DR. TODD ANDREW IRWIN MD
NPI 1386777191
Orthopaedic Surgery in Charlotte, NC

Active since March 13, 2007PECOS EnrolledAccepts Medicare Assignment
95.35/100
CMS Quality Rating
2001 VAIL AVE, STE 200, CHARLOTTE, NC 28207(704) 323-3668 Get Directions Write a Review

NPPES record last updated: September 11, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Todd Andrew Irwin Md NPPES

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

DR. TODD ANDREW IRWIN MD (NPI 1386777191) is an individual orthopaedic surgery provider in Charlotte, North Carolina, licensed in North Carolina (2007-00381) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center/behav Health, and is a graduate of Wayne State University School Of Medicine (2002).

NPPES Registry Identity

NPI1386777191
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. TODD ANDREW IRWINCredential: MD
Location Address2001 VAIL AVE, STE 200Charlotte, NC 28207-1219
Mailing Address4601 Park Rd Ste 250Charlotte, NC 28209-2290 · (704) 323-2237
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 2002
Enumeration DateMarch 13, 2007
Last NPPES UpdateSeptember 11, 2020
NPPES CertifiedSeptember 11, 2020
NPI 1386777191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in NC · 2007-00381
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.
2001 VAIL AVE, Charlotte, NC 28207

Other Identifiers 2

MedicaidN0038ESC
Medicaid1386777191NC

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. Todd Andrew 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 ID3577659622
PECOS Enrollment IDI20071019000551
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.

X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
312 services200 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.
137 services121 patients
X-ray of ankle, minimum of 3 views 73610
An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.
101 services66 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.
101 services87 patients
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
89 services43 patients
Imaging guidance for procedure, 60 minutes or less 76000
Imaging guidance is a procedure where real-time images are used to direct medical tools during a treatment. This technique helps to improve accuracy and safety. The procedure typically lasts 60 minutes or less.
42 services37 patients

Hospital Affiliations CMS Care Compare

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

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28207 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
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.

Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf L4361
DME-Orthotic Devices · category DF003N
2 suppliers13 claims13 services$216.95 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.

Family Medicine
2001 VAIL AVE, STE 400
CHARLOTTE, NC 28207
Anesthesiology
2001 VAIL AVE
CHARLOTTE, NC 28207
Physical Therapist
2001 VAIL AVE
CHARLOTTE, NC 28207
Family Medicine
2001 VAIL AVE, STE 400
CHARLOTTE, NC 28207
Physician Assistant
2001 VAIL AVE
CHARLOTTE, NC 28207
Family Medicine
2001 VAIL AVE, STE 400
CHARLOTTE, NC 28207
Physical Therapist
2001 VAIL AVE
CHARLOTTE, NC 28207
Family Medicine (Geriatric Medicine)
2001 VAIL AVE, STE 400
CHARLOTTE, NC 28207

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 Todd Irwin's NPI number?

The NPI number for Todd Irwin is 1386777191. It was assigned to this individual provider in the NPPES registry on March 13, 2007.

Where is Todd Irwin located?

Todd Irwin practices at 2001 Vail Ave Ste 200, Charlotte, NC 28207. The listed phone number is (704) 323-3668.

What is Todd Irwin's specialty?

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

Is Todd Irwin enrolled in Medicare?

Yes. Todd 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 Todd Irwin accept?

Health plans from Blue Cross and Blue Shield of NC, First Choice Next, Molina Healthcare, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Todd 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 Todd Irwin affiliated with any hospitals?

According to CMS data, Todd Irwin is affiliated with Carolinas Medical Center/Behav Health.

When was this NPI record last updated?

The NPPES record for Todd Irwin was last updated on September 11, 2020. 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.