BRADLEY JAMES RUNYON O.D. NPI 1013156124

Optometrist in Marshall, MI

NPI 1013156124 Individual Male Years of Experience 26 Optometrist PECOS Enrolled May Accept Medicare Approved Payment

About BRADLEY RUNYON

Bradley Runyon is a provider established in Marshall, Michigan and his medical specialization is optometrist with more than 26 years of experience. He graduated from Illinois College Of Optometry At Chicago in 1996. The NPI number of Bradley Runyon is 1013156124 and was assigned on February 2009. The practitioner's primary taxonomy code is 152W00000X with license number 4901004130 (MI). The provider is registered as an individual and his NPI record was last updated 6 years ago.

Bradley Runyon is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA)

Bradley Runyon is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.

NPI

1013156124

Provider Name BRADLEY JAMES RUNYON O.D.
Provider Location Address830 W MICHIGAN AVE MARSHALL, MI 49068
Provider Mailing Address830 W MICHIGAN AVE MARSHALL, MI 49068
GenderMale
NPI Entity TypeIndividual
Medical School NameILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduation Year1996
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date02-12-2009
Last Update Date11-19-2015


Primary Taxonomy

Taxonomy Code152W00000X
ClassificationOptometrist
TypeEye and Vision Services Providers
License No.4901004130
License StateMI
Taxonomy DescriptionDoctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Business Address

BRADLEY JAMES RUNYON O.D.
830 W MICHIGAN AVE
MARSHALL, MI
ZIP 49068
Phone: (269) 781-9822
Fax: (269) 781-9839

Get Directions


Mailing Address

BRADLEY JAMES RUNYON O.D.
830 W MICHIGAN AVE
MARSHALL, MI
ZIP 49068
Phone: (269) 781-9822
Fax: (269) 781-9839



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID2264328905
PECOS Enrollment IDI20040227000493
Accepts Medicare Assignment? Maybe "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesNo

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 105Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits (HCPCS:92014)
  • 31Photography of the retina (HCPCS:92250)
  • 14Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits (HCPCS:92004)

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
X48437MEDICARE UPIN (02)MI
1013156124MEDICAID (05)MI

Other Providers at the same location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1629224514SOUTH MICHIGAN OPHTHALMOLOGY P C
Organization
Clinic/Center830 W MICHIGAN AVE
MARSHALL, MI 49068
(269) 781-9822
1538276498DR. PATRICIA M WOZNICKI O.D.
Individual
Optometrist830 W MICHIGAN AVE
MARSHALL, MI 49068
(269) 781-9822
1518028018DR. DARREN PAUL HATHAWAY M.D.
Individual
Ophthalmology830 W MICHIGAN AVE
MARSHALL, MI 49068
(269) 781-9822
1225573579DR. NAIYA PANCHAL O.D
Individual
Optometrist830 W MICHIGAN AVE
MARSHALL, MI 49068
(269) 781-9822
1639633431LO OPTICAL, LLC
Organization
Eyewear Supplier830 W MICHIGAN AVE
MARSHALL, MI 49068
(269) 781-9822

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.