DR. PAUL WILLIAN CONRAD MD PHD
NPI 1205954427
Ophthalmology in Monroeville, PA
About Dr. Paul Willian Conrad Md Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. PAUL WILLIAN CONRAD MD PHD (NPI 1205954427) is an individual ophthalmology provider in Monroeville, Pennsylvania, licensed in Pennsylvania (MD439710) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, is affiliated with Upmc Mercy, and is a graduate of Other (2004).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Paul Willian Conrad Md Phd 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.
Medicare Billing Reassignment
Medicare enrollment records show Paul Conrad reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Monroeville, PA 15146
- Reassigned Medicare billing, Pennsylvania and West Virginia enrollments
- 11 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Upmc Mercy
Acute Care Hospitals · Pittsburgh, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 15146 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MONROEVILLE, PA 15146
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 Paul Conrad's NPI number?
The NPI number for Paul Conrad is 1205954427. It was assigned to this individual provider in the NPPES registry on March 26, 2007.
Where is Paul Conrad located?
Paul Conrad practices at 300 Oxford Dr Ste 300, Monroeville, PA 15146. The listed phone number is (412) 683-5300.
What is Paul Conrad's specialty?
The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.
Is Paul Conrad enrolled in Medicare?
Yes. Paul Conrad 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.
Which organization bills Medicare for Paul Conrad's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Paul Conrad reassigns Medicare benefits to Retina Vitreous Consultants Inc. (Monroeville, PA). 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 Paul Conrad's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Paul Conrad accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource and 2 other insurers list Paul Conrad 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 Paul Conrad affiliated with any hospitals?
According to CMS data, Paul Conrad is affiliated with Upmc Mercy.
When was this NPI record last updated?
The NPPES record for Paul Conrad was last updated on March 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Dr. Paul Willian Conrad, MD PHD · NPI 1205954427
Ophthalmology physician in Monroeville, Pennsylvania. Individual provider, active in the CMS NPPES registry since March 26, 2007.
## Identity
- **NPI:** 1205954427 (Entity type: Individual)
- **Enumerated:** March 26, 2007
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **State license:** MD439710 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 300 OXFORD DR, STE 300, Monroeville, PA 15146-2361
- **Phone:** (412) 683-5300 · **Fax:** (412) 349-8655
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Retina Vitreous Consultants Inc. (NPI 1063444123, Monroeville, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2004
## Record status
- **NPPES last updated:** March 3, 2026
- **Other identifiers:** Medicaid 1024896640001 (PA); Other MD439710 (PA)
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Source: [NPI Profile](https://npiprofile.com/npi/1205954427) · Data from the CMS NPPES public registry.