SCOTT ROBERT WITHERSPOON (MD) – Retina Specialist (Ophthalmology) Physician, NPI 1639203169
Retina Specialist (Ophthalmology) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,544 OPHTHALMOLOGY in TX
Provider Addresses for SCOTT ROBERT WITHERSPOON (MD)
1010 E Interstate 20
Arlington, TX 760182107
Phone: (817) 417-7769
Fax: (817) 417-7405
Type: Location
400 W Lyndon B Johnson Fwy Ste 320
Irving, TX 750633717
Phone: (972) 869-1242
Fax: (972) 869-2921
Type: Location
3331 Unicorn Lake Blvd
Denton, TX 762100102
Phone: (940) 381-9100
Fax: (940) 381-9106
Type: Location
3414 OAK GROVE AVE
DALLAS, TX 752042375
Phone: (214) 521-1153
Fax: (214) 219-3651
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $171.
Total Amount is formed as General ($171) + Research ($0) + Ownership ($0) = $171.
Last reported payment date: 2024-07-26 • Largest payer in this snapshot: JAZZ PHARMACEUTICALS INC. ($129).
Total Amount
$171
General + Research + Ownership
Payments
3
Total payment records
General Amount
$171
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| JAZZ PHARMACEUTICALS INC. | $129 |
| Genentech USA, Inc. | $28 |
| EyePoint Pharmaceuticals US, Inc. | $13 |
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: 2009-07-20
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20090720000307 | I | Ophthalmology | TX | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J2778 | Injection, ranibizumab, 0.1 mg | 8,209 | 272 | $0 |
| J2777 | Injection, faricimab-svoa, 0.1 mg | 3,900 | 12 | $0 |
| 92012 | Established patient problem focused exam of visual system | 3,474 | 1,157 | $0 |
| 92134 | Imaging of retina | 3,331 | 1,084 | $0 |
| 67028 | Injection of drug into eye | 2,505 | 436 | $0 |
Insurance plans in this area (ZIP 76018)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OPHTHALMOLOGY | TX | 92012 | Eye and medical examination for diagnosis and treatment, established patient | 2805 | 1060 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| O P H T H A L M O L O G Y | TX | |
| O P H T H A L M O L O G Y | TX | |
| O P H T H A L M O L O G Y | TX |
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