1. Home
  2. Directory
  3. Pennsylvania
  4. Philipsburg
  5. Family Medicine
  6. NPI Profile

DR. LUCAS WADE IRWIN D.O.
NPI 1023544210
Family Medicine in Philipsburg, PA

Active since May 07, 2017PECOS EnrolledAccepts Medicare Assignment
96.56/100
CMS Quality Rating
1061 N FRONT ST STE 2, PHILIPSBURG, PA 16866(814) 376-6200(814) 376-6215 Get Directions Write a Review

NPPES record last updated: November 5, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 5, 2024, Jul 8, 2020 (2 updates tracked since 2020).

About Dr. Lucas Wade Irwin D.o. NPPES

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

DR. LUCAS WADE IRWIN D.O. (NPI 1023544210) is an individual family medicine provider in Philipsburg, Pennsylvania, licensed in Pennsylvania (OS019619) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS, is affiliated with Penn Highlands Dubois, and maintains a secondary practice location in Clearfield.

NPPES Registry Identity

NPI1023544210
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. LUCAS WADE IRWINCredential: D.O.
Location Address1061 N FRONT ST STE 2Philipsburg, PA 16866-8257
Mailing Address1800 E Park AveState College, PA 16803-6701 · (814) 231-7100 · Fax (814) 238-0790
Phone(814) 376-6200
Fax(814) 376-6215
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2017
Enumeration DateMay 7, 2017
Last NPPES UpdateNovember 5, 20242 updates tracked since enumeration
NPPES CertifiedNovember 5, 2024
✔ NPI 1023544210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in PA · OS019619✔ Licensed in PA · OT017622
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.
1061 N FRONT ST STE 2, Philipsburg, PA 16866
Open in Google Maps ↗

Secondary Practice Location 1

Location 1502 Park AveClearfield, PA 16830-2100 · Phone (814) 765-2950 · Fax (814) 765-0173

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Lucas Wade Irwin D.o. 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 ID4183994965
PECOS Enrollment IDI20200831002201, I20231026000616
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Lucas Irwin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mount Nittany Medical Center Health Services Inc
19 mi
Internal Medicine
155 WELLNESS WAY
State College, PA 16803
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 393 clinicians in this Medicare group
NPI 1598992554 (814) 231-7000
Regenesis Organization Community Health Center
442 mi
Federally Qualified Health Center (FQHC)
1341 N LIMESTONE ST
Gaffney, SC 29340
NPI 1245409846 (864) 582-2411

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

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

Penn Highlands Dubois

Acute Care Hospitals · Dubois, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390086
Location100 Hospital AvenueDubois, PA 15801 · Clearfield County

Mount Nittany Medical Center

Acute Care Hospitals · State College, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390268
Location1800 East Park AveState College, PA 16803 · Centre County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16866 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

96.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability95.96
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

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 suppliers19 claims38 services$5.29 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers22 claims22 services$7.34 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 4

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

MATTHEW J ROHRBACKER CRNP
Nurse Practitioner (Family)
1061 N FRONT ST STE 2
PHILIPSBURG, PA 16866
Centre County (814) 376-6200
JARED MAURER
Family Medicine
1061 N FRONT ST STE 2
PHILIPSBURG, PA 16866
Centre County (814) 376-6200
MOUNT NITTANY MEDICAL CENTER
Clinical Medical Laboratory
1061 N FRONT ST STE 2
PHILIPSBURG, PA 16866
Centre County (814) 376-6208
TAYLOR A. SCHALL PA-C
Physician Assistant
1061 N FRONT ST STE 2
PHILIPSBURG, PA 16866
Centre County (814) 376-6200

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 Lucas Irwin's NPI number?

The NPI number for Lucas Irwin is 1023544210. It was assigned to this individual provider in the NPPES registry on May 7, 2017.

Where is Lucas Irwin located?

Lucas Irwin practices at 1061 N Front St Ste 2, Philipsburg, PA 16866. The listed phone number is (814) 376-6200.

What is Lucas Irwin's specialty?

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

Is Lucas Irwin enrolled in Medicare?

Yes. Lucas 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.

Which organizations bill Medicare for Lucas Irwin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lucas Irwin reassigns Medicare benefits to 2 organizations: Mount Nittany Medical Center Health Services Inc (State College, PA) and Regenesis Organization Community Health Center (Gaffney, SC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lucas Irwin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lucas Irwin accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan and First Choice Next list Lucas 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 Lucas Irwin affiliated with any hospitals?

According to CMS data, Lucas Irwin is affiliated with Penn Highlands Dubois and Mount Nittany Medical Center.

When was this NPI record last updated?

The NPPES record for Lucas Irwin was last updated on November 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.