Active NPI 1083711378 Individual Practitioner Male Practitioner

Dr. Thomas Bergan Irwin , DO

Internal Medicine • Dalton, MA

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Irwin, DO is a registered healthcare professional specializing in Internal Medicine in Dalton, MA. Practice services are available at 33 NORTH ST under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, outpatient office visit, blood test, clotting time. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

33 North St

Dalton, MA 012261202

Telephone 4135288580

Associated Practice Facility / Clinic

🏢 Dalton Medical Associates, Llp Facility NPI 1831225689

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Dalton, MA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 45.0 Yrs

State Avg: 29.3 Yrs

Regional Practice Density

3 Specialists

Practicing in Dalton, MA (7127 Statewide)

Telehealth Adoption Rate

33.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

36.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	240	194	$200.00	$136.19
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	71	17	$40.00	$24.37
85610 Blood test, clotting time	67	14	$10.00	$4.29
99213 Established patient office or other outpatient visit, typically 15 minutes	33	31	$138.00	$96.33
83036 Hemoglobin A1C level	27	23	$25.00	$9.71
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	27	25	$270.00	$190.88
80061 Blood test, lipids (cholesterol and triglycerides)	17	17	$33.00	$13.39
93000 Routine ekg using at least 12 leads including interpretation and report	15	14	$56.00	$15.69
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	13	13	$90.00	$56.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	610	348	$200.00	$114.62
85610 Blood test, clotting time	225	20	$10.00	$4.26
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	223	33	$40.00	$24.76
G0008 Administration of influenza virus vaccine	214	210	$40.19	$19.01
90662 Influenza vaccine split virus, preservative free	196	192	$100.00	$60.76
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	113	113	$145.00	$122.62
99497 Advance care planning, first 30 minutes	96	95	$100.00	$88.68
G0444 Annual depression screening, 5 to 15 minutes	90	90	$22.00	$17.03
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	88	78	$270.00	$154.68
96160 Administration and interpretation of patient-focused health risk assessment	88	88	$10.00	$2.70
99213 Established patient office or other outpatient visit, typically 15 minutes	62	54	$138.00	$77.59
83036 Hemoglobin A1C level	58	41	$25.00	$9.66
80061 Blood test, lipids (cholesterol and triglycerides)	47	43	$33.00	$13.32
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	44	36	$90.00	$56.60
G0442 Annual alcohol misuse screening, 5 to 15 minutes	36	36	$35.00	$19.16
17000 Destruction of skin growth	34	31	$100.00	$68.24
98925 Osteopathic manipulative treatment, 1-2 body regions	32	29	$58.44	$33.55
93000 Routine ekg using at least 12 leads including interpretation and report	29	27	$60.83	$18.20
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	29	18	$70.00	$43.67
98926 Osteopathic manipulative treatment, 3-4 body regions	28	26	$85.29	$48.51
G0009 Administration of pneumococcal vaccine	23	23	$40.87	$18.88
17003 Destruction of precancer skin growth, 2-14 growths	23	20	$40.00	$6.52
17110 Destruction of up to 14 skin growths	19	14	$175.00	$120.60
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	17	17	$35.00	$19.58
90670 Pneumococcal vaccine for injection into muscle	14	14	$410.00	$222.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	801	447	$171.35	$113.50
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	330	62	$38.45	$23.95
85610 Blood test, clotting time	305	27	$9.21	$4.28
99497 Advance care planning, first 30 minutes	229	229	$100.00	$87.95
G0008 Administration of influenza virus vaccine	215	214	$40.00	$17.47
G0444 Annual depression screening, 5 to 15 minutes	214	214	$22.00	$18.91
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	214	214	$145.16	$121.10
G0442 Annual alcohol misuse screening, 5 to 15 minutes	211	211	$35.00	$18.91
96160 Administration and interpretation of patient-focused health risk assessment	209	209	$10.00	$3.41
90662 Influenza vaccine split virus, preservative free	201	201	$87.86	$54.83
99213 Established patient office or other outpatient visit, typically 15 minutes	152	128	$122.45	$77.83
80061 Blood test, lipids (cholesterol and triglycerides)	151	138	$33.00	$14.58
83036 Hemoglobin A1C level	118	82	$25.00	$10.57
17003 Destruction of precancer skin growth, 2-14 growths	95	18	$40.00	$5.99
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	64	59	$233.25	$151.97
98925 Osteopathic manipulative treatment, 1-2 body regions	51	44	$50.00	$32.98
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	49	36	$90.00	$55.63
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	42	38	$72.81	$47.50
93000 Routine ekg using at least 12 leads including interpretation and report	39	39	$56.00	$17.90
81002 Urinalysis, manual test	35	28	$10.00	$3.41
17000 Destruction of skin growth	32	23	$100.00	$69.08
G0009 Administration of pneumococcal vaccine	29	29	$35.00	$17.80
98926 Osteopathic manipulative treatment, 3-4 body regions	26	26	$75.00	$47.39
69210 Removal of impacted ear wax	23	17	$82.83	$49.71
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	21	21	$220.24	$178.33
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	17	16	$31.35	$16.78
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	17	17	$200.00	$172.68
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	16	16	$159.38	$110.34
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	15	12	$70.00	$43.22
90670 Pneumococcal vaccine for injection into muscle	13	13	$311.54	$210.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	409	221	$158.00	$114.23
99213 Established patient office or other outpatient visit, typically 15 minutes	139	119	$110.00	$77.13
80061 Blood test, lipids (cholesterol and triglycerides)	126	109	$33.00	$16.20
83036 Hemoglobin A1C level	85	50	$25.00	$11.75
99497 Advance care planning, first 30 minutes	74	73	$98.24	$90.29
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	54	54	$141.39	$126.27
G0008 Administration of influenza virus vaccine	54	53	$40.00	$23.15
98925 Osteopathic manipulative treatment, 1-2 body regions	50	40	$44.80	$33.91
90662 Influenza vaccine split virus, preservative free	44	44	$56.14	$52.11
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	41	40	$65.00	$46.85
93000 Routine ekg using at least 12 leads including interpretation and report	36	35	$56.00	$18.18
98926 Osteopathic manipulative treatment, 3-4 body regions	35	30	$63.00	$48.95
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	32	25	$208.00	$154.44
G0444 Annual depression screening, 5 to 15 minutes	31	31	$22.00	$19.54
G0009 Administration of pneumococcal vaccine	21	21	$35.00	$23.21
82947 Blood glucose (sugar) level	21	21	$12.00	$4.75
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	20	20	$200.00	$185.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$238.00	$174.48
17000 Destruction of skin growth	18	15	$100.00	$71.46
81002 Urinalysis, manual test	13	12	$10.00	$3.41
90670 Pneumococcal vaccine for injection into muscle	12	12	$227.08	$197.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	68	60	$158.00	$107.52
99213 Established patient office or other outpatient visit, typically 15 minutes	53	48	$110.00	$73.16
83036 Hemoglobin A1C level	41	24	$18.17	$12.76
G0008 Administration of influenza virus vaccine	39	39	$34.87	$28.66
90662 Influenza vaccine split virus, preservative free	31	31	$48.71	$46.14
98926 Osteopathic manipulative treatment, 3-4 body regions	21	19	$85.00	$45.74
98925 Osteopathic manipulative treatment, 1-2 body regions	16	14	$61.78	$31.60
85610 Blood test, clotting time	16	15	$13.81	$5.28
99497 Advance care planning, first 30 minutes	14	14	$90.00	$80.96
93000 Routine ekg using at least 12 leads including interpretation and report	13	13	$66.62	$17.16

