DR. EDGAR M. IV CONRAD (D.O.) – Internal Medicine Physician, NPI 1124055074

DR. EDGAR M. IV CONRAD (D.O.) is a healthcare provider. based in Joplin, Missouri. specializing in INTERNAL MEDICINE. They hold the professional credentials D.O.. They hold a License No. 107748 (MO). The NPI Number for DR. EDGAR M. IV CONRAD (D.O.) is 1124055074

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
DR. EDGAR M. IV CONRAD (D.O.)
NPI
1124055074
Phone
(417) 782-3292
Address
2727 E. 32ND ST
Enumeration Date
27 June 2006
Last Update Date
10 August 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3379919276
Graduation Year
1990 (36 years ago)
PAC ID
0042250920
Group Practice PAC ID
0345614459
Professional Enrollment ID
I20050510000819
Address ID
MO640812116LE400XXBLVD401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,186 INTERNAL MEDICINE in MO

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Provider Addresses for DR. EDGAR M. IV CONRAD (D.O.)

  • Restoration Counseling, 2727, East 32nd Street, Gateway Drive, Joplin, Newton County, Missouri, 64804, United States

    STE 1

    JOPLIN, MO 64804

    Phone: (417) 782-3292

    Fax: (417) 782-4024

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $847.

Total Amount is formed as General ($847) + Research ($0) + Ownership ($0) = $847.

Last reported payment date: 2024-11-06 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($341).

Total Amount

$847

General + Research + Ownership

Payments

11

Total payment records

General Amount

$847

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-06

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: 2005-05-10

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
I20050510000819IInternal MedicineMOTBD

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
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes1,589238$0
99214Established patient office or other outpatient visit, 30-39 minutes23087$0
J1100Injection, dexamethasone sodium phosphate, 1 mg16826$0
99306Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes158153$0
96372Injection of drug or substance under skin or into muscle12334$0
View full utilization report →

Insurance plans in this area (ZIP 64804)

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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: 0345614459View full group profile
NameSpecialtyState
Infectious Disease, Internal Medicine, Infectious DiseaseMO
Family Practice, Internal MedicineMO
General Practice, Emergency MedicineMO
Nurse PractitionerMO
Nurse PractitionerMO
Nurse PractitionerMO
Nurse PractitionerMO
Internal MedicineMO
Family PracticeMO
Family PracticeMO

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. EDGAR M. IV CONRAD (D.O.)?
DR. EDGAR M. IV CONRAD (D.O.) — NPI 1124055074 — is the standard way to identify this listing.
Can I rely on DR. EDGAR M. IV CONRAD (D.O.) being an active provider?
As of the registry snapshot, DR. EDGAR M. IV CONRAD (D.O.) is marked active.
What is DR. EDGAR M. IV CONRAD (D.O.)'s specialty?
The listing groups DR. EDGAR M. IV CONRAD (D.O.) with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for DR. EDGAR M. IV CONRAD (D.O.)?
DR. EDGAR M. IV CONRAD (D.O.)'s geographic hint is Joplin, Missouri in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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