DR. JOHN C WITHERELL (M.D.) – Ophthalmology Physician, NPI 1811984206

DR. JOHN C WITHERELL (M.D.) is a healthcare provider. based in Chester, Pennsylvania. specializing in OPHTHALMOLOGY. They hold the professional credentials M.D.. They hold a License No. MD060067L (PA). The NPI Number for DR. JOHN C WITHERELL (M.D.) is 1811984206

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOHN C WITHERELL (M.D.)
NPI
1811984206
Phone
(610) 874-5261
Address
30 MEDICAL CENTER BLVD STE 104
Enumeration Date
30 September 2005
Last Update Date
1 November 2020

Doctor Profile

Medical School Name
JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Secondary Phone
6108745261
Graduation Year
1994 (32 years ago)
PAC ID
8325020316
Group Practice PAC ID
7214907054
Professional Enrollment ID
I20040603000585
Address ID
PA190133955CH30XXXBLVD405
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,144 OPHTHALMOLOGY in PA

Provider Addresses for DR. JOHN C WITHERELL (M.D.)

  • 30 MEDICAL CENTER BLVD STE 104

    CHESTER, PA 190133955

    Phone: (610) 874-5261

    Fax: (610) 874-0318

    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 47 Open Payments records for all available years, with a total value of $1,062.

Total Amount is formed as General ($1,062) + Research ($0) + Ownership ($0) = $1,062.

Last reported payment date: 2024-11-19 • Largest payer in this snapshot: Mallinckrodt Hospital Products Inc. ($162).

Total Amount

$1,062

General + Research + Ownership

Payments

47

Total payment records

General Amount

$1,062

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-19

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: 2004-06-03

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
I20040603000585IOphthalmologyPATBD

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 minutes774663$0
99213Established patient office or other outpatient visit, 20-29 minutes626426$0
92083Exam of visual field with extended testing235226$0
92133Imaging of optic nerve234222$0
66984Removal of cataract with insertion of prosthetic lens227141$0
View full utilization report →

Insurance plans in this area (ZIP 19013)

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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: 7214907054View full group profile
NameSpecialtyState
O P H T H A L M O L O G YPA
O P T O M E T R YPA
O P T O M E T R YPA
O P T O M E T R YPA

Reviews

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Frequently asked questions

How is DR. JOHN C WITHERELL (M.D.) identified in CMS data?
CMS-hosted NPPES data lists DR. JOHN C WITHERELL (M.D.) with NPI 1811984206.
Is DR. JOHN C WITHERELL (M.D.) still practicing?
DR. JOHN C WITHERELL (M.D.) is currently listed as active in the public NPI registry.
What is DR. JOHN C WITHERELL (M.D.)'s specialty?
The listing groups DR. JOHN C WITHERELL (M.D.) with Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
Does DR. JOHN C WITHERELL (M.D.) list a practice location?
Patients near Chester, Pennsylvania may find DR. JOHN C WITHERELL (M.D.) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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