JANIEL M CRAGUN MD
NPI 1811169485
Obstetrics & Gynecology in Tucson, AZ

Active since March 24, 2008PECOS EnrolledAccepts Medicare Assignment
97.64/100
CMS Quality Rating
1501 N CAMPBELL AVE, TUCSON, AZ 85724(520) 694-6010(520) 694-2892 Get Directions Write a Review

NPPES record last updated: August 7, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Janiel M Cragun Md NPPES

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

JANIEL M CRAGUN MD (NPI 1811169485) is an individual obstetrics & gynecology provider in Tucson, Arizona, licensed in Arizona (1234) and active in the NPI registry since March 2008. She is enrolled in Medicare PECOS and is a graduate of University Of Utah School Of Medicine (2000).

NPPES Registry Identity

NPI1811169485
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameJANIEL M CRAGUNCredential: MD
Location Address1501 N CAMPBELL AVETucson, AZ 85724-0001
Mailing Address2701 E Elvira RdTucson, AZ 85756-7124 · (520) 874-3500
Fax(520) 694-2892
Sole ProprietorNo
Medical School CMSUniversity Of Utah School Of MedicineGraduated 2000
Enumeration DateMarch 24, 2008
Last NPPES UpdateAugust 7, 2008
✔ NPI 1811169485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in AZ · 1234
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1501 N CAMPBELL AVE, Tucson, AZ 85724

Other Identifiers 2

Medicaid345093AZ
Medicare PINZ122869AZ

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Janiel M Cragun Md 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 ID9335212927
PECOS Enrollment IDI20080715000433
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 Reassignments

2

Medicare enrollment records show Janiel Cragun reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nutrition, Education
535 N WILMOT RD STE 101
Tucson, AZ 85711
  • Reassigned Medicare billing, Arizona enrollment
  • 1,514 clinicians in this Medicare group
General Acute Care Hospital
355 N MAIN ST
Kanab, UT 84741
  • Reassigned Medicare billing, Utah enrollment
  • Also billed through NPI 1740519370 (Utah)
  • 46 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

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.

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.
91 services43 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
63 services27 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
60 services38 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
22 services12 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85724 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
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
Most-billed visit code 99213
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.

97.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.77
Promoting Interoperability98.67
Improvement Activities40

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.

Perfusionist
1501 N CAMPBELL AVE, SUITE 4402 ARIZONA HEALTH SCIENCE CENTER
TUCSON, AZ 85724
Pediatrics
1501 N CAMPBELL AVE
TUCSON, AZ 85724
Obstetrics & Gynecology
1501 N CAMPBELL AVE
TUCSON, AZ 85724
Pediatrics
1501 N CAMPBELL AVE
TUCSON, AZ 85724
Anesthesiology
1501 N CAMPBELL AVE
TUCSON, AZ 85724
Emergency Medicine
1501 N CAMPBELL AVE
TUCSON, AZ 85724
Radiology (Radiation Oncology)
1501 N CAMPBELL AVE
TUCSON, AZ 85724
Pathology (Neuropathology)
1501 N CAMPBELL AVE
TUCSON, AZ 85724

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 Janiel Cragun's NPI number?

The NPI number for Janiel Cragun is 1811169485. It was assigned to this individual provider in the NPPES registry on March 24, 2008.

Where is Janiel Cragun located?

Janiel Cragun practices at 1501 N Campbell Ave, Tucson, AZ 85724. The listed phone number is (520) 694-6010.

What is Janiel Cragun's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Janiel Cragun enrolled in Medicare?

Yes. Janiel Cragun 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.

Which organizations bill Medicare for Janiel Cragun's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Janiel Cragun reassigns Medicare benefits to 2 organizations: Banner-University Medical Group (Tucson, AZ) and Kane County Human Resource Special Service District (Kanab, UT). Each 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 Janiel Cragun's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Janiel Cragun accept?

Health plans from Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and University of Utah Health Plans list Janiel Cragun 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 Janiel Cragun was last updated on August 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.