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: August 16, 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 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.
131 services74 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.
59 services15 patients
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
50 services19 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.
49 services37 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.
15 services15 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.

Emergency Medicine
1300 N 12TH ST, STE 301
PHOENIX, AZ 85006
Specialist
1300 N 12TH ST, SUITE 619
PHOENIX, AZ 85006
Internal Medicine (Hematology & Oncology)
1300 N 12TH ST, SUITE 612
PHOENIX, AZ 85006
Internal Medicine
1300 N 12TH ST, SUITE #516
PHOENIX, AZ 85006
Nurse Practitioner
1300 N 12TH ST, SUITE 404
PHOENIX, AZ 85006
Obstetrics & Gynecology
1300 N 12TH ST, SUITE 501
PHOENIX, AZ 85006
Physician Assistant (Medical)
1300 N 12TH ST, STE 500
PHOENIX, AZ 85006
Family Medicine
1300 N 12TH ST, SUITE 605
PHOENIX, AZ 85006

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 Matthew Schmidgall's NPI number?

The NPI number for Matthew Schmidgall is 1912361387. It was assigned to this individual provider in the NPPES registry on April 11, 2016.

Where is Matthew Schmidgall located?

Matthew Schmidgall practices at 1300 N 12th St Suite 605, Phoenix, AZ 85006. The listed phone number is (602) 839-4567.

What is Matthew Schmidgall's specialty?

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

Is Matthew Schmidgall enrolled in Medicare?

Yes. Matthew Schmidgall 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.

What insurance does Matthew Schmidgall accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and UnitedHealthcare list Matthew Schmidgall 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 Matthew Schmidgall was last updated on April 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.