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JACKSON RUNTE MD
NPI 1609453430
Emergency Medicine in New York, NY

Active since March 26, 2021PECOS EnrolledAccepts Medicare Assignment
1468 MADISON AVE, NEW YORK, NY 10029(212) 241-6500 Get Directions Write a Review

NPPES record last updated: September 3, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Sep 3, 2025, Mar 26, 2021 (2 updates tracked since 2021).

About Jackson Runte Md NPPES

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

JACKSON RUNTE MD (NPI 1609453430) is an individual emergency medicine provider in New York, New York, licensed in California (200714) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS and is a graduate of University Of California, San Francisco School Of Medicine (2021).

NPPES Registry Identity

NPI1609453430
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameJACKSON RUNTECredential: MD
Location Address1468 MADISON AVENew York, NY 10029-6508
Mailing Address18050 Calle Oeste RdSonora, CA 95370-8733
Phone(212) 241-6500
Sole ProprietorNo
Medical School CMSUniversity Of California, San Francisco School Of MedicineGraduated 2021
Enumeration DateMarch 26, 2021
Last NPPES UpdateSeptember 3, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2025
✔ NPI 1609453430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in CA · 200714
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1468 MADISON AVE, New York, NY 10029
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jackson Runte 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 ID4486159126
PECOS Enrollment IDI20250924002977, I20251001000127
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.

Medicare Billing Reassignments

6

Medicare enrollment records show Jackson Runte reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dhhs Phs Naihs Chinle Comprehensive Health Care Facility
1,926 mi
General Acute Care Hospital
NAVAJO ROUTE 64
Tsaile, AZ 86556
  • Reassigned Medicare billing, Texas enrollment
  • 476 clinicians in this Medicare group
NPI 1538185715 (928) 724-3600
San Xavier District Office
2,132 mi
Public Health or Welfare
2018 W SAN XAVIER RD
Tucson, AZ 85746
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Ton Sells Hospital
  • 349 clinicians in this Medicare group
NPI 1073694832 (520) 295-2503
Ton San Xavier Health Center
2,134 mi
Public Health, Federal
7900 S J STOCK RD
Tucson, AZ 85746
  • Reassigned Medicare billing, Texas enrollment
  • 286 clinicians in this Medicare group
NPI 1437157302 (520) 547-8140
Ton San Simon Health Center
2,183 mi
Health Service
HIGHWAY 86, MILEPOST 84
Sells, AZ 85634
  • Reassigned Medicare billing, Texas enrollment
  • 268 clinicians in this Medicare group
NPI 1588834998 (520) 362-7007
Ton Santa Rosa Health Center
2,183 mi
Public Health, Federal
FEDERAL ROUTE 15, MILEPOST 12
Sells, AZ 85634
  • Reassigned Medicare billing, Texas enrollment
  • 94 clinicians in this Medicare group
NPI 1770581639 (520) 361-2403
Hmh Emergency Medical Group, Inc.
2,446 mi
Emergency Medicine
100 W CALIFORNIA BLVD
Pasadena, CA 91105
  • Reassigned Medicare billing, California enrollment
  • 64 clinicians in this Medicare group
NPI 1659383024 (626) 447-0296

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10029 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

JA'NET RUSSELL
Nurse Practitioner
1468 MADISON AVE
NEW YORK, NY 10029
New York County (212) 241-6500
FRANCESCA YI MD
Student in an Organized Health Care Education/Training Program
1468 MADISON AVE
NEW YORK, NY 10029
New York County (212) 241-8578
DR. ELENI VASILEIOU MD
Student in an Organized Health Care Education/Training Program
1468 MADISON AVE
NEW YORK, NY 10029
New York County (443) 248-8436
SRILAKSHMI GARIKAPATI
Student in an Organized Health Care Education/Training Program
1468 MADISON AVE
NEW YORK, NY 10029
New York County (212) 241-6500
MARY OSMAN THERAPY LLC
Counselor (Mental Health)
1468 MADISON AVE
NEW YORK, NY 10029
New York County (973) 298-0929
GIORGIA IANNETTI PA-C
Physician Assistant
1468 MADISON AVE
NEW YORK, NY 10029
New York County (212) 241-6500
MISS SAMANTHA LUCILLE BURAGAS PA-C
Physician Assistant
1468 MADISON AVE
NEW YORK, NY 10029
New York County (212) 241-6500
CAM THAI
Physician Assistant
1468 MADISON AVE
NEW YORK, NY 10029
New York County (212) 241-6500

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 Jackson Runte's NPI number?

The NPI number for Jackson Runte is 1609453430. It was assigned to this individual provider in the NPPES registry on March 26, 2021.

Where is Jackson Runte located?

Jackson Runte practices at 1468 Madison Ave, New York, NY 10029. The listed phone number is (212) 241-6500.

What is Jackson Runte's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Jackson Runte enrolled in Medicare?

Yes. Jackson Runte 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.

Which organizations bill Medicare for Jackson Runte's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jackson Runte reassigns Medicare benefits to 6 organizations: Dhhs Phs Naihs Chinle Comprehensive Health Care Facility (Tsaile, AZ), San Xavier District Office (Tucson, AZ), Ton San Xavier Health Center (Tucson, AZ), Ton San Simon Health Center (Sells, AZ), Ton Santa Rosa Health Center (Sells, AZ) and 1 more organization, listed in the Medicare section above. Each 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 Jackson Runte's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jackson Runte accept?

Health plans from Blue Cross Blue Shield of Arizona list Jackson Runte 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 Jackson Runte was last updated on September 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.