DR. PETER H WITHAM MD
NPI 1417043639
Internal Medicine in Southwest Harbor, ME

Active since October 05, 2006PECOS EnrolledAccepts Medicare Assignment
88/100
CMS Quality Rating
16 COMMUNITY LN, SOUTHWEST HARBOR, ME 04679(207) 244-5630 Get Directions Write a Review

NPPES record last updated: August 23, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Peter H Witham Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PETER H WITHAM MD (NPI 1417043639) is an individual internal medicine provider in Southwest Harbor, Maine, licensed in Maine (MD19832) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Northern Light Eastern Maine Medical Center, and is a graduate of George Washington University School Of Medicine (1988).

NPPES Registry Identity

NPI1417043639
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. PETER H WITHAMCredential: MD
Location Address16 COMMUNITY LNSouthwest Harbor, ME 04679-4273
Mailing Address50 Union StreetEllsworth, ME 04605 · (207) 664-7780 · Fax (207) 664-7721
Sole ProprietorNo
Medical School CMSGeorge Washington University School Of MedicineGraduated 1988
Enumeration DateOctober 5, 2006
Last NPPES UpdateAugust 23, 2019
NPI 1417043639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in ME · MD19832 Licensed in VT · 0420010126
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
16 COMMUNITY LN, Southwest Harbor, ME 04679

Other Identifiers 1

MedicaidOVN2345VT

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Peter H Witham Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1850464801
PECOS Enrollment IDI20131010001226
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northern Light Eastern Maine Medical Center

Acute Care Hospitals · Bangor, ME
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200033
Location489 State StreetBangor, ME 04401 · Penobscot County
Emergency services Birthing friendly

Northern Light Maine Coast Hospital

Acute Care Hospitals · Ellsworth, ME
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number200050
Location50 Union StreetEllsworth, ME 04605 · Hancock County
Emergency services Birthing friendly

Northern Light Blue Hill Memorial Hospital

Critical Access Hospitals · Blue Hill, ME
OwnershipVoluntary non-profit - Private
CMS Certification Number201300
Location57 Water StreetBlue Hill, ME 04614 · Hancock County
Emergency services

Mount Desert Island Hospital

Critical Access Hospitals · Bar Harbor, ME
OwnershipVoluntary non-profit - Private
CMS Certification Number201304
Location10 Wayman Lane, PO Box 8Bar Harbor, ME 04609 · Hancock County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04679 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$123.23 typical visit price
range $53.26 – $162.77
Typical copayment $30.80 (range $13.31 – $40.69)
Most-billed visit code 99204
Established Patient
$94.60 typical visit price
range $16.90 – $132.79
Typical copayment $23.65 (range $4.22 – $33.19)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

88/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.73
Promoting Interoperability99
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 10

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers25 claims71 services$5.42 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers14 claims22 services$0.88 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
2 suppliers11 claims11 services$46.19 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
3 suppliers15 claims76 services$22.25 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
3 suppliers19 claims19 services$74.69 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
4 suppliers18 claims18 services$24.22 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
16 COMMUNITY LN
SOUTHWEST HARBOR, ME 04679
Psychologist (Clinical)
16 COMMUNITY LN
SOUTHWEST HARBOR, ME 04679
Nurse Practitioner (Family)
16 COMMUNITY LN
SOUTHWEST HARBOR, ME 04679
Family Medicine
16 COMMUNITY LN
SOUTHWEST HARBOR, ME 04679
Emergency Medicine
16 COMMUNITY LN
SOUTHWEST HARBOR, ME 04679
Physician Assistant (Medical)
16 COMMUNITY LN
SOUTHWEST HARBOR, ME 04679
Family Medicine
16 COMMUNITY LN
SOUTHWEST HARBOR, ME 04679
Family Medicine
16 COMMUNITY LN
SOUTHWEST HARBOR, ME 04679

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Peter Witham's NPI number?

The NPI number for Peter Witham is 1417043639. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Where is Peter Witham located?

Peter Witham practices at 16 Community Ln, Southwest Harbor, ME 04679. The listed phone number is (207) 244-5630.

What is Peter Witham's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Peter Witham enrolled in Medicare?

Yes. Peter Witham is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Peter Witham accept?

Health plans from Anthem Blue Cross and Blue Shield list Peter Witham as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Peter Witham affiliated with any hospitals?

According to CMS data, Peter Witham is affiliated with Northern Light Eastern Maine Medical Center, Northern Light Maine Coast Hospital, Northern Light Blue Hill Memorial Hospital and Mount Desert Island Hospital.

When was this NPI record last updated?

The NPPES record for Peter Witham was last updated on August 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.