DR. THOMAS M IRWIN JR. MD
NPI 1629172358
Otolaryngology in Marrero, LA

Active since September 12, 2006PECOS EnrolledAccepts Medicare Assignment
1151 BARATARIA BLVD STE 3100, MARRERO, LA 70072(504) 934-8461(504) 371-3811 Get Directions Write a Review

NPPES record last updated: May 29, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: May 29, 2025, Apr 9, 2025 (2 updates tracked since 2025).

About Dr. Thomas M Irwin Jr. Md NPPES

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

DR. THOMAS M IRWIN JR. MD (NPI 1629172358) is an individual otolaryngology provider in Marrero, Louisiana, licensed in Louisiana (010120) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with West Jefferson Medical Center, and is a graduate of Tulane University School Of Medicine (1965).

NPPES Registry Identity

NPI1629172358
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. THOMAS M IRWIN JR.Credential: MD
Location Address1151 BARATARIA BLVD STE 3100Marrero, LA 70072-3083
Mailing Address1151 Barataria Blvd Ste 3100Marrero, LA 70072-3083 · (504) 934-8462 · Fax (504) 371-3811
Fax(504) 371-3811
Sole ProprietorYes
Medical School CMSTulane University School Of MedicineGraduated 1965
Enumeration DateSeptember 12, 2006
Last NPPES UpdateMay 29, 20252 updates tracked since enumeration
NPPES CertifiedMay 29, 2025
NPI 1629172358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in LA · 010120
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
1151 BARATARIA BLVD STE 3100, Marrero, LA 70072

Other Identifiers 1

Medicaid1128686LA

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. Thomas M Irwin Jr. 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 ID2961572920
PECOS Enrollment IDI20080603000042
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 11

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 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.
155 services126 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.
61 services61 patients
Comprehensive hearing and speech recognition test 92557
A comprehensive hearing and speech recognition test assesses your ability to hear and understand spoken words. It includes hearing tests to check for issues with sound perception and speech tests to evaluate your word recognition. It's a crucial step in identifying any hearing or speech problems.
57 services57 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
26 services25 patients
Test for hearing various pitches using earphone 92552
This is a hearing test where earphones are worn to detect different pitch levels. Sounds of various frequencies are played, and you indicate when you hear them. This helps evaluate your hearing ability. It's safe, comfortable, and non-invasive.
24 services24 patients
Placement of ear probe for computerized measurement of sound with interpretation and report 92587
This procedure involves placing a small probe in your ear to measure sounds. It's a painless process that helps doctors understand your hearing ability. The results will be interpreted and a report will be provided for further assessment.
19 services19 patients

Hospital Affiliations CMS Care Compare

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

West Jefferson Medical Center

Acute Care Hospitals · Marrero, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190039
Location1101 Medical Center BlvdMarrero, LA 70072 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70072 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
$128.88 typical visit price
range $55.50 – $170.30
Typical copayment $32.22 (range $13.87 – $42.57)
Most-billed visit code 99204
Established Patient
$69.44 typical visit price
range $17.42 – $138.03
Typical copayment $17.36 (range $4.35 – $34.50)
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 7

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

Tracheostomy, inner cannula A4623
DME-Orthotic Devices · category DF000N
1 supplier11 claims666 services$6.33 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers19 claims19 services$59.04 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
3 suppliers16 claims35 services$22.48 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
4 suppliers11 claims11 services$16.49 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
4 suppliers17 claims17 services$8.51 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers23 claims118 services$1.40 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 6

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

Specialist
1151 BARATARIA BLVD STE 3100
MARRERO, LA 70072
Audiologist
1151 BARATARIA BLVD STE 3100
MARRERO, LA 70072
Otolaryngology
1151 BARATARIA BLVD STE 3100
MARRERO, LA 70072
Audiologist-Hearing Aid Fitter
1151 BARATARIA BLVD STE 3100
MARRERO, LA 70072
Otolaryngology
1151 BARATARIA BLVD STE 3100
MARRERO, LA 70072
Otolaryngology
1151 BARATARIA BLVD STE 3100
MARRERO, LA 70072

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 Thomas Irwin's NPI number?

The NPI number for Thomas Irwin is 1629172358. It was assigned to this individual provider in the NPPES registry on September 12, 2006.

Where is Thomas Irwin located?

Thomas Irwin practices at 1151 Barataria Blvd Ste 3100, Marrero, LA 70072. The listed phone number is (504) 934-8461.

What is Thomas Irwin's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Thomas Irwin enrolled in Medicare?

Yes. Thomas 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 Thomas Irwin accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 2 other insurers list Thomas 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 Thomas Irwin affiliated with any hospitals?

According to CMS data, Thomas Irwin is affiliated with West Jefferson Medical Center.

When was this NPI record last updated?

The NPPES record for Thomas Irwin was last updated on May 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.