ANDREW THOMAS IRONS PA-C
NPI 1003067034
Physician Assistant in Burlington, NC

Active since October 08, 2008PECOS EnrolledAccepts Medicare Assignment
87.2/100
CMS Quality Rating
1111 HUFFMAN MILL RD, BURLINGTON, NC 27215(336) 584-5544(919) 313-1276 Get Directions Write a Review

NPPES record last updated: April 28, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Andrew Thomas Irons Pa-c NPPES

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

ANDREW THOMAS IRONS PA-C (NPI 1003067034) is an individual physician assistant in Burlington, North Carolina, licensed in North Carolina (0010-01570) and active in the NPI registry since October 2008. He is enrolled in Medicare PECOS, is affiliated with Duke University Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1003067034
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameANDREW THOMAS IRONSCredential: PA-C
Location Address1111 HUFFMAN MILL RDBurlington, NC 27215-8862
Mailing Address1111 Huffman Mill RdBurlington, NC 27215-8862 · (336) 584-5544 · Fax (919) 313-1276
Fax(919) 313-1276
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateOctober 8, 2008
Last NPPES UpdateApril 28, 2020
NPPES CertifiedApril 28, 2020
NPI 1003067034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in NC · 0010-01570 Licensed in CA · PA20743
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1111 HUFFMAN MILL RD, Burlington, NC 27215

Secondary Practice Locations 2

Location 17777A Milliken Ave Ste 101Rancho Cucamonga, CA 91730-6778 · Phone (909) 593-7437 · Fax (909) 593-0318
Location 2255 E Bonita Ave Ste 101Pomona, CA 91767-1923 · Phone (909) 593-7437 · Fax (909) 593-0318

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

Andrew Thomas Irons Pa-c 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 ID1658429329
PECOS Enrollment IDI20090507000136
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
288 services266 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
217 services188 patients

Hospital Affiliations CMS Care Compare

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

Duke University Hospital

Acute Care Hospitals · Durham, NC
5/5 CMS rating
OwnershipProprietary
CMS Certification Number340030
Location2100 Erwin RdDurham, NC 27705 · Durham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27215 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
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.

87.2/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.93
Promoting Interoperability100
Improvement Activities40
Cost93.42

Referred Medical Equipment & Supplies CMS DME claims 14

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
15 suppliers345 claims345 services$35.31 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
9 suppliers69 claims69 services$88.40 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
8 suppliers68 claims185 services$33.93 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
9 suppliers123 claims703 services$18.29 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
12 suppliers151 claims865 services$13.37 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
14 suppliers283 claims283 services$51.62 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 20

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

Physical Therapist
1111 HUFFMAN MILL RD
BURLINGTON, NC 27215
Pain Medicine (Pain Medicine)
1111 HUFFMAN MILL RD
BURLINGTON, NC 27215
Occupational Therapist
1111 HUFFMAN MILL RD
BURLINGTON, NC 27215
Pain Medicine (Pain Medicine)
1111 HUFFMAN MILL RD
BURLINGTON, NC 27215
Orthopaedic Surgery
1111 HUFFMAN MILL RD
BURLINGTON, NC 27215
Physician Assistant
1111 HUFFMAN MILL RD
BURLINGTON, NC 27215
Physical Therapist
1111 HUFFMAN MILL RD
BURLINGTON, NC 27215
Clinical Medical Laboratory
1111 HUFFMAN MILL RD
BURLINGTON, NC 27215

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 Andrew Irons's NPI number?

The NPI number for Andrew Irons is 1003067034. It was assigned to this individual provider in the NPPES registry on October 8, 2008.

Where is Andrew Irons located?

Andrew Irons practices at 1111 Huffman Mill Rd, Burlington, NC 27215. The listed phone number is (336) 584-5544.

What is Andrew Irons's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Andrew Irons enrolled in Medicare?

Yes. Andrew Irons 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 Andrew Irons accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and UnitedHealthcare list Andrew Irons 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 Andrew Irons affiliated with any hospitals?

According to CMS data, Andrew Irons is affiliated with Duke University Hospital.

When was this NPI record last updated?

The NPPES record for Andrew Irons was last updated on April 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.