BRADLEY JAMES RUNYON (O.D.) – Optometrist, NPI 1013156124

BRADLEY JAMES RUNYON (O.D.) is a healthcare provider. based in Marshall, Michigan. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 4901004130 (MI). The NPI Number for BRADLEY JAMES RUNYON (O.D.) is 1013156124

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
BRADLEY JAMES RUNYON (O.D.)
NPI
1013156124
Phone
(269) 781-9822
Address
830 W MICHIGAN AVE
Enumeration Date
12 February 2009
Last Update Date
19 November 2015

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
-
Graduation Year
1996 (30 years ago)
PAC ID
2264328905
Group Practice PAC ID
3779473228
Professional Enrollment ID
I20040227000493
Address ID
MI492421202Hi50XXXRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

1,204 OPTOMETRY in MI

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Provider Addresses for BRADLEY JAMES RUNYON (O.D.)

  • 830, West Michigan Avenue, Marshall, Calhoun County, Michigan, 49068, United States

    MARSHALL, MI 490681446

    Phone: (269) 781-9822

    Fax: (269) 781-9839

    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 13 Open Payments records for all available years, with a total value of $239.

Total Amount is formed as General ($239) + Research ($0) + Ownership ($0) = $239.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Alimera Sciences, Inc. ($70).

Total Amount

$239

General + Research + Ownership

Payments

13

Total payment records

General Amount

$239

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

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: 2004-02-27

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
I20040227000493IOptometryMITBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes2013$0
99214Established patient office or other outpatient visit, 30-39 minutes1515$0
View full utilization report →

Insurance plans in this area (ZIP 49068)

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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: 3779473228View full group profile
NameSpecialtyState
O P H T H A L M O L O G YMI
O P H T H A L M O L O G YMI

Reviews

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Frequently asked questions

How is BRADLEY JAMES RUNYON (O.D.) identified in CMS data?
CMS-hosted NPPES data lists BRADLEY JAMES RUNYON (O.D.) with NPI 1013156124.
Is BRADLEY JAMES RUNYON (O.D.) listed as active for patients and plans?
The listing shows BRADLEY JAMES RUNYON (O.D.) as active in the NPI system.
What taxonomy line describes BRADLEY JAMES RUNYON (O.D.)?
For research purposes, treat BRADLEY JAMES RUNYON (O.D.) as Optometrist in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect BRADLEY JAMES RUNYON (O.D.) on a map?
Expect Marshall, Michigan as a primary anchor for BRADLEY JAMES RUNYON (O.D.) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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