DR. DEBRA ANNE IRIZARRY MD
NPI 1063660819
Surgery - Plastic and Reconstructive Surgery in Crestone, CO

Active since September 05, 2008PECOS EnrolledAccepts Medicare Assignment
46 CAMINO BACA GRANDE, SUITE #102, CRESTONE, CO 81131(719) 256-6600(719) 256-5796 Get Directions Write a Review

NPPES record last updated: March 19, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 19, 2021, Jun 14, 2019, Jun 13, 2018 (3 updates tracked since 2018).

About Dr. Debra Anne Irizarry Md NPPES

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

DR. DEBRA ANNE IRIZARRY MD (NPI 1063660819) is an individual plastic and reconstructive surgery provider in Crestone, Colorado, licensed in Colorado (46205) and active in the NPI registry since September 2008. She is enrolled in Medicare PECOS, maintains a secondary practice location in Salida, and is a graduate of New York Medical College (1985).

NPPES Registry Identity

NPI1063660819
Entity TypeIndividualFemale
Primary Taxonomy2086S0122X
Provider Legal NameDR. DEBRA ANNE IRIZARRYCredential: MD
Location Address46 CAMINO BACA GRANDE, SUITE #102Crestone, CO 81131
Mailing AddressPo Box 749Crestone, CO 81131-0749 · (719) 256-6600 · Fax (719) 256-5796
Fax(719) 256-5796
Sole ProprietorNo
Medical School CMSNew York Medical CollegeGraduated 1985
Enumeration DateSeptember 5, 2008
Last NPPES UpdateMarch 19, 20213 updates tracked since enumeration
NPPES CertifiedMarch 19, 2021
NPI 1063660819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License Licensed in CO · 46205
Definition
A surgeon who specializes in plastic and reconstructive surgery.
Also ListedPlastic SurgeryTaxonomy 208200000X · License 46205 (CO), 9677 (NM), 1679111 (NY)
46 CAMINO BACA GRANDE, Crestone, CO 81131

Secondary Practice Location 1

Location 1130 W 2nd St Ste 7DnSalida, CO 81201-2045 · Phone (719) 394-3515

Other Identifiers 1

Other72651Workers Comp

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. Debra Anne Irizarry Md 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 ID7810011996
PECOS Enrollment IDI20100825001128
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.

Other Providers at the Same Location NPPES

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

Clinic/Center (Medical Specialty)
46 CAMINO BACA GRANDE, 102
CRESTONE, CO 81131

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 Debra Irizarry's NPI number?

The NPI number for Debra Irizarry is 1063660819. It was assigned to this individual provider in the NPPES registry on September 5, 2008.

Where is Debra Irizarry located?

Debra Irizarry practices at 46 Camino Baca Grande Suite #102, Crestone, CO 81131. The listed phone number is (719) 256-6600.

What is Debra Irizarry's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is Debra Irizarry enrolled in Medicare?

Yes. Debra Irizarry 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.

When was this NPI record last updated?

The NPPES record for Debra Irizarry was last updated on March 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.