The high heat at the beginning ensures that the bottom of the crust gets a nice, golden-brown crispiness. By flipping the crust and lowering the heat, you can add your toppings and continue cooking the pizza. This process creates a perfect balance, giving you a crunchy exterior and a well-cooked, soft interior.
This approach to getting crispy crust in a skillet is similar to how you'd achieve a similar result in the oven. However, instead of baking the pizza after crisping up one side of the dough, cooking it on medium after flipping the dough simplifies the process and shortens the cook time (plus eliminates the need to preheat the oven).
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