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License MA 230602

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.

Practice Associates & Co-Workers

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

17 Associated Practitioners

Kathryn Korte , FNP

Nurse Practitioner - Family

NPI 1043211956

Family Nurse Practitioner

Erika Tilley , MS, RD, LDN

Dietitian, Registered

NPI 1063600427

Master of Science, Registered Dietitian, Licensed Dietitian Nutritionist

Dr. Claire Horth , MD

Family Medicine

NPI 1093127656

Doctor of Medicine (M.D.)

Erin Pacheco , RD, LDN

Dietitian, Registered - Nutrition, Pediatric

NPI 1447397740

Registered Dietitian, Licensed Dietitian Nutritionist

Dr. Claudia Meininger-Gold , MD

Pediatrics

NPI 1558355073

Doctor of Medicine (M.D.)

Melanie Seserman , RD

Dietitian, Registered

NPI 1578893582

Registered Dietitian

Career & Practice History Timeline

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

11 Historical Events

✅

NPI Profile Active January 05, 2018

NPI status registered as active in NPPES database

📍

Updated Practice Location January 05, 2018

Registered at 33 NORTH ST, DALTON, MA 012261202 (Tel: 4135288580)

📍

Updated Business Mailing Address January 05, 2018

Registered at 444 STOCKBRIDGE RD, GREAT BARRINGTON, MA 012301295 (Tel: 4135288580)

👤

Provider Name / Credentials Updated January 05, 2018

Recorded as THOMAS IRWIN, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 05, 2018

Internal Medicine (License #230602 in MA)

✅

NPI Profile Active June 12, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location June 12, 2012

Registered at 444 STOCKBRIDGE RD, GREAT BARRINGTON, MA 012301295 (Tel: 4135288580)

📍

Updated Business Mailing Address June 12, 2012

Registered at 444 STOCKBRIDGE RD, GREAT BARRINGTON, MA 012301295 (Tel: 4135288580)

👤

Provider Name / Credentials Updated June 12, 2012

Recorded as THOMAS IRWIN, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 12, 2012

Internal Medicine (License #230602 in MA)

🟢

Initial NPI Registration & Enumeration September 20, 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: 1083711378

Entity Type:

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

Enumeration Date: September 20, 2006

Last Update: January 05, 2018

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

444 Stockbridge Rd

Great Barrington, MA 012301295

Phone: 4135288580

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.