DARA COURTNEY WOTHERSPOON (PA-C) – Physician Assistant, NPI 1588079735
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,429 PHYSICIAN ASSISTANT in VA
Provider Addresses for DARA COURTNEY WOTHERSPOON (PA-C)
258 GREENSPRING DR
STAFFORD, VA 225541787
Phone: (540) 834-8801
Type: Mailing
1129 HEATHERSTONE DR
FREDERICKSBURG, VA 224074828
Phone: (540) 785-8500
Type: Location
9763 COURTHOUSE RD
SPOTSYLVANIA, VA 225531915
Phone: (540) 786-1200
Fax: (540) 786-3195
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 121 Open Payments records for all available years, with a total value of $3,421.
Total Amount is formed as General ($3,421) + Research ($0) + Ownership ($0) = $3,421.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($668).
Total Amount
$3,421
General + Research + Ownership
Payments
121
Total payment records
General Amount
$3,421
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $668 |
| AstraZeneca Pharmaceuticals LP | $330 |
| Amgen Inc. | $303 |
| Novo Nordisk Inc | $296 |
| Lilly USA, LLC | $153 |
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: 2014-10-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-10-31 (951 days ago).
Enrollment records
1
Earliest due date
2023-10-31
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 |
|---|---|---|---|---|
| I20141003000024 | I | Physician Assistant | VA | 2023-10-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 51 | 23 | $0 |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 11 | 11 | $0 |
Insurance plans in this area (ZIP 22554)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | VA | |
| Nurse Practitioner | VA | |
| Physician Assistant | MO | |
| Physician Assistant | VA | |
| - | SC | |
| - | VA | |
| Physician Assistant | VA | |
| Family Practice | VA | |
| Nurse Practitioner | VA | |
| General Practice, Internal Medicine, Emergency Medicine | VA |
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