Dr. James Irwin, MD
What this data tells you about Dr. Irwin
Dr. James Irwin is an internal medicine specialist in Lutz, FL, with 19 years of NPI registration. Based on federal Medicare data, Dr. Irwin performed 3,429 Medicare services across 2,289 unique beneficiaries.
Between the years covered by Open Payments, Dr. Irwin received a total of $39,338 from 27 pharmaceutical and/or device companies across 368 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in internal medicine. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Irwin is Very High — reflecting how much public federal data is available about this provider. This is not a quality rating. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
Medicare Practice Summary
Medicare Utilization ↗Top procedures by volume
Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.
| Procedure | Volume | Avg. paid | Avg. submitted |
|---|---|---|---|
| EKG interpretation and report | 982 | $6 | $21 |
| Office visit, established patient (30-39 min) | 337 | $92 | $311 |
| Electrocardiogram (EKG), 12-lead | 309 | $10 | $35 |
| Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and tec | 278 | $23 | $83 |
| Evaluation of cardiac rhythm monitor system, remote up to 30 days | 272 | $17 | $65 |
| Hospital follow-up visit, moderate complexity | 165 | $62 | $180 |
| Remote pacemaker/defibrillator monitoring, 90 days | 146 | $13 | $53 |
| Remote pacemaker monitoring, 90 days | 101 | $20 | $73 |
| Evaluation of single, dual, or multiple lead implantable defibrillator system, remote up to 90 days | 94 | $24 | $91 |
| Programming of dual lead pacemaker system | 93 | $54 | $191 |
| New patient office visit (45-59 min) | 56 | $110 | $410 |
| Initial hospital admission, high complexity | 56 | $132 | $498 |
| Evaluation of implantable heart and blood vessel monitoring system, remote up to 30 days | 47 | $15 | $64 |
| Comprehensive electrophysiologic evaluation with catheter destruction of abnormality causing atrial fibrillation (uncoordinated contraction of upper chambers of heart) by pulmonary vein isolation | 44 | $778 | $2,970 |
| Office visit, established patient (20-29 min) | 43 | $67 | $220 |
| Hospital follow-up visit, high complexity | 40 | $94 | $257 |
| Evaluation of implantable heart and blood vessel monitoring system | 39 | $33 | $130 |
| Insertion of catheters and destruction of tissue to treat abnormal heart rhythm | 38 | $247 | $827 |
| Initial hospital admission, moderate complexity | 37 | $103 | $431 |
| Comprehensive electrophysiologic evaluation with catheter destruction of abnormality of upper chamber of heart causing supraventricular tachycardia (rapid heart rate) | 27 | $686 | $2,214 |
| Destruction of tissue of upper heart chamber through tube to treat abnormal heart rhythm | 26 | $251 | $826 |
| Programming of single lead implantable defibrillator system | 23 | $50 | $197 |
| Repair of left upper heart chamber with implant with review by radiologist | 22 | $638 | $1,942 |
| Programming of single lead pacemaker system | 22 | $44 | $164 |
| Insertion of heart rhythm monitor under skin | 21 | $63 | $223 |
| Removal of heart rhythm monitor from under the skin | 18 | $39 | $220 |
| Programming of dual lead implantable defibrillator system | 18 | $68 | $239 |
| Programming of multiple lead implantable defibrillator system | 18 | $78 | $256 |
| Insertion of tube in left heart chamber through heart septum | 16 | $170 | $558 |
| Ultrasound evaluation of heart blood vessel with review by radiologist | 16 | $57 | $227 |
| Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional | 13 | $17 | $64 |
| Insertion of pacemaker and upper and lower heart chamber electrode | 12 | $387 | $1,378 |
Industry Payment Transparency
Open Payments through 2024 ↗Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
Payments by company (2024)
Associated products mentioned in payments ›
Most payments (58%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 2% for internal medicine in FL.
Geographic Context
3.9 mi
Data Sources
| Provider Registry | ✓ NPPES | Weekly updates |
| Medicare Enrollment | ✓ PECOS | Monthly updates |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not public | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This measures how much public data is available about a provider — not how good they are. How we calculate this →
Summary
Dr. Irwin is a remote & electrophysiology specialist, with above-average Medicare volume (top 12% in FL), with low-engagement industry engagement in the top 2% of FL peers, with 19 years of NPI registration.
This summary is auto-generated from federal data. It describes data availability and patterns — not clinical quality. Read our methodology →
Frequently Asked Questions
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All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.
This page is not medical advice, an endorsement, a recommendation, or a quality rating. The Transparency Score measures data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.
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