DR. CRAIG MICHAEL RUNDBAKEN DO
NPI 1720072903
Internal Medicine - Pulmonary Disease in Sun City West, AZ

Active since September 02, 2005PECOS EnrolledAccepts Medicare AssignmentCLIA 03D2343083 · Waiver
76.5/100
CMS Quality Rating
14300 W GRANITE VALLEY DR STE E23, SUN CITY WEST, AZ 85375(623) 975-0500(623) 975-0705 Get Directions Write a Review

NPPES record last updated: April 3, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 3, 2026, Jul 21, 2022 (2 updates tracked since 2022).

About Dr. Craig Michael Rundbaken Do NPPES

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

DR. CRAIG MICHAEL RUNDBAKEN DO (NPI 1720072903) is an individual pulmonary disease provider in Sun City West, Arizona, licensed in Arizona (3219) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through April 30, 2028, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1720072903
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. CRAIG MICHAEL RUNDBAKENCredential: DO
Location Address14300 W GRANITE VALLEY DR STE E23Sun City West, AZ 85375-5798
Mailing Address14300 W Granite Valley Dr Ste E23Sun City West, AZ 85375-5798 · (623) 975-0500 · Fax (623) 975-0705
Fax(623) 975-0705
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateSeptember 2, 2005
Last NPPES UpdateApril 3, 20262 updates tracked since enumeration
NPPES CertifiedApril 3, 2026
NPI 1720072903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in AZ · 3219
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
14300 W GRANITE VALLEY DR STE E23, Sun City West, AZ 85375

Other Identifiers 1

Medicaid391409AZ

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Craig Michael Rundbaken Do 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.

PECOS PAC ID8022906601
PECOS Enrollment IDI20040305000700
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D2343083

Craig Rundbaken Do PLLC · Sun City West, AZ
Active · expires Apr 30, 2028
CLIA Number03D2343083
Laboratory TypePhysician Office
Certificate Effective DateMay 1, 2026
Certificate Expiration DateApril 30, 2028
Laboratory DirectorCraig M. Rundbaken
Laboratory Phone(623) 975-0500
Laboratory LocationCraig Rundbaken Do PLLC14300 W Granite Valley Dr Ste E-23, Sun City West, AZ 85375
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 25

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.

Principal care management services for a single high-risk disease, first 30 minutes of clinical staff time directed by health care professional, per calendar month 99426
Principal care management services focus on managing a single high-risk disease. This involves a health care professional directing clinical staff for the first 30 minutes each month. The aim is to monitor your health, coordinate care, and provide necessary support for your disease management.
3,662 services621 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
3,359 services1,700 patients
Remote therapeutic monitoring treatment management services by physician or other qualified health care professional, first 20 minutes per calendar month 98980
Remote therapeutic monitoring treatment management services involve a healthcare professional monitoring your health data remotely. This could include vital signs or other health information. The professional will manage your treatment for the first 20 minutes each month, adjusting as necessary based on the data received.
2,571 services490 patients
Device supply with scheduled recording and transmission for remote monitoring of respiratory system, per 30 days 98976
This service involves providing a device that records and transmits data about your respiratory system. It helps in remote monitoring of your breathing patterns for a period of 30 days. This method aids in early detection of any potential respiratory issues.
2,314 services475 patients
Principal care management services for a single high-risk disease, each additional 30 minutes of clinical staff time directed by health care professional, per calendar month 99427
Principal Care Management (PCM) services focus on managing a single high-risk disease. It involves additional 30 minutes of clinical staff time per month, overseen by a healthcare professional. This includes monitoring your health, coordinating care, and developing a personalized treatment plan.
954 services257 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
712 services81 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85375 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

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.

76.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.36
Improvement Activities40
Cost59.46

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
1%3,108 patients1/55-star benchmark: 100%
Chronic Obstructive Pulmonary Disease (COPD): Spirometry Evaluation
Percentage of patients aged 18 years and older with a diagnosis of COPD who had spirometry results documented
5%1,380 patients1/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%8,103 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
61%1,649 patients3/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
57%1,309 patients3/55-star benchmark: 98%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
85%260 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
3%1,548 patients1/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
0%3,108 patients1/55-star benchmark: 95%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
24%3,758 patients1/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
28%144 patients2/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user
30%2,269 patients2/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%1,548 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
2%1,548 patients1/55-star benchmark: 79%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 43

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
20 suppliers836 claims836 services$34.08 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
8 suppliers154 claims299 services$1.28 avg. paid by Medicare
Small volume nonfiltered pneumatic nebulizer, disposable A7004
DME-Other DME · category DE000N
1 supplier75 claims150 services$1.03 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable A7005
DME-Other DME · category DE000N
8 suppliers58 claims58 services$14.06 avg. paid by Medicare
Filter, disposable, used with aerosol compressor or ultrasonic generator A7013
DME-Other DME · category DE000N
3 suppliers29 claims115 services$0.52 avg. paid by Medicare
Aerosol mask, used with dme nebulizer A7015
DME-Other DME · category DE000N
2 suppliers46 claims47 services$1.18 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

Internal Medicine (Pulmonary Disease)
14300 W GRANITE VALLEY DR STE E23
SUN CITY WEST, AZ 85375
Clinic/Center
14300 W GRANITE VALLEY DR STE E23
SUN CITY WEST, AZ 85375
Internal Medicine (Pulmonary Disease)
14300 W GRANITE VALLEY DR STE E23
SUN CITY WEST, AZ 85375
Clinic/Center
14300 W GRANITE VALLEY DR STE E23
SUN CITY WEST, AZ 85375
Nurse Practitioner (Gerontology)
14300 W GRANITE VALLEY DR STE E23
SUN CITY WEST, AZ 85375
Internal Medicine (Pulmonary Disease)
14300 W GRANITE VALLEY DR STE E23
SUN CITY WEST, AZ 85375

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 Craig Rundbaken's NPI number?

The NPI number for Craig Rundbaken is 1720072903. It was assigned to this individual provider in the NPPES registry on September 2, 2005.

Where is Craig Rundbaken located?

Craig Rundbaken practices at 14300 W Granite Valley Dr Ste E23, Sun City West, AZ 85375. The listed phone number is (623) 975-0500.

What is Craig Rundbaken's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Craig Rundbaken enrolled in Medicare?

Yes. Craig Rundbaken 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.

Does Craig Rundbaken hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2343083) is associated with this NPI, valid through April 30, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Craig Rundbaken accept?

Health plans from Ambetter from Arizona Complete Health list Craig Rundbaken 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 Craig Rundbaken was last updated on April 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.