JACK IRVIN D.D.S.
NPI 1598971152
Dentist - General Practice in Wintersville, OH

Q: What is Jack Irvin's NPI number?

The NPI number for Jack Irvin is 1598971152. It was assigned to this individual provider in the NPPES registry on May 14, 2007.

Q: What is Jack Irvin's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: Is Jack Irvin enrolled in Medicare?

No. Jack Irvin has opted out of Medicare through March 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Jack Irvin was last updated on September 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 May 14, 2007Opted out of Medicare · through Mar 1, 2028

220 FERNWOOD RD, WINTERSVILLE, OH 43953(740) 264-5321 Get Directions Write a Review

NPPES record last updated: September 16, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 16, 2024, Feb 11, 2023 (2 updates tracked since 2023).

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About Jack Irvin D.d.s. NPPES

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

JACK IRVIN D.D.S. (NPI 1598971152) is an individual general practice provider in Wintersville, Ohio, licensed in Ohio (18767) and active in the NPI registry since May 2007. He has opted out of Medicare through March 1, 2028.

NPPES Registry Identity

NPI1598971152

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameJACK IRVINCredential: D.D.S.

Location Address220 FERNWOOD RDWintersville, OH 43953-9616

Mailing Address220 Fernwood RdWintersville, OH 43953-9616 · (740) 264-5321

Phone(740) 264-5321

Sole ProprietorNo

Enumeration DateMay 14, 2007

Last NPPES UpdateSeptember 16, 20242 updates tracked since enumeration

NPPES CertifiedSeptember 16, 2024

✔ NPI 1598971152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in OH · 18767

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

220 FERNWOOD RD, Wintersville, OH 43953

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jack Irvin D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 1, 2016 through March 1, 2028.

Opt-Out Effective DateMarch 1, 2016

Opt-Out In Effect ThroughMarch 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43953 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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.

Other Providers at the Same Location NPPES 5

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

DR. THOMAS MATANZO DDS

Dentist (General Practice)