DR. JAMES S IRWIN M.D.
NPI 1023007465
Family Medicine in Jerome, ID

Q: What is James Irwin's NPI number?

The NPI number for James Irwin is 1023007465. It was assigned to this individual provider in the NPPES registry on October 18, 2005.

Q: What is James Irwin'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 James Irwin was last updated on January 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 October 18, 2005PECOS EnrolledAccepts Medicare Assignment

78.85/100

CMS Quality Rating

132 5TH AVE W, SUITE 1, JEROME, ID 83338(208) 814-9800(208) 814-9833 Get Directions Write a Review

NPPES record last updated: January 6, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. James S Irwin M.d. NPPES

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

DR. JAMES S IRWIN M.D. (NPI 1023007465) is an individual family medicine provider in Jerome, Idaho, licensed in Idaho (M-4359) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with St Lukes Magic Valley Medical Center, and is a graduate of University Of Utah School Of Medicine (1980).

NPPES Registry Identity

NPI1023007465

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. JAMES S IRWINCredential: M.D.

Location Address132 5TH AVE W, SUITE 1Jerome, ID 83338-1825

Mailing Address132 5th Ave W, Suite 1Jerome, ID 83338-1825 · (208) 814-9800 · Fax (208) 814-9833

Phone(208) 814-9800

Fax(208) 814-9833

Sole ProprietorNo

Medical School CMSUniversity Of Utah School Of MedicineGraduated 1980

Enumeration DateOctober 18, 2005

Last NPPES UpdateJanuary 6, 2015

✔ NPI 1023007465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in ID · M-4359

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.

132 5TH AVE W, Jerome, ID 83338

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Other Identifiers 3

Medicare UPINC36920ID

Medicare PIN1115987ID

Medicare PIN20001820ID

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan.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. James S Irwin M.d. 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 ID2365482965

PECOS Enrollment IDI20100420000975

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 2

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

St Lukes Magic Valley Medical Center

Acute Care Hospitals · Twin Falls, ID

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number130002

Location801 Pole Line Road WestTwin Falls, ID 83301 · Twin Falls County

Emergency services Birthing friendly

St Luke's Jerome

Critical Access Hospitals · Jerome, ID

OwnershipVoluntary non-profit - Private

CMS Certification Number131310

Location709 North Lincoln AvenueJerome, ID 83338 · Jerome County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83338 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

$81.13 typical visit price

range $52.44 – $160.17

Typical copayment $20.28 (range $13.11 – $40.04)

Most-billed visit code 99203

Established Patient

$93.26 typical visit price

range $16.68 – $130.93

Typical copayment $23.31 (range $4.17 – $32.73)

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.

78.85/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

81.58

Promoting Interoperability

100

Improvement Activities

Cost

47.94

Referred Medical Equipment & Supplies CMS DME claims 9

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

4 suppliers13 claims21 services$3.46 avg. paid by Medicare

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

3 suppliers18 claims18 services$39.20 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

3 suppliers11 claims31 services$29.03 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

4 suppliers21 claims118 services$2.45 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

2 suppliers14 claims15 services$34.42 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers50 claims50 services$101.28 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 8

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

MRS. MELISSA D MERRILL CNM, WHNP

Nurse Practitioner (Women's Health)

132 5TH AVE W
JEROME, ID 83338

Jerome County (208) 324-5286

ALICE R. TRABERT F.N.P.

Nurse Practitioner (Family)

132 5TH AVE W, SUITE 1
JEROME, ID 83338

Jerome County (208) 814-9800

ELIZABETH HART SUGDEN MD

Family Medicine

132 5TH AVE W
JEROME, ID 83338

Jerome County (208) 324-5286

DR. JOSHUA WILLIAM KERN M.D.

Family Medicine

132 5TH AVE W, SUITE 1
JEROME, ID 83338

Jerome County (208) 814-9800

RACHEL BORDEWYK MS, LPC

Counselor

132 5TH AVE W
JEROME, ID 83338

Jerome County (208) 814-9800

JAMES D. LOHMANN M.D.

Family Medicine

132 5TH AVE W, SUITE 2
JEROME, ID 83338

Jerome County (208) 814-9800

JOSHUA TED HANSEN D.O.

Family Medicine

132 5TH AVE W
JEROME, ID 83338

Jerome County (208) 814-9800

JUSTIN G SMITH MD

Family Medicine

132 5TH AVE W, SUITE 1
JEROME, ID 83338

Jerome County (208) 814-9800

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 James Irwin's NPI number?

The NPI number for James Irwin is 1023007465. It was assigned to this individual provider in the NPPES registry on October 18, 2005.

Where is James Irwin located?

James Irwin practices at 132 5th Ave W Suite 1, Jerome, ID 83338. The listed phone number is (208) 814-9800.

What is James Irwin's specialty?

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

Is James Irwin enrolled in Medicare?

Yes. James Irwin 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 James Irwin accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan list James Irwin 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 James Irwin affiliated with any hospitals?

According to CMS data, James Irwin is affiliated with St Lukes Magic Valley Medical Center and St Luke's Jerome.

When was this NPI record last updated?

The NPPES record for James Irwin was last updated on January 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.