DR. ALAN G. WITHIAM M.D.
NPI 1871650697
Family Medicine in Waterloo, NY

Q: What is Alan Withiam's NPI number?

The NPI number for Alan Withiam is 1871650697. It was assigned to this individual provider in the NPPES registry on January 2, 2007.

Q: What is Alan Withiam's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Alan Withiam was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since January 02, 2007PECOS Enrolled

1083 WATERLOO GENEVA RD, WATERLOO, NY 13165(607) 869-5609(607) 869-5303 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Alan G. Withiam M.d. NPPES

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

DR. ALAN G. WITHIAM M.D. (NPI 1871650697) is an individual family medicine provider in Waterloo, New York, licensed in New York (155579) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871650697

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. ALAN G. WITHIAMCredential: M.D.

Location Address1083 WATERLOO GENEVA RDWaterloo, NY 13165-1202

Mailing Address4314 Swamp College RdTrumansburg, NY 14886-9165 · (607) 387-3655

Phone(607) 869-5609

Fax(607) 869-5303

Sole ProprietorYes

Enumeration DateJanuary 2, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1871650697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NY · 155579

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1083 WATERLOO GENEVA RD, Waterloo, NY 13165

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Alan G. Withiam M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13165 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

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.

Other Providers at the Same Location NPPES 16

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

MRS. STACEY MARIE BOGART LCSW

Social Worker (Clinical)