COOPER C SCHRAUDENBACH M.D. - NPI 1790848299 - Family Medicine in Grand Canyon, AZ

Q: What is Cooper Schraudenbach's NPI number?

The NPI number for Cooper Schraudenbach is 1790848299. It was assigned to this individual provider in the NPPES registry on December 18, 2006.

Q: What is Cooper Schraudenbach's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

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About Cooper C Schraudenbach M.d. NPPES

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

COOPER C SCHRAUDENBACH M.D. (NPI 1790848299) is an individual family medicine provider in Grand Canyon, Arizona, licensed in Arizona (45923) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Flagstaff, and is a graduate of Hahnemann University College Of Medicine (1997).

NPPES Registry Identity

NPI1790848299

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameCOOPER C SCHRAUDENBACHCredential: M.D.

Location Address1 CLINIC RDGrand Canyon, AZ 86023-0290

Mailing AddressPo Box 1231Tucson, AZ 85702-1231 · (520) 670-3909 · Fax (520) 309-2560

Phone(928) 638-2551

Sole ProprietorNo

Medical School CMSHahnemann University College Of MedicineGraduated 1997

Enumeration DateDecember 18, 2006

Last NPPES UpdateApril 22, 20262 updates tracked since enumeration

NPPES CertifiedApril 22, 2026

✔ NPI 1790848299 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in AZ · 45923✔ Licensed in MP · 0348✔ Licensed in CA · A067909

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1 CLINIC RD, Grand Canyon, AZ 86023

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Secondary Practice Location 1

Location 12920 N 4th StFlagstaff, AZ 86004-1816 · Phone (928) 522-9400

Other Identifiers 3

OtherA67909CA · License

Other0348MP · License

Other12456HI · Lic

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. and more.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

Cooper C Schraudenbach M.d. 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 ID1456440064

PECOS Enrollment IDI20140205000265

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.

Areas of Expertise CMS Part B claims

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.

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

17 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86023 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

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.

Other Providers at the Same Location NPPES 8

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

NORTH COUNTRY HEALTHCARE, INC.

Pharmacy (Clinic Pharmacy)