DR. LAURA TERESA WITHERS (M.D.) – Hospice and Palliative Medicine (Family Medicine) Physician, NPI 1104098110

DR. LAURA TERESA WITHERS (M.D.) is a healthcare provider. based in Portland, Maine. specializing in SURGICAL ONCOLOGY. They hold the professional credentials M.D.. They hold a License No. 002800501 (ME). The NPI Number for DR. LAURA TERESA WITHERS (M.D.) is 1104098110

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. LAURA TERESA WITHERS (M.D.)
NPI
1104098110
Phone
(207) 774-2381
Address
887 CONGRESS ST STE 210
Enumeration Date
31 March 2008
Last Update Date
19 November 2025

Doctor Profile

Medical School Name
NEW YORK MEDICAL COLLEGE
Secondary Phone
7184707501
Graduation Year
2001 (25 years ago)
PAC ID
0042370694
Group Practice PAC ID
3375701568
Professional Enrollment ID
I20200511000772
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience92
Completeness85
Years active:18State licenses:4Digital endpointsOther names

12 SURGICAL ONCOLOGY in ME

Provider Addresses for DR. LAURA TERESA WITHERS (M.D.)

  • 887 CONGRESS ST STE 210

    PORTLAND, ME 041023166

    Phone: (207) 774-2381

    Type: Location

  • 110, Marginal Way, Bayside, Portland, Cumberland County, Maine, 04101, United States

    PORTLAND, ME 041012442

    Phone: (917) 650-5408

    Type: Mailing

  • 3500 S. SCOTT BLVD

    12B

    COLUMBIA, MO 65203

    Phone: (917) 650-5408

    Type: Mailing

  • 1 HOSPITAL DR

    DDEPARTMENT OF FAMILT MEDICINE

    COLUMBIA, MO 652121000

    Phone: (573) 884-7060

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2020-05-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20120917000298ISurgical OncologyMETBD
I20200511000772IGeneral SurgeryNYTBD

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
99291Critical care, first 30-74 minutes5826$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2820$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2727$0
View full utilization report →

Insurance plans in this area (ZIP 04102)

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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: 3375701568View full group profile
NameSpecialtyState
General Surgery, Critical Care (Intensivists)NY
Diagnostic RadiologyNY
-NY
Hospitalist, Family PracticeNY
-NY
Infectious DiseaseNC
-NY
-NY
Cardiac Surgery, Vascular SurgeryNY
-CA

Reviews

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Frequently asked questions

What unique ID ties claims to DR. LAURA TERESA WITHERS (M.D.)?
NPI 1104098110 is assigned to DR. LAURA TERESA WITHERS (M.D.) under the national enumeration system.
Is DR. LAURA TERESA WITHERS (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize DR. LAURA TERESA WITHERS (M.D.)'s specialty in plain language?
Clinically, the directory lists DR. LAURA TERESA WITHERS (M.D.) with Hospice and Palliative Medicine (Family Medicine) Physician. Clinical services aligned with this taxonomy classification.
Where does public data place DR. LAURA TERESA WITHERS (M.D.)?
The snapshot lists Portland, Maine for DR. LAURA TERESA WITHERS (M.D.); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.