DAVID W. IRVINE MD
NPI 1386681138
Orthopaedic Surgery in Saint Louis, MO

Active since June 01, 2006PECOS EnrolledAccepts Medicare Assignment
621 S NEW BALLAS RD, SUITE 5015-B, SAINT LOUIS, MO 63141(314) 567-5850(314) 567-9169 Get Directions Write a Review

NPPES record last updated: January 19, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About David W. Irvine Md NPPES

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

DAVID W. IRVINE MD (NPI 1386681138) is an individual orthopaedic surgery provider in Saint Louis, Missouri, licensed in Missouri (106129) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital St Louis, and is a graduate of Saint Louis University School Of Medicine (1994).

NPPES Registry Identity

NPI1386681138
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDAVID W. IRVINECredential: MD
Location Address621 S NEW BALLAS RD, SUITE 5015-BSaint Louis, MO 63141-8232
Mailing AddressPo Box 843438Kansas City, MO 64184-3438 · (314) 567-5850 · Fax (314) 567-9169
Fax(314) 567-9169
Sole ProprietorYes
Medical School CMSSaint Louis University School Of MedicineGraduated 1994
Enumeration DateJune 1, 2006
Last NPPES UpdateJanuary 19, 2011
NPI 1386681138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in MO · 106129
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.
621 S NEW BALLAS RD, Saint Louis, MO 63141

Other Identifiers 12

Other7308358MO · Aetna
Medicare PINMA2814001MO
Other273406555MO · Tricare
Other000000684662MO · Anthem Bcbs
Other561508MO · Healthlink
Medicare UPING99607MO
Other615723400MO · Department Of Labor
Other1386681138MO · Coventry/ghp
Other273406555MO · Multiplan/phcs
Medicaid209074004MO
Other1386681138MO · Humana
Medicare NSC6470290001MO

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

David W. Irvine 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 ID7315028032
PECOS Enrollment IDI20100421000558
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 19

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.

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.
369 services220 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.
301 services226 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
296 services223 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.
179 services162 patients
Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose J7323
Hyaluronan or Euflexxa is a substance similar to a natural substance in your joints. It's injected into the joint space to treat pain from osteoarthritis, especially in the knee. It helps to lubricate the joint, reducing pain and improving mobility.
160 services50 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.
157 services109 patients

Hospital Affiliations CMS Care Compare 3

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

Mercy Hospital St Louis

Acute Care Hospitals · Saint Louis, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260020
Location615 New Ballas RoadSaint Louis, MO 63141 · St. Louis County
Emergency services Birthing friendly

Mercy Hospital South

Acute Care Hospitals · Saint Louis, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260077
Location10010 Kennerly RoadSaint Louis, MO 63128 · St. Louis County
Emergency services

St Lukes Hospital

Acute Care Hospitals · Chesterfield, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260179
Location232 S Woods Mill RdChesterfield, MO 63017 · St. Louis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63141 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
5 suppliers22 claims22 services$41.67 avg. paid by Medicare
Continuous passive motion exercise device for use on knee only E0935
DME-Other DME · category DE000N
1 supplier30 claims571 services$19.04 avg. paid by Medicare
Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment L1820
DME-Orthotic Devices · category DF011N
1 supplier11 claims11 services$70.20 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 20

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

Nurse Practitioner (Women's Health)
621 S NEW BALLAS RD, SUITE 2007B
SAINT LOUIS, MO 63141
Obstetrics & Gynecology
621 S NEW BALLAS RD, SUITE 4005
SAINT LOUIS, MO 63141
Internal Medicine
621 S NEW BALLAS RD, SUITE 3016B
SAINT LOUIS, MO 63141
Psychiatry & Neurology (Psychiatry)
621 S NEW BALLAS RD, SUITE 398A
SAINT LOUIS, MO 63141
Specialist
621 S NEW BALLAS RD, SUITE 419A
SAINT LOUIS, MO 63141
Nutritionist (Nutrition, Education)
621 S NEW BALLAS RD, SUITE 460A
SAINT LOUIS, MO 63141
Physician Assistant
621 S NEW BALLAS RD, SUITE 483A
SAINT LOUIS, MO 63141
Specialist
621 S NEW BALLAS RD, STE 297A
SAINT LOUIS, MO 63141

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 David Irvine's NPI number?

The NPI number for David Irvine is 1386681138. It was assigned to this individual provider in the NPPES registry on June 1, 2006.

Where is David Irvine located?

David Irvine practices at 621 S New Ballas Rd Suite 5015-B, Saint Louis, MO 63141. The listed phone number is (314) 567-5850.

What is David Irvine's specialty?

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

Is David Irvine enrolled in Medicare?

Yes. David Irvine 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 David Irvine accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 4 other insurers list David Irvine 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 David Irvine affiliated with any hospitals?

According to CMS data, David Irvine is affiliated with Mercy Hospital St Louis, Mercy Hospital South and St Lukes Hospital.

When was this NPI record last updated?

The NPPES record for David Irvine was last updated on January 19, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.