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

Q: 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.

Q: What is Todd Irwin's specialty?

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

Q: 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 6 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 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: November 01, 2026.

On this page

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

Phone(704) 323-3668

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

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Other Identifiers 2

MedicaidN0038ESC

Medicaid1386777191NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Cigna Healthcare, First Choice Next and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Todd Irwin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Orthocarolina, PA

Same address

Orthopaedic Surgery

2001 VAIL AVE, SUITE 200A & 200B
Charlotte, NC 28207

Reassigned Medicare billing, North Carolina enrollment
353 clinicians in this Medicare group

NPI 1629303847 (704) 323-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

36 services33 patients

Correction of toe joint deformity 28285

Correction of toe joint deformity is a procedure to fix misshapen toe joints. This can involve realigning the bones, removing bone or tissue, or implanting devices to improve joint function. It can help reduce pain and improve mobility.

32 services13 patients

X-ray of foot, 2 views 73620

An X-ray of the foot, 2 views, is a quick, painless test that produces images of the bones and structures inside your foot. Two different angles are used to provide a comprehensive view. This helps doctors diagnose fractures, infections, or other abnormalities.

30 services22 patients

X-ray of ankle, 2 views 73600

An X-ray of the ankle, 2 views, is a quick, painless test that produces images of the bones and joints in your ankle. Two different angles are used to provide a more complete picture. It helps detect fractures, sprains, arthritis, or other abnormalities. It's safe and typically takes only a few minutes.

28 services23 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

26 services26 patients

Aspiration and/or injection of fluid from small joint 20600

This procedure involves inserting a thin needle into a small joint to remove (aspirate) or inject fluid. It can help diagnose conditions, relieve discomfort, or administer medication directly into the joint. It's generally safe with minimal discomfort.

23 services15 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.

23 services23 patients

Aspiration and/or injection of fluid from medium joint 20605

This procedure involves a needle being inserted into a medium-sized joint, such as a knee or shoulder, to remove (aspirate) excess fluid. Sometimes, medication may also be injected into the joint to reduce inflammation and pain.

22 services18 patients

Fusion of big toe at joint with foot 28750

Fusion of the big toe at the joint with the foot, also known as arthrodesis, is a surgical procedure aimed at relieving pain and improving stability. It involves permanently connecting the bones of the big toe and foot, which can limit movement but often enhances comfort and function.

19 services16 patients

Fluoroscopic guidance for needle placement 77002

Fluoroscopic guidance for needle placement is a medical procedure that uses a special X-ray technology to help accurately place a needle in the body. It's often used in biopsies, injections or other treatments to ensure precision and safety.

14 services11 patients

Harvest of graft from large bone 20902

Harvest of graft from large bone is a medical procedure where a small piece of bone is taken from a larger bone in your body. This bone graft is then used to help repair or rebuild another area where bone is damaged or missing, promoting healing and growth.

13 services13 patients

Injection of anesthetic and/or steroid drug into foot nerve 64455

This procedure involves injecting a combination of anesthetic and/or steroid medication into a nerve in your foot. It's designed to alleviate pain and inflammation. You may experience temporary numbness or relief in the treated area.

13 services11 patients

Ct scan of leg without contrast 73700

A CT scan of the leg is a non-invasive imaging test that uses X-rays to capture detailed images of your leg's bones, muscles, and blood vessels. It doesn't use contrast dye and doesn't cause any pain. It helps in diagnosing injuries or diseases.

13 services13 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

Quality

84.22

Promoting Interoperability

100

Improvement Activities

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.

LESLIE KAY RUFFING ADCOCK MD

Family Medicine

2001 VAIL AVE, STE 400
CHARLOTTE, NC 28207

Mecklenburg County (704) 304-7000

TAYLOR DEREK JOHNSON MD

Anesthesiology

2001 VAIL AVE
CHARLOTTE, NC 28207

Mecklenburg County (704) 304-5000

JENNIFER J CLINE PT

Physical Therapist

2001 VAIL AVE
CHARLOTTE, NC 28207

Mecklenburg County (704) 379-5837

VISHALAKSHI KALYANA SUNDARAM MD

Family Medicine

2001 VAIL AVE, STE 400
CHARLOTTE, NC 28207

Mecklenburg County (704) 304-7000

KRYSTENE LYNN HELGESON PA

Physician Assistant

2001 VAIL AVE
CHARLOTTE, NC 28207

Mecklenburg County (704) 304-6070

ESTHER REBECCA LANDIS HAYES MD

Family Medicine

2001 VAIL AVE, STE 400
CHARLOTTE, NC 28207

Mecklenburg County (704) 304-7000

SHENA S PATEL PT

Physical Therapist

2001 VAIL AVE
CHARLOTTE, NC 28207

Mecklenburg County (704) 379-5632

DUPAL PATEL MD

Family Medicine (Geriatric Medicine)

2001 VAIL AVE, STE 400
CHARLOTTE, NC 28207

Mecklenburg County (704) 304-7000

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.

Which organization bills Medicare for Todd Irwin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Todd Irwin reassigns Medicare benefits to Orthocarolina, PA (Charlotte, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Todd Irwin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Todd Irwin accept?

Health plans from Blue Cross and Blue Shield of NC, Cigna Healthcare, First Choice Next, Molina Healthcare and Oscar Health Plan of North Carolina, Inc and 1 other insurer 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 6 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.