DR. TIMOTHY LEE IRWIN M.D.
NPI 1063622801
Internal Medicine - Cardiovascular Disease in Yankton, SD
About Dr. Timothy Lee Irwin M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. TIMOTHY LEE IRWIN M.D. (NPI 1063622801) is an individual cardiovascular disease provider in Yankton, South Dakota, licensed in South Dakota (8218) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Avera Creighton Hospital, and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (2005).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Accepted 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. Timothy Lee 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.
Medicare Billing Reassignments
2Medicare enrollment records show Timothy Irwin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Yankton, SD 57078
- Reassigned Medicare billing, South Dakota enrollment
- 59 clinicians in this Medicare group
Yankton, SD 57078
- Reassigned Medicare billing, South Dakota enrollment
- 227 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 58
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Avera Creighton Hospital
Critical Access Hospitals · Creighton, NEAvera Sacred Heart Hospital
Acute Care Hospitals · Yankton, SDAvera Mckennan Hospital & University Health Center
Acute Care Hospitals · Sioux Falls, SDAvera Heart Hospital Of South Dakota
Acute Care Hospitals · Sioux Falls, SDSt Michael's Hospital - Cah
Critical Access Hospitals · Tyndall, SDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 57078 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Timothy Irwin's NPI number?
The NPI number for Timothy Irwin is 1063622801. It was assigned to this individual provider in the NPPES registry on May 23, 2007. The provider is also known as Dr. Tim L Irwin.
Where is Timothy Irwin located?
Timothy Irwin practices at 1104 W 8th St, Yankton, SD 57078. The listed phone number is (605) 665-7841.
What is Timothy Irwin's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.
Is Timothy Irwin enrolled in Medicare?
Yes. Timothy 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 Timothy Irwin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Irwin reassigns Medicare benefits to 2 organizations: Yankton Medical Clinic PC (Yankton, SD) and Sacred Heart Health Services (Yankton, SD). 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 Timothy Irwin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Timothy Irwin accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Avera Health Plans and Oscar Insurance Company and 1 other insurer list Timothy 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 Timothy Irwin affiliated with any hospitals?
According to CMS data, Timothy Irwin is affiliated with Avera Creighton Hospital, Avera Sacred Heart Hospital, Avera Mckennan Hospital & University Health Center, Avera Heart Hospital Of South Dakota and St Michael's Hospital - Cah.
When was this NPI record last updated?
The NPPES record for Timothy Irwin was last updated on May 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.