1. Home
  2. Directory
  3. Kentucky
  4. Lexington
  5. Internal Medicine
  6. NPI Profile

CRAIG W. IRWIN M.D.
NPI 1922024124
Internal Medicine in Lexington, KY

Active since July 14, 2006PECOS EnrolledAccepts Medicare Assignment
91.01/100
CMS Quality Rating
630 SOUTHPOINT DR, LEXINGTON, KY 40515(859) 272-1928(859) 271-9601 Get Directions Write a Review

NPPES record last updated: November 2, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Craig W. Irwin M.d. NPPES

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

CRAIG W. IRWIN M.D. (NPI 1922024124) is an individual internal medicine provider in Lexington, Kentucky, licensed in Kentucky (36288) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Saint Joseph Hospital, and is a graduate of University Of Tennessee, Hsc, College Of Medicine (1995).

NPPES Registry Identity

NPI1922024124
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameCRAIG W. IRWINCredential: M.D.
Location Address630 SOUTHPOINT DRLexington, KY 40515-6350
Mailing Address630 Southpoint DrLexington, KY 40515-6350 · (859) 272-1928 · Fax (859) 271-9601
Phone(859) 272-1928
Fax(859) 271-9601
Sole ProprietorNo
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 1995
Enumeration DateJuly 14, 2006
Last NPPES UpdateNovember 2, 2007
✔ NPI 1922024124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in KY · 36288
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedPediatricsTaxonomy 208000000X · License 36288 (KY)
630 SOUTHPOINT DR, Lexington, KY 40515
Open in Google Maps ↗

Other Identifiers 6

Other400501KY · Medicare Lab Grp
Medicare UPINH04728
Medicaid64026065KY
Other37903705KY · Medicaid Lab Grp
Medicare ID-Type Unspecified0624006KY
OtherCB5773GA · Rr Medicare Grp

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

Craig W. Irwin M.d. 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 ID1850460700
PECOS Enrollment IDI20080519000027
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 9

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 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.
649 services329 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
232 services232 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
116 services19 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
115 services115 patients
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg J3420
This is a procedure where a small dose of Vitamin B-12, also known as Cyanocobalamin, is injected into your body. This vitamin is essential for nerve function and the production of red blood cells. It's often used to treat vitamin B-12 deficiency.
102 services17 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
36 services36 patients

Hospital Affiliations CMS Care Compare 3

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

Saint Joseph Hospital

Acute Care Hospitals · Lexington, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180010
LocationOne Saint Joseph DriveLexington, KY 40504 · Fayette County
Emergency services

Baptist Health Lexington

Acute Care Hospitals · Lexington, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number180103
Location1740 Nicholasville RoadLexington, KY 40503 · Fayette County
Emergency services Birthing friendly

Saint Joseph East

Acute Care Hospitals · Lexington, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180143
Location150 North Eagle Creek DriveLexington, KY 40509 · Fayette County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40515 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
Most-billed visit code 99214
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.

91.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality93.75
Promoting Interoperability100
Improvement Activities40
Cost76.28

Reported Quality Measures

Appropriate Treatment for Upper Respiratory Infection (URI)
88%42 patients4/55-star benchmark: 100%
Breast Cancer Screening
75%241 patients4/55-star benchmark: 93%
Cervical Cancer Screening
51%241 patients3/55-star benchmark: 98%
Colorectal Cancer Screening
88%1,080 patients5/55-star benchmark: 88%
Controlling High Blood Pressure
73%684 patients4/55-star benchmark: 91%
Coronary Artery Disease (CAD): Beta-Blocker Therapy Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF <= 40%)
90%20 patients4/55-star benchmark: 99%
Diabetes: Eye Exam
49%243 patients2/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
14%243 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
97%3,534 patients4/55-star benchmark: 100%
e-Prescribing
100%6,548 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
39%1,796 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
44%1,302 patients2/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 80% · 1,787 patients
Patients screened: 85% · 1,787 patients
36%143 patients2/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
90%1,705 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
89%608 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 1% · 738 patients
Patients totalRate: 14% · 754 patients
14%754 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 5

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
13 suppliers49 claims95 services$6.24 avg. paid by Medicare
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims7,200 services$0.39 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier17 claims17 services$51.06 avg. paid by Medicare
Stationary oxygen contents, liquid, 1 month's supply = 1 unit E0442
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$49.33 avg. paid by Medicare
Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0470
DME-Other DME · category DE001N
1 supplier11 claims11 services$93.98 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 5

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

MISS HANNAH S. ATKINS PA-C
Physician Assistant
630 SOUTHPOINT DR
LEXINGTON, KY 40515
Fayette County (859) 272-1928
CAROLYN DEL CHIARO MD
Family Medicine
630 SOUTHPOINT DR
LEXINGTON, KY 40515
Fayette County (859) 272-1928
JORDAN MYERS PRENDERGAST DO
Family Medicine
630 SOUTHPOINT DR
LEXINGTON, KY 40515
Fayette County (859) 272-1928
DR. MARISA PAULINE BELCASTRO MD
Family Medicine
630 SOUTHPOINT DR, LEXINGTON CLINIC VETERANS PARK
LEXINGTON, KY 40515
Fayette County (859) 272-1928
MEREDITH KATHRYN MCCOWAN
Physician Assistant
630 SOUTHPOINT DR
LEXINGTON, KY 40515
Fayette County (859) 272-1928

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 Craig Irwin's NPI number?

The NPI number for Craig Irwin is 1922024124. It was assigned to this individual provider in the NPPES registry on July 14, 2006.

Where is Craig Irwin located?

Craig Irwin practices at 630 Southpoint Dr, Lexington, KY 40515. The listed phone number is (859) 272-1928.

What is Craig Irwin's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Craig Irwin enrolled in Medicare?

Yes. Craig 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.

Is Craig Irwin affiliated with any hospitals?

According to CMS data, Craig Irwin is affiliated with Saint Joseph Hospital, Baptist Health Lexington and Saint Joseph East.

When was this NPI record last updated?

The NPPES record for Craig Irwin was last updated on November 2, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.