DR. KENNETH ALLAN RUNCIMAN (MD) – Family Medicine Physician, NPI 1477979698

DR. KENNETH ALLAN RUNCIMAN (MD) is a healthcare provider. based in Paducah, Kentucky. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 46739 (KY). The NPI Number for DR. KENNETH ALLAN RUNCIMAN (MD) is 1477979698

Main info

Male
Sole Proprietor
39 Years Of Experience
Accepts Medicare Assignment
Name
DR. KENNETH ALLAN RUNCIMAN (MD)
NPI
1477979698
Phone
(270) 564-8018
Address
3940 PHILLIPS AVE
Enumeration Date
12 March 2014
Last Update Date
12 May 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2705272411
Graduation Year
1987 (39 years ago)
PAC ID
7315251162
Group Practice PAC ID
3375581986
Professional Enrollment ID
I20150806011965
Address ID
KY420255042BE617XXRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:12State licenses:1Digital endpointsOther names

1,717 FAMILY PRACTICE in KY

Provider Addresses for DR. KENNETH ALLAN RUNCIMAN (MD)

  • 3940 PHILLIPS AVE

    PADUCAH, KY 420014648

    Phone: (270) 564-8018

    Fax: (270) 534-5622

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 14 Open Payments records for all available years, with a total value of $236.

Total Amount is formed as General ($236) + Research ($0) + Ownership ($0) = $236.

Last reported payment date: 2024-11-07 • Largest payer in this snapshot: Amgen Inc. ($75).

Total Amount

$236

General + Research + Ownership

Payments

14

Total payment records

General Amount

$236

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-07

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2015-08-06

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150806011965IFamily PracticeKYTBD

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.

Verify on CMS Revalidation Lookup Tool

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 42001)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3375581986View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the registry number for DR. KENNETH ALLAN RUNCIMAN (MD)?
The registry entry for DR. KENNETH ALLAN RUNCIMAN (MD) shows NPI 1477979698.
Quick check: is DR. KENNETH ALLAN RUNCIMAN (MD) active?
Public NPPES data shows DR. KENNETH ALLAN RUNCIMAN (MD) with an active NPI status right now.
Which specialty label fits DR. KENNETH ALLAN RUNCIMAN (MD)?
NPPES ties DR. KENNETH ALLAN RUNCIMAN (MD) to Family Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is DR. KENNETH ALLAN RUNCIMAN (MD) tied to Paducah, Kentucky?
If you are local to Paducah, Kentucky, DR. KENNETH ALLAN RUNCIMAN (MD) may be relevant to your search.
Can I export DR. KENNETH ALLAN RUNCIMAN (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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