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DR. JOSE RAMON IRIZARRY MD
NPI 1952374225
Obstetrics & Gynecology in Melbourne, FL

Active since February 08, 2006PECOS EnrolledAccepts Medicare Assignment
89.89/100
CMS Quality Rating
1350 HICKORY ST, MELBOURNE, FL 32901(407) 975-0406(407) 975-0407 Get Directions Write a Review

NPPES record last updated: November 26, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Jose Ramon Irizarry Md NPPES

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

DR. JOSE RAMON IRIZARRY MD (NPI 1952374225) is an individual obstetrics & gynecology provider in Melbourne, Florida, licensed in Florida (ME106787) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Cleveland Clinic Indian River Hospital, and is a graduate of University Central Del Caribe Escuela De Medicina (1990).

NPPES Registry Identity

NPI1952374225
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. JOSE RAMON IRIZARRYCredential: MD
Location Address1350 HICKORY STMelbourne, FL 32901
Mailing Address1350 Hickory StMelbourne, FL 32901-3224 · (407) 975-0406 · Fax (407) 975-0407
Phone(407) 975-0406
Fax(407) 975-0407
Sole ProprietorYes
Medical School CMSUniversity Central Del Caribe Escuela De MedicinaGraduated 1990
Enumeration DateFebruary 8, 2006
Last NPPES UpdateNovember 26, 2019
✔ NPI 1952374225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in FL · ME106787✔ Licensed in PR · 10561
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1350 HICKORY ST, Melbourne, FL 32901
Open in Google Maps ↗

Other Identifiers 4

Other9070106PR · Humana
Other106787FL · Me Fl License
Other210561PR · Mcs
Medicaid002560700FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Cigna Healthcare, Cigna HealthCare of Florida, Inc. 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. Jose Ramon Irizarry 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 ID5193802684
PECOS Enrollment IDI20110708000559
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 Reassignments

3

Medicare enrollment records show Jose Irizarry reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ob Hospitalist Group LLC
Same address
Obstetrics & Gynecology
1350 HICKORY ST
Melbourne, FL 32901
  • Reassigned Medicare billing, Florida enrollment
  • 683 clinicians in this Medicare group
NPI 1245472661 (864) 908-3530
Florida Hospital Medical Group Inc
56 mi
Family Medicine
1115 E RIDGEWOOD ST
Orlando, FL 32803
  • Reassigned Medicare billing, Florida enrollment
  • 3,005 clinicians in this Medicare group
NPI 1225034234 (407) 841-1100
Martin Memorial Medical Center Inc
65 mi
General Acute Care Hospital
200 SE HOSPITAL AVE
Stuart, FL 34994
  • Reassigned Medicare billing, Florida enrollment
  • 602 clinicians in this Medicare group
NPI 1194790055 (772) 287-5200

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

Hospital Affiliations CMS Care Compare

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

Cleveland Clinic Indian River Hospital

Acute Care Hospitals · Vero Beach, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100105
Location1000 36th StVero Beach, FL 32960 · Indian River County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32901 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

89.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.75
Promoting Interoperability100
Improvement Activities40

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.

TOMOR SEDALIU
Hospitalist
1350 HICKORY ST
MELBOURNE, FL 32901
Brevard County (321) 434-1771
DR. OLGA DORJIMA EMGUSHOV MD,MPH
Hospitalist
1350 HICKORY ST
MELBOURNE, FL 32901
Brevard County (321) 434-1771
KATHERINE F. IMHOF PHARMD
Pharmacist
1350 HICKORY ST
MELBOURNE, FL 32901
Brevard County (321) 434-7485
WILLIAM BRANDON EVANS FNP
Nurse Practitioner (Adult Health)
1350 HICKORY ST
MELBOURNE, FL 32901
Brevard County (321) 434-1771
MRS. ALEXA NOELLE REEDY APRN
Nurse Practitioner
1350 HICKORY ST
MELBOURNE, FL 32901
Brevard County (317) 805-4102
OB HOSPITALIST GROUP LLC
Obstetrics & Gynecology
1350 HICKORY ST
MELBOURNE, FL 32901
Brevard County (864) 908-3530
DR. NICOLE SWICORD PHARMD
Pharmacist
1350 HICKORY ST
MELBOURNE, FL 32901
Brevard County (321) 434-1887
DR. KEVIN H WALLACE MD
Internal Medicine (Pulmonary Disease)
1350 HICKORY ST
MELBOURNE, FL 32901
Brevard County (321) 434-4225

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 Jose Irizarry's NPI number?

The NPI number for Jose Irizarry is 1952374225. It was assigned to this individual provider in the NPPES registry on February 8, 2006.

Where is Jose Irizarry located?

Jose Irizarry practices at 1350 Hickory St, Melbourne, FL 32901. The listed phone number is (407) 975-0406.

What is Jose Irizarry's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Jose Irizarry enrolled in Medicare?

Yes. Jose Irizarry 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 organizations bill Medicare for Jose Irizarry's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jose Irizarry reassigns Medicare benefits to 3 organizations: Ob Hospitalist Group LLC (Melbourne, FL), Florida Hospital Medical Group Inc (Orlando, FL) and Martin Memorial Medical Center Inc (Stuart, FL). Each 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 Jose Irizarry's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jose Irizarry accept?

Health plans from AmeriHealth Caritas Next, Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 3 other insurers list Jose Irizarry 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 Jose Irizarry affiliated with any hospitals?

According to CMS data, Jose Irizarry is affiliated with Cleveland Clinic Indian River Hospital.

When was this NPI record last updated?

The NPPES record for Jose Irizarry was last updated on November 26, 2019. 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.