MATTHEW SCHMIDGALL MD
NPI 1912361387
Family Medicine in Phoenix, AZ

Active since April 11, 2016PECOS EnrolledAccepts Medicare Assignment
1300 N 12TH ST, SUITE 605, PHOENIX, AZ 85006(602) 839-4567 Get Directions Write a Review

NPPES record last updated: April 11, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Matthew Schmidgall Md NPPES

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

MATTHEW SCHMIDGALL MD (NPI 1912361387) is an individual family medicine provider in Phoenix, Arizona, licensed in Arizona (5555555) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS and is a graduate of University Of Arizona College Of Medicine (2016).

NPPES Registry Identity

NPI1912361387
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMATTHEW SCHMIDGALLCredential: MD
Location Address1300 N 12TH ST, SUITE 605Phoenix, AZ 85006-2848
Mailing Address1300 N 12th St, Suite 605Phoenix, AZ 85006-2848
Sole ProprietorYes
Medical School CMSUniversity Of Arizona College Of MedicineGraduated 2016
Enumeration DateApril 11, 2016
NPI 1912361387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in AZ · 5555555
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.

1300 N 12TH ST, Phoenix, AZ 85006

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

Matthew Schmidgall 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 ID941570121
PECOS Enrollment IDI20190607001666
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 6

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, 30-39 minutes 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.
131 services84 patients
Anticoagulant management of patient taking warfarin 93793
Anticoagulant management with warfarin involves monitoring and adjusting your medication to prevent blood clots while minimizing the risk of bleeding. Regular blood tests measure your response to warfarin, helping adjust your dose if necessary. It's crucial to maintain a consistent diet and promptly report any changes in your health.
40 services18 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
23 services15 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
21 services18 patients
Established patient office or other outpatient visit, 40-54 minutes 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.
14 services12 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85006 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 20

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

Family Medicine
1300 N 12TH ST, SUITE 605
PHOENIX, AZ 85006
Emergency Medicine
1300 N 12TH ST, SUITE 301
PHOENIX, AZ 85006
Physical Therapist
1300 N 12TH ST, STE 506
PHOENIX, AZ 85006
Physician Assistant
1300 N 12TH ST
PHOENIX, AZ 85006
Nurse Practitioner
1300 N 12TH ST, SUITE 407
PHOENIX, AZ 85006
Internal Medicine
1300 N 12TH ST, STE 518
PHOENIX, AZ 85006
Surgery
1300 N 12TH ST, #616
PHOENIX, AZ 85006
Internal Medicine
1300 N 12TH ST, SUITE 508
PHOENIX, AZ 85006

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912361387, enumerated as an "individual" on April 11, 2016.

The provider is located at 1300 N 12TH ST SUITE 605 PHOENIX, AZ 85006 and the phone number is (602) 839-4567.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Blue Cross. Please consult your insurance carrier or call the provider to verify.