Conrad Curtis Gibby, M.D.

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

License

9724223-1205 Issued in UT

Practice address

3152 N University Ave
Provo, UT 84604-4745

Phone

(801) 229-2002

NPI assigned

Apr 6, 2013

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in UT, AZ, NE3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 3

Specialty

Diagnostic Radiology

Education

Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Faith Regional Physician Services LLCGroup PAC ID 5193786168, 194 clinicians

Alpharad IncGroup PAC ID 1254367865, 3 clinicians

Riverwood Advanced Diagnostic ImagingGroup PAC ID 4385681899, 3 clinicians

Regional West Medical CenterGroup PAC ID 1759285885, 66 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Regional West Medical Center Hospital, Scottsbluff, NE, CCN 280061
• Faith Health Hospital, Norfolk, NE, CCN 280125
• Boone County Health Center Hospital, Albion, NE, CCN 281334
• Kimball Health Services Hospital, Kimball, NE, CCN 281305
• Antelope Memorial Hospital Hospital, Neligh, NE, CCN 281326

Merit-based Incentive Payment System (MIPS)

Final score

80.77 of 100Reported as group

Quality

67.03

Promoting interoperability

96

Improvement activities

40

Cost

72.22

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cgibby630073@direct.llu.edu

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Alpharad Inc

  • Radiologic Technologist
  • Provo, UT
  • NPI 1487836979
  Medicare reassignment Care Compare group NPD
• Riverwood Advanced Diagnostic Imaging

  • Specialist
  • Provo, UT
  • NPI 1194818278
  Medicare reassignment Care Compare group NPD
• Faith Regional Physician Services, LLC

  • Family Medicine Physician
  • Norfolk, NE
  • NPI 1265489157
  Medicare reassignment Care Compare group NPD
• Regional West Medical Center

  • Emergency Medicine Physician
  • Scottsbluff, NE
  • NPI 1982718219

  Diagnostic Radiology, UT

  Medicare reassignment Care Compare group NPD
• Gunnison Valley Hospital

  • Critical Access Hospital
  • Gunnison, UT
  • NPI 1952463036
  Medicare reassignment NPD
• Riverside Medical Center LLC

  • Multi-Specialty Clinic/Center
  • Provo, UT
  • NPI 1649567504
  Medicare reassignment NPD
• Gunnison Valley Hospital

  • Rural Health Clinic/Center
  • Manti, UT
  • NPI 1063038628
  NPD
• Faith Regional Physician Services, LLC

  • Anesthesiology Physician
  • Norfolk, NE
  • NPI 1275074577
  NPD
• Universal Radiology Consultants PC

  • Diagnostic Radiology Physician
  • Warner Robins, GA
  • NPI 1689606188
  NPD (past)
• Virtual Radiologic Professionals, LLC

  • Diagnostic Radiology Physician
  • Edina, MN
  • NPI 1932342029
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Antelope Memorial Hospital

  • Critical Access Hospital
  • Neligh, NE
  • NPI 1083790893
  Care Compare affiliation
• Boone County Health Center

  • Critical Access Hospital
  • Albion, NE
  • NPI 1679508816
  Care Compare affiliation
• Faith Regional Health Services

  • General Acute Care Hospital
  • Norfolk, NE
  • NPI 1285676544
  Care Compare affiliation
• Kimball County Hospital

  • Critical Access Hospital
  • Kimball, NE
  • NPI 1093780652
  Care Compare affiliation
• Kimball County Hospital

  • Rural Health Clinic/Center
  • Pine Bluffs, WY
  • NPI 1629524335

  Hospital

  Care Compare affiliation
• Regional West Medical Center

  • General Acute Care Hospital
  • Scottsbluff, NE
  • NPI 1639101199
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1365206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657843200000",
    "number": "1750624979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3152 N UNIVERSITY AVE",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846044745",
            "telephone_number": "801-229-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3152 N UNIVERSITY AVE",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846044745",
            "telephone_number": "801-229-2002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 Mercy Ave",
            "address_purpose": "LOCATION",
            "city": "Merced",
            "state": "CA",
            "postal_code": "953408319",
            "country_code": "US",
            "telephone_number": "209-564-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2400 S Avenue A",
            "address_purpose": "LOCATION",
            "city": "Yuma",
            "state": "AZ",
            "postal_code": "853647127",
            "country_code": "US",
            "telephone_number": "954-939-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIBBY",
        "first_name": "CONRAD",
        "middle_name": "CURTIS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-06",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "UT",
            "license": "9724223-1205",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "AZ",
            "license": "59934",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "CA",
            "license": "A175297",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "UT",
            "license": "9724223-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AZ",
            "identifier": "1750624979",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1750624979",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "Z237130",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• GFM Holdings
• Eric Ghelfi, PHD
• Nathan W. Gibbons, LCSW
• Patsy Gibbs, MS, BCBA
• Amanda Gibby, SSW
• Jacob Troy Gibby, MD
• Wendell A Gibby, MD
• Wendell Andrew Gibby, M.D.
• Clare Gibeault
• Jamee Ann Gibert, NP

• Vascular & Interventional Radiology Physician in Provo, UT
• Providers in Provo, UT by specialty
• Vascular & Interventional Radiology Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.