DR. MATTHEW SCOTT IRWIN D.O.
NPI 1366693335
Orthopaedic Surgery in Sebring, FL

Active since October 08, 2008PECOS EnrolledAccepts Medicare Assignment
98.33/100
CMS Quality Rating
4409 SUN N LAKE BLVD, SEBRING, FL 33872(863) 402-3480 Get Directions Write a Review

NPPES record last updated: August 10, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 10, 2025, Dec 18, 2020, Aug 17, 2020 and 2 more (5 updates tracked since 2018).

About Dr. Matthew Scott Irwin D.o. NPPES

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

DR. MATTHEW SCOTT IRWIN D.O. (NPI 1366693335) is an individual orthopaedic surgery provider in Sebring, Florida, licensed in Florida (OS21677) and active in the NPI registry since October 2008. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Sebring, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1366693335
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. MATTHEW SCOTT IRWINCredential: D.O.
Location Address4409 SUN N LAKE BLVDSebring, FL 33872-2170
Mailing Address4409 Sun N Lake BlvdSebring, FL 33872-2170 · (863) 402-3480
Sole ProprietorYes
Medical School CMSNova Southeastern College Of Osteo MedicineGraduated 2008
Enumeration DateOctober 8, 2008
Last NPPES UpdateAugust 10, 20255 updates tracked since enumeration
NPPES CertifiedAugust 10, 2025
NPI 1366693335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses Licensed in FL · OS21677 Licensed in NC · 2020-03034
Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

4409 SUN N LAKE BLVD, Sebring, FL 33872

Secondary Practice Locations 4

Location 1807 Turnpike Ave Ste 220Clearfield, PA 16830-1238 · Phone (814) 299-7432 · Fax (814) 299-7434
Location 2761 Johnsonburg Rd Ste 310Saint Marys, PA 15857-3480 · Phone (814) 834-1686 · Fax (814) 834-6294
Location 32906 N Main StTarboro, NC 27886-1921 · Phone (252) 823-7212 · Fax (252) 641-7286
Location 4145 Hospital Ave Ste 206Du Bois, PA 15801-1464 · Phone (814) 299-7432 · Fax (814) 299-7434

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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. Matthew Scott Irwin D.o. 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 ID9335457332
PECOS Enrollment IDI20200824000573, I20250818000684
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 8

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.

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.
133 services69 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
82 services33 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.
39 services34 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
37 services37 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
24 services22 patients
Injection into tendon or ligament 20550
An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.
22 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Adventhealth Sebring

Acute Care Hospitals · Sebring, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100109
Location4200 Sun N Lake BlvdSebring, FL 33872 · Highlands County
Emergency services Birthing friendly

Vidant Edgecombe Hospital

Acute Care Hospitals · Tarboro, NC
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340107
Location111 Hospital DrTarboro, NC 27886 · Edgecombe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33872 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

98.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.93
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf L3908
DME-Orthotic Devices · category DF000N
1 supplier11 claims11 services$45.71 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 11

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

Physician Assistant
4409 SUN N LAKE BLVD
SEBRING, FL 33872
Orthopaedic Surgery (Sports Medicine)
4409 SUN N LAKE BLVD
SEBRING, FL 33872
Internal Medicine (Infectious Disease)
4409 SUN N LAKE BLVD, SUITE G
SEBRING, FL 33872
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
4409 SUN N LAKE BLVD, SUITE D
SEBRING, FL 33872
Orthopaedic Surgery
4409 SUN N LAKE BLVD
SEBRING, FL 33872
Orthopaedic Surgery
4409 SUN N LAKE BLVD
SEBRING, FL 33872
Surgery
4409 SUN N LAKE BLVD, SUITE C
SEBRING, FL 33872
Orthopaedic Surgery
4409 SUN N LAKE BLVD
SEBRING, FL 33872

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 Matthew Irwin's NPI number?

The NPI number for Matthew Irwin is 1366693335. It was assigned to this individual provider in the NPPES registry on October 8, 2008.

Where is Matthew Irwin located?

Matthew Irwin practices at 4409 Sun N Lake Blvd, Sebring, FL 33872. The listed phone number is (863) 402-3480.

What is Matthew Irwin's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Matthew Irwin enrolled in Medicare?

Yes. Matthew 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.

Is Matthew Irwin affiliated with any hospitals?

According to CMS data, Matthew Irwin is affiliated with Adventhealth Sebring and Vidant Edgecombe Hospital.

When was this NPI record last updated?

The NPPES record for Matthew Irwin was last updated on August 10, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.