DR. TERESA LYNN IRWIN MD
NPI 1255330064
Obstetrics & Gynecology - Urogynecology and Reconstructive Pelvic Surgery in San Marcos, TX

Active since July 14, 2005PECOS EnrolledAccepts Medicare Assignment
83.01/100
CMS Quality Rating
1305 WONDER WORLD DR, SUITE 209, SAN MARCOS, TX 78666(512) 396-7575(512) 396-7555 Get Directions Write a Review

NPPES record last updated: November 4, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Teresa Lynn Irwin Md NPPES

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

DR. TERESA LYNN IRWIN MD (NPI 1255330064) is an individual urogynecology and reconstructive pelvic surgery provider in San Marcos, Texas, licensed in Texas (TX-K3911) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS, is affiliated with Guadalupe Regional Medical Center, and is a graduate of Baylor College Of Medicine (2000).

NPPES Registry Identity

NPI1255330064
Entity TypeIndividualFemale
Primary Taxonomy207VF0040X
Provider Legal NameDR. TERESA LYNN IRWINCredential: MD
Location Address1305 WONDER WORLD DR, SUITE 209San Marcos, TX 78666-7546
Mailing Address1305 Wonder World Dr, Suite 209San Marcos, TX 78666-7546 · (512) 396-7575 · Fax (512) 396-7555
Fax(512) 396-7555
Sole ProprietorNo
Medical School CMSBaylor College Of MedicineGraduated 2000
Enumeration DateJuly 14, 2005
Last NPPES UpdateNovember 4, 2013
NPI 1255330064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyObstetrics & Gynecology · Urogynecology and Reconstructive Pelvic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207VF0040X
License Licensed in TX · TX-K3911
Definition
A subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License K3911 (TX)
1305 WONDER WORLD DR, San Marcos, TX 78666

Other Names 1

Other Name (5)Dr. Teresa Lynn Laue Md

Other Identifiers 3

Medicare UPINH20040
Medicare PIN8921M0TX
Medicaid0310765-02TX

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. Teresa Lynn Irwin 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 ID7810071172
PECOS Enrollment IDI20120327000616
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 32

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, onabotulinumtoxina, 1 unit J0585
Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.
4,000 services27 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
257 services187 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
230 services133 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.
227 services157 patients
Insertion of temporary bladder tube 51701
This procedure involves placing a small tube into your lower abdomen to help drain urine from your bladder. It's a temporary measure, often used when normal urination is not possible. The tube remains in place until you can urinate on your own again.
75 services47 patients
Injection, ceftriaxone sodium, per 250 mg J0696
Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.
69 services16 patients

Hospital Affiliations CMS Care Compare 3

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

Guadalupe Regional Medical Center

Acute Care Hospitals · Seguin, TX
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number450104
Location1215 E Court StSeguin, TX 78155 · Guadalupe County
Emergency services Birthing friendly

Christus Santa Rosa Hospital-San Marcos

Acute Care Hospitals · San Marcos, TX
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450272
Location1301 Wonder World DriveSan Marcos, TX 78666 · Hays County
Emergency services Birthing friendly

Resolute Health Hospital

Acute Care Hospitals · New Braunfels, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number670098
Location555 Creekside Xing,New Braunfels, TX 78130 · Comal County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78666 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

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.

83.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality69.11
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Advance Care Plan
74%478 patients3/55-star benchmark: 100%
Breast Cancer Screening
64%421 patients3/55-star benchmark: 93%
Cervical Cancer Screening
72%151 patients3/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
40%266 patients2/55-star benchmark: 87%
Colorectal Cancer Screening
63%504 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
55%20 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
95%1,603 patients4/55-star benchmark: 100%
e-Prescribing
99%1,593 patients4/55-star benchmark: 100%
HIV Screening
6%310 patients1/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
29%752 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
15%1,459 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 79% · 445 patients
76%445 patients
Provide Patients Electronic Access to Their Health Information
92%530 patients4/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 1% · 485 patients
Patients totalRate: 27% · 486 patients
26%486 patients2/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Internal Medicine (Gastroenterology)
1305 WONDER WORLD DR, SUITE 200
SAN MARCOS, TX 78666
Pharmacist
1305 WONDER WORLD DR, STE 102
SAN MARCOS, TX 78666
Nurse Anesthetist, Certified Registered
1305 WONDER WORLD DR, STE. 105
SAN MARCOS, TX 78666
Internal Medicine (Gastroenterology)
1305 WONDER WORLD DR, SUITE 200
SAN MARCOS, TX 78666
Internal Medicine
1305 WONDER WORLD DR, STE 206
SAN MARCOS, TX 78666
Nurse Practitioner (Women's Health)
1305 WONDER WORLD DR, SUITE 209
SAN MARCOS, TX 78666
Nurse Practitioner (Family)
1305 WONDER WORLD DR, SUITE 209
SAN MARCOS, TX 78666
Internal Medicine (Pulmonary Disease)
1305 WONDER WORLD DR, STE 209
SAN MARCOS, TX 78666

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 Teresa Irwin's NPI number?

The NPI number for Teresa Irwin is 1255330064. It was assigned to this individual provider in the NPPES registry on July 14, 2005. The provider is also known as Dr. Teresa Lynn Laue MD.

Where is Teresa Irwin located?

Teresa Irwin practices at 1305 Wonder World Dr Suite 209, San Marcos, TX 78666. The listed phone number is (512) 396-7575.

What is Teresa Irwin's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Urogynecology and Reconstructive Pelvic Surgery, with taxonomy code 207VF0040X.

Is Teresa Irwin enrolled in Medicare?

Yes. Teresa 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 Teresa Irwin accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 6 other insurers list Teresa 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 Teresa Irwin affiliated with any hospitals?

According to CMS data, Teresa Irwin is affiliated with Guadalupe Regional Medical Center, Christus Santa Rosa Hospital-San Marcos and Resolute Health Hospital.

When was this NPI record last updated?

The NPPES record for Teresa Irwin was last updated on November 4, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.