GLENN EDGAR IRWIN JR. MD
NPI 1093793598
Family Medicine - Adult Medicine in Bradford, PA

Q: What is Glenn Irwin's NPI number?

The NPI number for Glenn Irwin is 1093793598. It was assigned to this individual provider in the NPPES registry on January 4, 2006.

Q: What is Glenn Irwin's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Q: When was this NPI record last updated?

The NPPES record for Glenn Irwin was last updated on January 31, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 January 04, 2006PECOS Enrolled

900 CHESTNUT STREET EXT STE A, BRADFORD, PA 16701(814) 817-2870(814) 368-8041 Get Directions Write a Review

NPPES record last updated: January 31, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 31, 2019, Mar 17, 2018, Aug 30, 2017 (3 updates tracked since 2017).

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About Glenn Edgar Irwin Jr. Md NPPES

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

GLENN EDGAR IRWIN JR. MD (NPI 1093793598) is an individual adult medicine provider in Bradford, Pennsylvania, licensed in Pennsylvania (MD028763E) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Las Vegas.

NPPES Registry Identity

NPI1093793598

Entity TypeIndividualMale

Primary Taxonomy207QA0505X

Provider Legal NameGLENN EDGAR IRWIN JR.Credential: MD

Location Address900 CHESTNUT STREET EXT STE ABradford, PA 16701

Mailing Address900 Chestnut Street Ext Ste ABradford, PA 16701-2298 · (814) 817-2870 · Fax (814) 368-8041

Phone(814) 817-2870

Fax(814) 368-8041

Sole ProprietorYes

Enumeration DateJanuary 4, 2006

Last NPPES UpdateJanuary 31, 20193 updates tracked since enumeration

✔ NPI 1093793598 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QA0505X

License✔ Licensed in PA · MD028763E

Definition

The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.

Also ListedEmergency MedicineTaxonomy 207P00000X · License MD028763E (PA)

Also ListedGeneral PracticeTaxonomy 208D00000X · License MD028763E (PA)

900 CHESTNUT STREET EXT STE A, Bradford, PA 16701

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Secondary Practice Location 1

Location 1821 N Nellis BlvdLas Vegas, NV 89110-5339 · Phone (702) 438-4003 · Fax (702) 438-0555

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Glenn Edgar Irwin Jr. Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16701 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.

Other Providers at the Same Location NPPES 3

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

IRWIN MEDICAL ASSOCIATES PLLC

Family Medicine (Adult Medicine)

900 CHESTNUT STREET EXT STE A
BRADFORD, PA 16701

McKean County (814) 817-2870

NICOLE ACKLEY PA

Physician Assistant

900 CHESTNUT STREET EXT STE A
BRADFORD, PA 16701

McKean County (814) 368-8490

HANGER PROSTHETICS & ORTHOTICS INC

Prosthetic/Orthotic Supplier

900 CHESTNUT STREET EXT STE A
BRADFORD, PA 16701

McKean County (816) 368-3702

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 Glenn Irwin's NPI number?

The NPI number for Glenn Irwin is 1093793598. It was assigned to this individual provider in the NPPES registry on January 4, 2006.

Where is Glenn Irwin located?

Glenn Irwin practices at 900 Chestnut Street Ext Ste A, Bradford, PA 16701. The listed phone number is (814) 817-2870.

What is Glenn Irwin's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Is Glenn Irwin enrolled in Medicare?

Yes. Glenn Irwin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Glenn Irwin was last updated on January 31, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.