JACOB L. RUNYAN (PA-C) – Physician Assistant, NPI 1881022960
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
1,396 PHYSICIAN ASSISTANT in NE
Provider Addresses for JACOB L. RUNYAN (PA-C)
913 E Zero St
Ainsworth, NE 692101556
Phone: (402) 387-1900
Fax: (402) 387-0139
Type: Location
101 E South St # 146
Bassett, NE 687145508
Phone: (402) 684-2285
Fax: (402) 684-2299
Type: Location
110 W 2nd St # 70
Stuart, NE 687801701
Phone: (402) 924-3777
Fax: (402) 924-3776
Type: Location
418 E 5th St # 403
Atkinson, NE 687134885
Phone: (402) 925-2994
Fax: (402) 925-2996
Type: Location
PO BOX 70
STUART, NE 687800070
Phone: (402) 924-3777
Fax: (402) 924-3776
Type: Mailing
305 N 37TH ST
NORFOLK, NE 687013275
Phone: (402) 370-4100
Fax: (402) 370-4101
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 36 Open Payments records for all available years, with a total value of $679.
Total Amount is formed as General ($679) + Research ($0) + Ownership ($0) = $679.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Astellas Pharma US Inc ($138).
Total Amount
$679
General + Research + Ownership
Payments
36
Total payment records
General Amount
$679
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Astellas Pharma US Inc | $138 |
| AstraZeneca Pharmaceuticals LP | $136 |
| ABBVIE INC. | $68 |
| Novo Nordisk Inc | $58 |
| Mylan Specialty L.P. | $39 |
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: 2014-01-22
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 |
|---|---|---|---|---|
| I20140122000235 | I | Physician Assistant | NE | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 167 | 147 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 85 | 73 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 80 | 13 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 31 | 29 | $0 |
| 87635 | Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen | 27 | 27 | $0 |
Insurance plans in this area (ZIP 69210)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | NE | |
| O B S T E T R I C S/ G Y N E C O L O G Y | NE | |
| Physician Assistant | NE | |
| - | NE | |
| Certified Registered Nurse Anesthetist (Crna) | SD | |
| General Surgery | NE | |
| - | NE | |
| Family Practice, Emergency Medicine | NE | |
| Physician Assistant | NE | |
| - | CO |
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