JOHN WILLIAM WITTENBORN (M.D.) – Diagnostic Radiology Physician, NPI 1720181167
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,529 DIAGNOSTIC RADIOLOGY in VA
Provider Addresses for JOHN WILLIAM WITTENBORN (M.D.)
2300 Opitz Blvd
Woodbridge, VA 221913311
Phone: (703) 523-1199
Type: Location
123 Wamsutta Mill Rd Ste C
Morganton, NC 286555521
Phone: (828) 430-3511
Type: Location
4 Carriage Ln Ste 108
Charleston, SC 294076048
Phone: (828) 430-3511
Type: Location
1135 Carthage St
Central Carolina Hospital
Sanford, NC 273304162
Phone: (919) 774-2055
Fax: (919) 774-2399
Type: Location
2962 Sweetleaf Ln
Johns Island, SC 294556710
Phone: (828) 430-3511
Type: Location
743 Spring St NE
Gainesville, GA 305013715
Phone: (770) 219-8420
Type: Location
PO BOX 120590
NEWPORT NEWS, VA 236120590
Phone: (757) 867-6102
Fax: (757) 867-6588
Type: Mailing
Wamsutta Mill Road, Morganton, Burke County, North Carolina, 28655, United States
MORGANTON, NC 286555523
Phone: (828) 430-3511
Fax: (828) 368-4303
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $16.
Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.
Last reported payment date: 2024-02-01 • Largest payer in this snapshot: Inari Medical, Inc. ($16).
Total Amount
$16
General + Research + Ownership
Payments
1
Total payment records
General Amount
$16
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-01
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Inari Medical, Inc. | $16 |
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: 2026-02-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 6 Medicare enrollment records; no due dates published yet.
Enrollment records
6
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 |
|---|---|---|---|---|
| I20100812000269 | I | Diagnostic Radiology | NC | TBD |
| I20200430002194 | I | Diagnostic Radiology | SC | TBD |
| I20230218000199 | I | Diagnostic Radiology | OH | TBD |
| I20231006000580 | I | Diagnostic Radiology | FL | TBD |
| I20250929000851 | I | Diagnostic Radiology | VA | TBD |
| I20260226000820 | I | Diagnostic Radiology | GA | 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 |
|---|---|---|---|---|
| 71045 | X-ray of chest, 1 view | 648 | 450 | $0 |
| 77063 | Screening 3d breast mammography | 539 | 539 | $0 |
| 77067 | Screening mammography | 536 | 536 | $0 |
| 71046 | X-ray of chest, 2 views | 291 | 282 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 263 | 258 | $0 |
Insurance plans in this area (ZIP 22191)
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Provider's Procedures
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