TIMOTHY C. RUNYON, D.P.M. P.A.
NPI 1093869851
Non-Pharmacy Dispensing Site in St. Petersburg, FL
About Timothy C. Runyon, D.p.m. P.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TIMOTHY C. RUNYON, D.P.M. P.A. (NPI 1093869851) is a healthcare organization registered as a non-pharmacy dispensing site in St. Petersburg, Florida and active in the NPI registry since January 2007. The organization lists Kyle C Kinmon, Provider/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 6
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Timothy C. Runyon, D.p.m. P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
18Medicare enrollment records show 18 clinicians reassign Medicare billing to Timothy C. Runyon, D.P.M. P.A., which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (18)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Timothy C. Runyon, D.P.M. P.A.'s NPI number?
The NPI number for Timothy C. Runyon, D.P.M. P.A. is 1093869851. It was assigned to this organization in the NPPES registry on January 22, 2007.
Where is Timothy C. Runyon, D.P.M. P.A. located?
Timothy C. Runyon, D.P.M. P.A. is located at 1401 16th St N, St. Petersburg, FL 33704. The listed phone number is (727) 894-0794.
What is Timothy C. Runyon, D.P.M. P.A.'s specialty?
The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.
Is Timothy C. Runyon, D.P.M. P.A. enrolled in Medicare?
Yes. Timothy C. Runyon, D.P.M. P.A. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Timothy C. Runyon, D.P.M. P.A.?
According to the CMS Revalidation Reassignment List (October 2026 release), 18 clinicians in 3 Medicare specialties reassign their Medicare billing to Timothy C. Runyon, D.P.M. P.A.. A 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 the clinician's services. The largest specialties are Podiatry (15), Pathology (2) and Internal Medicine (1). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Timothy C. Runyon, D.P.M. P.A. accept?
Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arkansas Health & Wellness and 31 other insurers list Timothy C. Runyon, D.P.M. P.A. 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 Timothy C. Runyon, D.P.M. P.A. was last updated on October 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Timothy C. Runyon, D.p.m. P.a. · NPI 1093869851
Non-Pharmacy Dispensing Site organization in St. Petersburg, Florida. Organization record, active in the CMS NPPES registry since January 22, 2007.
## Identity
- **NPI:** 1093869851 (Entity type: Organization)
- **Enumerated:** January 22, 2007
- **Primary specialty:** Non-Pharmacy Dispensing Site · taxonomy 332900000X
- **Organization subpart:** No
- **Authorized official:** Kyle Kinmon, PROVIDER/OWNER
## Practice location
- **Address:** 1401 16TH ST N, St. Petersburg, FL 33704-4123
- **Phone:** (727) 894-0794 · **Fax:** (727) 895-1215
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 18 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Podiatry (15), Pathology (2), Internal Medicine (1); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 9, 2024
- **Other identifiers:** Medicaid 340415300 (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1093869851) · Data from the CMS NPPES public registry.