DR. DUANE ELDON CRADDOCK MD
NPI 1609886514
Pediatrics in Coeur D Alene, ID

Q: What is Duane Craddock's NPI number?

The NPI number for Duane Craddock is 1609886514. It was assigned to this individual provider in the NPPES registry on August 9, 2006.

Q: What is Duane Craddock's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Duane Craddock was last updated on May 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since August 09, 2006PECOS Enrolled

700 W IRONWOOD DR, STE 155, COEUR D ALENE, ID 83814(208) 667-0585(208) 667-0876 Get Directions Write a Review

NPPES record last updated: May 29, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 29, 2025, Oct 25, 2016 (2 updates tracked since 2016).

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About Dr. Duane Eldon Craddock Md NPPES

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

DR. DUANE ELDON CRADDOCK MD (NPI 1609886514) is an individual pediatrics provider in Coeur D Alene, Idaho, licensed in Idaho (M7929) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609886514

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDR. DUANE ELDON CRADDOCKCredential: MD

Location Address700 W IRONWOOD DR, STE 155Coeur D Alene, ID 83814-2656

Mailing Address700 W Ironwood Dr, Ste 155Coeur D Alene, ID 83814-2656 · (208) 667-0585 · Fax (208) 625-2075

Phone(208) 667-0585

Fax(208) 667-0876

Sole ProprietorNo

Enumeration DateAugust 9, 2006

Last NPPES UpdateMay 29, 20252 updates tracked since enumeration

NPPES CertifiedMay 29, 2025

✔ NPI 1609886514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in ID · M7929

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

700 W IRONWOOD DR, Coeur D Alene, ID 83814

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Other Identifiers 7

Other000010028256ID · Regence Blue Shield

Medicaid8267114WA

Other000010028257ID · Regence Blue Shield

OtherJ3953ID · Blue Cross Of Idaho

Medicaid1609886514MT

Medicaid805750600ID

OtherJ3995ID · Blue Cross Of Idaho

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Duane Eldon Craddock 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83814 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

$81.13 typical visit price

range $52.44 – $160.17

Typical copayment $20.28 (range $13.11 – $40.04)

Most-billed visit code 99203

Established Patient

$93.26 typical visit price

range $16.68 – $130.93

Typical copayment $23.31 (range $4.17 – $32.73)

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 20

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

DR. THOMAS R RAU MD

Pediatrics

700 W IRONWOOD DR, SUITE 155
COEUR D ALENE, ID 83814

Kootenai County (208) 667-0585

DR. ROBERT C. FARR M.D.

Otolaryngology

700 W IRONWOOD DR, STE 236
COEUR D ALENE, ID 83814

Kootenai County (208) 765-1345

JAMIE LEE PARK PHARM.D.

Pharmacist

700 W IRONWOOD DR
COEUR D ALENE, ID 83814

Kootenai County (208) 625-5688

MANDI NORDHAGEN

Pharmacist (Ambulatory Care)

700 W IRONWOOD DR, SUITE 228
COEUR D ALENE, ID 83814

Kootenai County (208) 625-5670

TERENCE EARL NEFF MD

Pediatrics

700 W IRONWOOD DR, SUITE 155
COEUR D ALENE, ID 83814

Kootenai County (208) 667-0585

KOOTENAI AUDIOLOGY, LLC

Audiologist (Assistive Technology Supplier)

700 W IRONWOOD DR, SUITE 236
COEUR D ALENE, ID 83814

Kootenai County (208) 765-1345

KOOTENAI HEALTH, INC.

Pharmacy (Clinic Pharmacy)

700 W IRONWOOD DR
COEUR D ALENE, ID 83814

Kootenai County (208) 625-5670

SPOKANE RADIATION ONCOLOGY ASSOCIATES P S

Radiology (Radiation Oncology)

700 W IRONWOOD DR
COEUR D ALENE, ID 83814

Kootenai County (208) 666-3800

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 Duane Craddock's NPI number?

The NPI number for Duane Craddock is 1609886514. It was assigned to this individual provider in the NPPES registry on August 9, 2006.

Where is Duane Craddock located?

Duane Craddock practices at 700 W Ironwood Dr Ste 155, Coeur D Alene, ID 83814. The listed phone number is (208) 667-0585.

What is Duane Craddock's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Duane Craddock enrolled in Medicare?

Yes. Duane Craddock is registered in the Medicare PECOS enrollment system.

What insurance does Duane Craddock accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Duane Craddock 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.

When was this NPI record last updated?

The NPPES record for Duane Craddock was last updated on May 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.