MARIA CHRISTINE WITHERSPOON (MD) – Family Medicine Physician, NPI 1770153538

MARIA CHRISTINE WITHERSPOON (MD) is a healthcare provider. based in Daytona beach, Florida. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. TRN33868 (FL). The NPI Number for MARIA CHRISTINE WITHERSPOON (MD) is 1770153538

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
MARIA CHRISTINE WITHERSPOON (MD)
NPI
1770153538
Phone
(386) 425-4165
Address
201 N CLYDE MORRIS BLVD STE 200
Enumeration Date
24 June 2021
Last Update Date
24 June 2021

Doctor Profile

Medical School Name
MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE
Secondary Phone
8707398670
Graduation Year
2021 (5 years ago)
PAC ID
8325446511
Group Practice PAC ID
1850633074
Professional Enrollment ID
I20241009001033
Address ID
AR723649004MA924XX77XX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

6,754 FAMILY PRACTICE in FL

Provider Addresses for MARIA CHRISTINE WITHERSPOON (MD)

  • 201 N CLYDE MORRIS BLVD STE 200

    DAYTONA BEACH, FL 321142765

    Phone: (386) 425-4165

    Fax: (386) 425-7545

    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 10 Open Payments records for all available years, with a total value of $257.

Total Amount is formed as General ($257) + Research ($0) + Ownership ($0) = $257.

Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Medtronic, Inc. ($114).

Total Amount

$257

General + Research + Ownership

Payments

10

Total payment records

General Amount

$257

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-21

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: 2024-10-09

PECOS data refreshed: 2026-06-15

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
I20241009001033IFamily PracticeARTBD

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 32114)

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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: 1850633074View full group profile
NameSpecialtyState
Nurse PractitionerTN
Nurse PractitionerAR
Family PracticeAR
Physician AssistantTN
Family PracticeAR
Nurse PractitionerAR
Nurse PractitionerAR
Nurse PractitionerAR

Reviews

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Frequently asked questions

Where can patients find MARIA CHRISTINE WITHERSPOON (MD)'s NPI?
You can confirm MARIA CHRISTINE WITHERSPOON (MD) with NPI 1770153538; it appears in the national provider directory.
Is MARIA CHRISTINE WITHERSPOON (MD)'s NPI currently valid?
The extract we use shows MARIA CHRISTINE WITHERSPOON (MD) as active.
What kind of provider is MARIA CHRISTINE WITHERSPOON (MD)?
The page reflects Family Medicine Physician for MARIA CHRISTINE WITHERSPOON (MD). Clinical services aligned with this taxonomy classification.
Where does public data place MARIA CHRISTINE WITHERSPOON (MD)?
The snapshot lists Daytona Beach, Florida for MARIA CHRISTINE WITHERSPOON (MD); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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