ANTHONY J. WITT (MD) – Family Medicine Physician, NPI 1083063762

ANTHONY J. WITT (MD) is a healthcare provider. based in South bend, Indiana. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 01082403A (IN). The NPI Number for ANTHONY J. WITT (MD) is 1083063762

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
ANTHONY J. WITT (MD)
NPI
1083063762
Phone
(574) 335-8700
Address
707 E CEDAR ST
Enumeration Date
3 June 2016
Last Update Date
5 July 2024

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
2016 (10 years ago)
PAC ID
0648565788
Group Practice PAC ID
4082506993
Professional Enrollment ID
I20160829000436
Address ID
IN469758931RO1430XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:10State licenses:1Digital endpointsOther names

2,861 FAMILY PRACTICE in IN

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Provider Addresses for ANTHONY J. WITT (MD)

  • 707 E CEDAR ST

    STE 200

    SOUTH BEND, IN 466172057

    Phone: (574) 335-8700

    Fax: (574) 335-0741

    Type: Mailing

  • 1400 E 9TH ST

    ROCHESTER, IN 469758931

    Phone: (574) 223-2020

    Type: Mailing

  • 209, Jefferson Street, Remsen, Plymouth County, Iowa, 51050, United States

    PLYMOUTH, IN 465631861

    Phone: (574) 948-5100

    Fax: (574) 335-0771

    Type: Location

  • 1432 E 9TH ST

    ROCHESTER, IN 469758931

    Phone: (574) 223-4337

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $170.

Total Amount is formed as General ($170) + Research ($0) + Ownership ($0) = $170.

Last reported payment date: 2024-09-18 • Largest payer in this snapshot: SANOFI-AVENTIS U.S. LLC ($125).

Total Amount

$170

General + Research + Ownership

Payments

5

Total payment records

General Amount

$170

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-18

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: 2016-08-29

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160829000436IFamily PracticeINTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes309193$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit104104$0
99213Established patient office or other outpatient visit, 20-29 minutes7060$0
99215Established patient office or other outpatient visit, 40-54 minutes2018$0
96372Injection of drug or substance under skin or into muscle1914$0
View full utilization report →

Insurance plans in this area (ZIP 46617)

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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: 4082506993View full group profile
NameSpecialtyState
Nurse PractitionerNM
Pediatric MedicineIN
Family Practice, Emergency MedicineIN
Family PracticeIN
Nurse PractitionerIN
Nurse PractitionerIN
Family PracticeIN
Orthopedic SurgeryIN
Nurse PractitionerIN
Physician AssistantIN

Reviews

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Frequently asked questions

What federal number belongs to ANTHONY J. WITT (MD)?
The federal identifier for ANTHONY J. WITT (MD) is NPI 1083063762.
Does this profile mean ANTHONY J. WITT (MD) is currently active?
Yes — ANTHONY J. WITT (MD) appears active in the national provider directory.
What does ANTHONY J. WITT (MD) treat or focus on?
Patients typically see ANTHONY J. WITT (MD) under the specialty Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Does ANTHONY J. WITT (MD) practice in Indiana?
You will see South Bend, Indiana on file for ANTHONY J. WITT (MD) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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