DR. TIMOTHY LEE IRWIN M.D.
NPI 1063622801
Internal Medicine - Cardiovascular Disease in Yankton, SD

Active since May 23, 2007PECOS EnrolledAccepts Medicare Assignment
1104 W 8TH ST, YANKTON, SD 57078(605) 665-7841(605) 665-0546 Get Directions Write a Review

NPPES record last updated: May 19, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 19, 2022, Jun 26, 2020 (2 updates tracked since 2020).

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 Sacred Heart Hospital, and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (2005).

NPPES Registry Identity

NPI1063622801
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. TIMOTHY LEE IRWINCredential: M.D.
Location Address1104 W 8TH STYankton, SD 57078-3306
Mailing Address1104 W 8th StYankton, SD 57078-3306 · (605) 665-7841 · Fax (605) 665-0546
Fax(605) 665-0546
Sole ProprietorNo
Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 2005
Enumeration DateMay 23, 2007
Last NPPES UpdateMay 19, 20222 updates tracked since enumeration
NPPES CertifiedJune 26, 2020
NPI 1063622801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in SD · 8218
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
1104 W 8TH ST, Yankton, SD 57078

Other Names 1

Other Name (5)Dr. Tim L Irwin

Other Identifiers 1

Other72228IA · Wellmark Bcbs

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

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.

PECOS PAC ID345321188
PECOS Enrollment IDI20120808000780
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 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.

Injection, inclisiran, 1 mg J1306
Inclisiran is an injection administered to lower cholesterol levels. It works by blocking the production of LDL (bad cholesterol) in your liver. This medicine is often used when diet changes and other medications have not been effective.
6,816 services14 patients
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
3,225 services31 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
1,515 services819 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
1,233 services800 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.
1,122 services782 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
904 services472 patients

Hospital Affiliations CMS Care Compare 5

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

Avera Sacred Heart Hospital

Acute Care Hospitals · Yankton, SD
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430012
Location501 Summit StYankton, SD 57078 · Yankton County
Emergency services Birthing friendly

Avera Mckennan Hospital & University Health Center

Acute Care Hospitals · Sioux Falls, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430016
Location1325 S Cliff AveSioux Falls, SD 57117 · Minnehaha County
Emergency services Birthing friendly

Avera Heart Hospital Of South Dakota

Acute Care Hospitals · Sioux Falls, SD
5/5 CMS rating
OwnershipProprietary
CMS Certification Number430095
Location4500 W 69th StSioux Falls, SD 57108 · Lincoln County
Emergency services

Wagner Community Memorial Hospital - Cah

Critical Access Hospitals · Wagner, SD
OwnershipVoluntary non-profit - Private
CMS Certification Number431315
Location513 3rd St SWWagner, SD 57380 · Charles Mix County
Emergency services

St Michael's Hospital - Cah

Critical Access Hospitals · Tyndall, SD
OwnershipGovernment - Local
CMS Certification Number431327
Location410 W 16th AveTyndall, SD 57066 · Bon Homme County
Emergency services

Physician 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.

New Patient
$126.78 typical visit price
range $55.52 – $167.23
Typical copayment $31.69 (range $13.88 – $41.80)
Most-billed visit code 99204
Established Patient
$69.20 typical visit price
range $18.08 – $137.08
Typical copayment $17.30 (range $4.52 – $34.27)
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.

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.

Clinic/Center (Ambulatory Surgical)
1104 W 8TH ST
YANKTON, SD 57078
Pediatrics
1104 W 8TH ST
YANKTON, SD 57078
Nurse Practitioner (Family)
1104 W 8TH ST
YANKTON, SD 57078
Physician Assistant
1104 W 8TH ST
YANKTON, SD 57078
Pediatrics
1104 W 8TH ST
YANKTON, SD 57078
Family Medicine
1104 W 8TH ST
YANKTON, SD 57078
Physician Assistant
1104 W 8TH ST
YANKTON, SD 57078
Orthopaedic Surgery
1104 W 8TH ST
YANKTON, SD 57078

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.

What insurance does Timothy Irwin accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Avera Health Plans and 3 other insurers 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 Sacred Heart Hospital, Avera Mckennan Hospital & University Health Center, Avera Heart Hospital Of South Dakota, Wagner Community Memorial Hospital - Cah 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 with the weekly NPPES data releases published by CMS.