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CONNOR PRIDDY MD
NPI 1205417912
Emergency Medicine in San Diego, CA

Active since April 15, 2021PECOS Enrolled
34800 BOB WILSON DRIVE SAN DIEGO CA 92134, SAN DIEGO, CA 92134(619) 532-6400 Get Directions Write a Review

NPPES record last updated: June 27, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jun 27, 2025, Sep 19, 2024, Apr 15, 2021 (3 updates tracked since 2021).

About Connor Priddy Md NPPES

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

CONNOR PRIDDY MD (NPI 1205417912) is an individual emergency medicine provider in San Diego, California, licensed in Tennessee (71270) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205417912
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameCONNOR PRIDDYCredential: MD
Location Address34800 BOB WILSON DRIVE SAN DIEGO CA 92134San Diego, CA 92134-3902
Mailing Address34800 Bob Wilson DrSan Diego, CA 92134-1098
Phone(619) 532-6400
Sole ProprietorYes
Enumeration DateApril 15, 2021
Last NPPES UpdateJune 27, 20253 updates tracked since enumeration
NPPES CertifiedJune 27, 2025
✔ NPI 1205417912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in TN · 71270
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
34800 BOB WILSON DRIVE SAN DIEGO CA 92134, San Diego, CA 92134
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Connor Priddy Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Connor Priddy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Tennessee River Physicians, PLLC
1,824 mi
Emergency Medicine
16931 RANKIN AVE
Dunlap, TN 37327
  • Reassigned Medicare billing, Tennessee enrollment
  • 183 clinicians in this Medicare group
NPI 1699212761 (423) 949-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92134 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

ROBERT GRADY PICKERING MD
Military Health Care Provider
34800 BOB WILSON DRIVE SAN DIEGO CA 92134
SAN DIEGO, CA 92134
San Diego County (619) 532-6400
DR. JUBRIL A LAWAL DO
Student in an Organized Health Care Education/Training Program
34800 BOB WILSON DRIVE SAN DIEGO CA 92134
SAN DIEGO, CA 92134
San Diego County (619) 532-6400

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 Connor Priddy's NPI number?

The NPI number for Connor Priddy is 1205417912. It was assigned to this individual provider in the NPPES registry on April 15, 2021.

Where is Connor Priddy located?

Connor Priddy practices at 34800 Bob Wilson Drive San Diego Ca 92134, San Diego, CA 92134. The listed phone number is (619) 532-6400.

What is Connor Priddy's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Connor Priddy enrolled in Medicare?

Yes. Connor Priddy is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Connor Priddy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Connor Priddy reassigns Medicare benefits to Tennessee River Physicians, PLLC (Dunlap, TN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Connor Priddy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Connor Priddy was last updated on June 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.