DR. PAUL EDGAR RUNGE (MD) – Ophthalmology Physician, NPI 1881691335
Ophthalmology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. PAUL EDGAR RUNGE (MD)
4820 Harwood Rd Ste 200
San Jose, CA 951245273
Phone: (408) 981-5577
Fax: (669) 234-4118
Type: Location
1432, Kimbrough Road, Germantown, Shelby County, Tennessee, 38138, United States
GERMANTOWN, TN 381382405
Phone: (901) 767-4499
Fax: (941) 365-6051
Type: Mailing
13411 BLYTHEFIELD TER
LAKEWOOD RANCH, FL 342022456
Phone: (941) 894-4400
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2020-08-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200826003317 | I | Ophthalmology | MS | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 95124)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | TN | |
| O P H T H A L M O L O G Y | TN | |
| O P H T H A L M O L O G Y | TN | |
| O P H T H A L M O L O G Y | TN | |
| O P H T H A L M O L O G Y | TN | |
| O P H T H A L M O L O G Y | MS | |
| O P H T H A L M O L O G Y | TN | |
| O P T O M E T R Y | TN | |
| O P H T H A L M O L O G Y | TX | |
| O P H T H A L M O L O G Y | TN |
Reviews
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