Active NPI 1093763088 Individual Practitioner Female Practitioner

Denese S Irish , PA

Physician Assistant • Lansing, MI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Denese Irish, PA is a certified Physician Assistant practicing in Lansing, MI. With approximately 24 years of clinical experience since completing medical education in 2002, Denese Irish delivers high-quality medical care to the local community at 3404 PATIENT CARE DR.

Denese Irish is affiliated with Michigan Orthopedic Center P C and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, triamcinolone acetonide, not otherwise specified, 10 mg, aspiration and/or injection of fluid from large joint, hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3404 Patient Care Dr

Lansing, MI 489114217

Telephone 5172670200

Fax 5172671877

Associated Practice Facility / Clinic

🏢 J Wesley Mesko Md Pc Facility NPI 1295800076

Medicare Profile & Education

Medical School

Other

Graduation Year

2002

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Lansing, MI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

24 Yrs +13.4 yrs vs City Avg

City Avg: 10.6 Yrs

State Avg: 12.2 Yrs

Regional Practice Density

156 Specialists

Practicing in Lansing, MI (7057 Statewide)

Telehealth Adoption Rate

14.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

83.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Irish (24 Years) 24 Yrs

Lansing Specialty Average (10.6 Years) 10.6 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
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	192	30	$3.27	$0.93
20610 Aspiration and/or injection of fluid from large joint	140	54	$179.95	$56.59
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose	102	20	$205.11	$72.24
99213 Established patient office or other outpatient visit, typically 15 minutes	76	70	$193.56	$70.15
73562 X-ray of knee, 3 views	72	63	$91.40	$30.95
27447 Replacement of knee joint, both sides of knee	56	51	$2137.10	$168.57
73564 X-ray of knee, 4 or more views	52	46	$104.88	$37.56
73502 X-ray of hip, 2-3 views	46	40	$102.24	$36.25
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$404.44	$135.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	25	$275.92	$99.63
27130 Replacement of thigh bone and hip joint with prosthesis	18	17	$1652.97	$169.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	208	36	$4.00	$1.05
20610 Aspiration and/or injection of fluid from large joint	153	54	$194.85	$58.13
99213 Established patient office or other outpatient visit, typically 15 minutes	90	87	$178.00	$71.98
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose	88	18	$213.00	$73.29
73562 X-ray of knee, 3 views	72	65	$89.72	$33.40
73564 X-ray of knee, 4 or more views	63	59	$107.43	$41.16
73502 X-ray of hip, 2-3 views	60	59	$99.00	$36.49
27447 Replacement of knee joint, both sides of knee	59	58	$446.00	$162.46
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	55	55	$404.00	$133.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	41	38	$263.00	$98.68
27130 Replacement of thigh bone and hip joint with prosthesis	37	37	$446.00	$169.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	264	53	$4.00	$1.13
20610 Aspiration and/or injection of fluid from large joint	182	77	$168.65	$58.62
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose	116	23	$213.00	$74.68
73564 X-ray of knee, 4 or more views	98	80	$94.00	$36.97
99213 Established patient office or other outpatient visit, typically 15 minutes	91	77	$179.89	$73.88
73502 X-ray of hip, 2-3 views	76	67	$99.00	$37.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	63	55	$263.00	$102.84
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	57	57	$404.00	$134.30
73562 X-ray of knee, 3 views	54	45	$85.00	$32.45
27447 Replacement of knee joint, both sides of knee	48	46	$446.00	$171.83
27130 Replacement of thigh bone and hip joint with prosthesis	39	37	$446.00	$165.51
73521 X-ray of both hips, 2 views	11	11	$89.00	$33.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	401	76	$4.00	$1.26
20610 Aspiration and/or injection of fluid from large joint	214	98	$181.72	$58.93
99213 Established patient office or other outpatient visit, typically 15 minutes	207	175	$178.83	$74.80
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose	130	22	$213.00	$72.97
73564 X-ray of knee, 4 or more views	122	102	$94.00	$36.97
73562 X-ray of knee, 3 views	119	91	$85.00	$32.75
73502 X-ray of hip, 2-3 views	110	87	$99.00	$37.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	78	72	$263.00	$105.23
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	50	50	$404.00	$140.62
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	32	11	$354.00	$136.32
27130 Replacement of thigh bone and hip joint with prosthesis	21	20	$446.00	$166.98
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$264.00	$93.50
27447 Replacement of knee joint, both sides of knee	17	17	$446.00	$167.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	204	32	$4.00	$1.45
99213 Established patient office or other outpatient visit, typically 15 minutes	164	151	$181.67	$62.45
20610 Aspiration and/or injection of fluid from large joint	119	56	$175.29	$56.50
73562 X-ray of knee, 3 views	100	86	$85.00	$29.57
27447 Replacement of knee joint, both sides of knee	77	75	$446.00	$189.75
73502 X-ray of hip, 2-3 views	69	67	$99.00	$34.97
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose	66	15	$213.00	$78.07
73564 X-ray of knee, 4 or more views	51	44	$97.69	$33.34
27130 Replacement of thigh bone and hip joint with prosthesis	49	49	$446.00	$190.39
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$264.00	$89.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	19	$263.00	$91.06
27446 Repair of knee joint	17	17	$446.00	$160.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	371	328	$178.00	$60.68
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	362	66	$4.00	$1.59
20610 Aspiration and/or injection of fluid from large joint	225	102	$178.40	$54.66
73562 X-ray of knee, 3 views	214	185	$96.12	$33.45
73502 X-ray of hip, 2-3 views	165	147	$99.00	$34.00
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose	153	30	$213.00	$78.42
73564 X-ray of knee, 4 or more views	84	83	$105.19	$37.06
27447 Replacement of knee joint, both sides of knee	68	65	$446.00	$185.61
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	65	65	$264.00	$89.36
27130 Replacement of thigh bone and hip joint with prosthesis	63	63	$446.00	$185.26
27446 Repair of knee joint	32	30	$446.00	$153.57
73521 X-ray of both hips, 2 views	28	28	$89.00	$30.87
73560 X-ray of knee, 1-2 views	18	14	$74.00	$25.29
72170 X-ray of pelvis, 1-2 views	12	12	$76.00	$26.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	414	73	$4.78	$1.79
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	273	263	$91.11	$36.47
20610 Aspiration and/or injection of fluid from large joint	190	98	$148.74	$55.86
73502 X-ray of hip, 2-3 views	167	151	$80.32	$33.57
73560 X-ray of knee, 1-2 views	141	135	$60.85	$25.69
27447 Replacement of knee joint, both sides of knee	120	113	$446.00	$188.86
99213 Established patient office or other outpatient visit, typically 15 minutes	104	99	$163.75	$60.94
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose	100	24	$242.23	$82.97
73562 X-ray of knee, 3 views	97	95	$108.35	$42.23
27130 Replacement of thigh bone and hip joint with prosthesis	90	87	$446.00	$189.08
73564 X-ray of knee, 4 or more views	84	84	$97.39	$39.15
99202 New patient office or other outpatient visit, typically 20 minutes	41	41	$142.10	$62.93
27446 Repair of knee joint	29	28	$446.00	$161.43
73521 X-ray of both hips, 2 views	21	21	$73.62	$29.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$245.50	$87.60
73565 X-ray of both knees while standing	19	19	$70.00	$29.19
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$275.67	$138.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	477	89	$5.00	$1.81
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	400	390	$90.00	$34.61
20610 Aspiration and/or injection of fluid from large joint	239	118	$138.58	$52.46
73560 X-ray of knee, 1-2 views	226	221	$60.27	$23.97
73502 X-ray of hip, 2-3 views	205	200	$75.00	$32.10
27447 Replacement of knee joint, both sides of knee	145	138	$446.00	$178.34
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose	142	31	$250.00	$85.69
27130 Replacement of thigh bone and hip joint with prosthesis	91	89	$446.00	$178.41
73564 X-ray of knee, 4 or more views	82	82	$96.04	$39.60
73562 X-ray of knee, 3 views	68	68	$127.65	$50.78
99213 Established patient office or other outpatient visit, typically 15 minutes	62	62	$140.00	$57.71
99202 New patient office or other outpatient visit, typically 20 minutes	53	53	$140.00	$59.52
73565 X-ray of both knees while standing	46	46	$70.00	$27.80
73521 X-ray of both hips, 2 views	29	29	$70.00	$30.97
27446 Repair of knee joint	26	24	$446.00	$152.35
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$250.00	$132.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$190.00	$85.76
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	12	$240.00	$115.99
72170 X-ray of pelvis, 1-2 views	11	11	$55.00	$24.80

