Active NPI 1356362040 Individual Practitioner Male Practitioner

Dr. James P Irwin , DO

Surgery • Rogers, AR

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. James Irwin, DO is a certified Surgery practicing in Rogers, AR. With approximately 25 years of clinical experience since graduating from Oklahoma State University College Of Osteopathic Medicine in 2001, Dr. Irwin delivers high-quality medical care to the local community at 1001 S HORSEBARN RD.

Dr. Irwin is affiliated with Mercy Health Northwest Arkansas Communities and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, repair of groin hernia using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1001 S Horsebarn Rd

Rogers, AR 727588184

Telephone 4792737700

Fax 4794647734

Associated Practice Facility / Clinic

🏢 Mercy Health Northwest Arkansas Communities Facility NPI 1538460662

Medicare Profile & Education

Medical School

Oklahoma State University College Of Osteopathic Medicine

Graduation Year

2001

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Rogers, AR

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

25 Yrs +1.8 yrs vs City Avg

City Avg: 23.2 Yrs

State Avg: 30.3 Yrs

Regional Practice Density

18 Specialists

Practicing in Rogers, AR (301 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

59.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Irwin (25 Years) 25 Yrs

Rogers Specialty Average (23.2 Years) 23.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	62	62	$272.00	$149.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	26	$190.00	$115.39
49650 Repair of groin hernia using an endoscope	19	19	$1084.95	$378.70
47562 Removal of gallbladder using an endoscope	17	17	$1585.00	$581.01
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$176.00	$99.75
99213 Established patient office or other outpatient visit, typically 15 minutes	13	13	$135.00	$81.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	59	59	$272.00	$151.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	42	34	$182.86	$117.65
49650 Repair of groin hernia using an endoscope	15	15	$1374.27	$480.05
43282 Repair of hernia of muscle at esophagus and stomach with implantation of mesh using an endoscope	12	12	$3728.00	$1577.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	40	40	$272.00	$152.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	38	34	$178.00	$114.98
49650 Repair of groin hernia using an endoscope	25	25	$1086.92	$426.55
47562 Removal of gallbladder using an endoscope	19	19	$1585.00	$552.45
99213 Established patient office or other outpatient visit, typically 15 minutes	15	12	$118.00	$83.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	83	83	$272.00	$156.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	31	$178.00	$120.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$176.00	$103.78
47562 Removal of gallbladder using an endoscope	18	18	$1585.00	$522.91
99213 Established patient office or other outpatient visit, typically 15 minutes	15	14	$118.00	$84.78
49650 Repair of groin hernia using an endoscope	12	12	$1249.33	$462.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	71	71	$272.00	$153.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	38	31	$178.00	$102.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$176.00	$100.68
49650 Repair of groin hernia using an endoscope	15	15	$999.47	$419.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	56	56	$272.00	$154.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	48	39	$178.00	$101.74
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	19	13	$105.11	$69.56
99231 Follow-up hospital inpatient care per day, typically 15 minutes	16	11	$64.00	$37.64
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	13	$240.00	$136.63
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$236.00	$130.71
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	13	13	$344.00	$194.06
99213 Established patient office or other outpatient visit, typically 15 minutes	11	11	$118.00	$69.24
47562 Removal of gallbladder using an endoscope	11	11	$1630.09	$619.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	58	58	$270.41	$152.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	40	37	$178.00	$99.74
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	31	25	$240.00	$134.76
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	30	30	$344.00	$192.10
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	19	$236.00	$124.06
99231 Follow-up hospital inpatient care per day, typically 15 minutes	18	13	$64.00	$37.11
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	17	12	$103.35	$68.89
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	11	$69.79	$40.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	54	54	$268.44	$148.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	45	39	$175.02	$98.99
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	38	38	$174.61	$98.78
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	26	17	$106.27	$68.09
99213 Established patient office or other outpatient visit, typically 15 minutes	22	22	$114.68	$67.08
99231 Follow-up hospital inpatient care per day, typically 15 minutes	20	13	$64.00	$36.27
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$236.00	$128.70
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	12	12	$46.00	$18.00
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	12	12	$1338.00	$318.20
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	11	11	$344.00	$190.44

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License AR E6596

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1356362040 (MO)

Hospital & Practice Group Affiliations

Mercy Health Northwest Arkansas Communities

1001 S Horsebarn Rd, Rogers, AR 727588184

Phone: 4792737700

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

23 Associated Practitioners

Dr. Pradeep Pallati , MD

Surgery

NPI 1033323274

Doctor of Medicine (M.D.)

Dr. Kyle Mackin , MD

Surgery

NPI 1053755637

Doctor of Medicine (M.D.)

Kenita Poore , NP

Nurse Practitioner - Acute Care

NPI 1063048817

Nurse Practitioner

Erin Green

Surgery

NPI 1114548195

Dr. Ed Childs , MD

Surgery

NPI 1144280116

Doctor of Medicine (M.D.)

Cassie Urteaga , APRN

Nurse Practitioner - Acute Care

NPI 1194331744

Advanced Practice Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active February 10, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location February 10, 2016

Registered at 1001 S HORSEBARN RD, ROGERS, AR 727588184 (Tel: 4792737700)

📍

Updated Business Mailing Address February 10, 2016

Registered at 1001 S HORSEBARN RD, ROGERS, AR 727588184 (Tel: 4792737700)

👤

Provider Name / Credentials Updated February 10, 2016

Recorded as JAMES IRWIN, DO

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 10, 2016

Surgery (License #E6596 in AR)

🟢

Initial NPI Registration & Enumeration July 21, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1356362040

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 21, 2006

Last Update: February 10, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1001 S Horsebarn Rd

Rogers, AR 727588184

Phone: 4792737700

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.