BETH RUNDQUIST (M.D.) – Pediatrics Physician, NPI 1063419463
Pediatrics Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
167 PEDIATRIC MEDICINE in KS
Provider Addresses for BETH RUNDQUIST (M.D.)
1803 W 6th St
Lawrence, KS 660441710
Phone: (785) 841-7297
Fax: (785) 856-0375
Type: Location
1312 W 6TH ST
LAWRENCE, KS 660442219
Phone: (785) 841-7297
Fax: (785) 856-0375
Type: Mailing
346, Maine Street, Pinckney, Lawrence, Douglas County, Kansas, 66044, United States
LAWRENCE, KS 660441359
Phone: (785) 842-4477
Fax: (785) 842-7433
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 34 Open Payments records for all available years, with a total value of $771.
Total Amount is formed as General ($771) + Research ($0) + Ownership ($0) = $771.
Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Supernus Pharmaceuticals, Inc. ($456).
Total Amount
$771
General + Research + Ownership
Payments
34
Total payment records
General Amount
$771
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Supernus Pharmaceuticals, Inc. | $456 |
| Corium, LLC | $123 |
| SANOFI PASTEUR INC. | $58 |
| Merck Sharp & Dohme LLC | $46 |
| Organon LLC | $22 |
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: 2021-01-29
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 |
|---|---|---|---|---|
| I20210129000557 | I | Pediatric Medicine | KS | 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 66044)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | KS | |
| Nurse Practitioner | KS | |
| Nurse Practitioner | KS | |
| Clinical Social Worker | KS | |
| Physician Assistant | KS | |
| Physician Assistant | KS | |
| P S Y C H I A T R Y | KS | |
| Nurse Practitioner | KS | |
| Marriage And Family Therapist | CA | |
| Marriage And Family Therapist | KS |
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