1. Home
  2. Directory
  3. Idaho
  4. Coeur D Alene
  5. Pediatrics
  6. NPI Profile

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

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: November 01, 2026.

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

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
Open in Google Maps ↗

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 Molina Healthcare, PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and more.Insurance ›

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignment

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

Dirne Health Centers Inc
Same address
Federally Qualified Health Center (FQHC)
700 W IRONWOOD DR STE 155
Coeur D Alene, ID 83814
  • Reassigned Medicare billing, Idaho enrollment
  • 81 clinicians in this Medicare group
NPI 1851244024 (208) 667-0585

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 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.

Which organization bills Medicare for Duane Craddock's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Duane Craddock reassigns Medicare benefits to Dirne Health Centers Inc (Coeur D Alene, ID). 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 Duane Craddock's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Duane Craddock accept?

Health plans from Molina Healthcare, PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan and Select Health 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 17 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.