MR. LEE A. WITHEROW (CRNA) – Certified Registered Nurse Anesthetist, NPI 1205802253

MR. LEE A. WITHEROW (CRNA) is a healthcare provider. based in Sayre, Pennsylvania. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. RN508801L (PA). The NPI Number for MR. LEE A. WITHEROW (CRNA) is 1205802253

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
MR. LEE A. WITHEROW (CRNA)
NPI
1205802253
Phone
(570) 888-5858
Address
1 GUTHRIE SQ
Enumeration Date
28 February 2006
Last Update Date
12 March 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6072744296
Graduation Year
2000 (26 years ago)
PAC ID
0042407892
Group Practice PAC ID
6709897960
Professional Enrollment ID
I20230113000922
Address ID
NY148501342IT101XXDRXX300

Contacts

Secure Messaging
lwitherow179@direct-guthrie.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

4,245 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in PA

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Provider Addresses for MR. LEE A. WITHEROW (CRNA)

  • Guthrie Robert Packer Hospital, 1, Guthrie Square, Sayre, Bradford County, Pennsylvania, 18840, United States

    SAYRE, PA 188401625

    Phone: (570) 888-5858

    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)

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: 2023-01-13

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
I20101207000220ICertified Registered Nurse Anesthetist (Crna)PATBD
I20230113000922ICertified Registered Nurse Anesthetist (Crna)NYTBD

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
00142Anesthesia for lens surgery3533$0
01402Anesthesia for procedure for total knee joint replacement1212$0
01214Anesthesia for total hip replacement1111$0
View full utilization report →

Insurance plans in this area (ZIP 18840)

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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: 6709897960View full group profile
NameSpecialtyState
-NY
Plastic And Reconstructive SurgeryNY
-NY
Certified Registered Nurse Anesthetist (Crna)PA
N E U R O L O G YNY
Physician AssistantNY
-NY
Family PracticeNY
Nurse PractitionerNY
A N E S T H E S I O L O G YFL

Reviews

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Frequently asked questions

What federal number belongs to MR. LEE A. WITHEROW (CRNA)?
The federal identifier for MR. LEE A. WITHEROW (CRNA) is NPI 1205802253.
Does this profile mean MR. LEE A. WITHEROW (CRNA) is currently active?
Yes — MR. LEE A. WITHEROW (CRNA) appears active in the national provider directory.
What field does MR. LEE A. WITHEROW (CRNA) work in?
You can think of MR. LEE A. WITHEROW (CRNA) as practicing within Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where is MR. LEE A. WITHEROW (CRNA)'s primary listing?
We display Sayre, Pennsylvania because that is what the record indicates for MR. LEE A. WITHEROW (CRNA).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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