Medical Specialties & State Licenses

CMS Verified: 2026-03-19

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MI 5601003942

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Bcbsm Pin

2057815630

Hospital & Practice Group Affiliations

Michigan Orthopedic Center P C

3404 Patient Care Dr, Lansing, MI 489114217

Phone: 5172670200

Practice Associates & Co-Workers

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

27 Associated Practitioners

Dr. Jason Cochran , DO

Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery

NPI 1013039759

Doctor of Osteopathic Medicine (D.O.)

Anna Delamielleure

Physical Therapist

NPI 1023891751

Dr. John Mesko , MD

Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery

NPI 1043200306

Doctor of Medicine (M.D.)

Macie Bruff

Occupational Therapist

NPI 1063151561

Paul Gualtier , PA-C

Physician Assistant

NPI 1093705493

Physician Assistant (Certified)

Dr. Tammy Woods , MD

Orthopaedic Surgery - Hand Surgery

NPI 1104035872

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location March 19, 2026

Registered at 3404 PATIENT CARE DR, LANSING, MI 489114217 (Tel: 5172670200)

📍

Updated Business Mailing Address March 19, 2026

Registered at 3404 PATIENT CARE DR, LANSING, MI 489114217 (Tel: 5172670200)

✅

NPI Profile Active October 04, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location October 04, 2012

Registered at 113 E WILLIAMS ST, OWOSSO, MI 488672360 (Tel: 9897256101)

📍

Updated Business Mailing Address October 04, 2012

Registered at 113 E WILLIAMS ST, OWOSSO, MI 488672360 (Tel: 9897256101)

👤

Provider Name / Credentials Updated October 04, 2012

Recorded as DENESE IRISH, P.A.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 04, 2012

Physician Assistant (License #5601003942 in MI)

🟢

Initial NPI Registration & Enumeration May 04, 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: 1093763088

Entity Type:

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

Enumeration Date: May 04, 2006

Last Update: March 19, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3404 Patient Care Dr

Lansing, MI 489114217

Phone: 5172670200

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.