.