NPI registry status
Active
2026 NPPES data General Practice Physician NPI 1225033863 M.D.
Verify on CMS → Jesse Irwin, M.D.
General Practice Physician in Washington, District of Columbia.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 16,838 in General Practice Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
183
Medicare Part D claims · 126 beneficiaries · General Practice Physician avg: 3K
MIPS score
96/100
▲ 12 pts above national avg 83.5 · Exceptional
Industry payments
$33.63
2 payments · CMS Open Payments (Sunshine Act)
What the federal data shows
Jesse Irwin, M.D. reported a CMS MIPS final score of 96/100 - above the 83.5 national average - and filed 183 Medicare Part D claims in 2024.
- 96/100
- MIPS score · +12 vs avg
- 183
- Part D claims, 2024
- Likely
- board-certified (heuristic)
- ≥78th
- pct among measured MIPS (lower-bound band)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Federal trust snapshot
What official records show about Jesse Irwin, M.D.
Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1225033863), first enumerated 06/20/2005.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 183 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
Reported a CMS MIPS final score of 96/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Industry payment transparency
$33.63 in reported industry payments (2 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1225033863 · General Practice Physician
NPI-10 · ENUM-LEGACY · TAX-MID · MIPS-ELITE · RX-LIGHT · BOOK-THIN · PHOTO-FINISH
- NPI-10 1225033863
- ENUM-LEGACY 2005
- TAX-MID 17K General Practice
- MIPS-ELITE 96/100
- RX-LIGHT 183
- BOOK-THIN 52 in District of Columbia
- PHOTO-FINISH Alex Koo · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Irwin · this pro…
Irwin · this provider
96 MIPS pts
- Alex Koo · near
Alex Koo
96 MIPS pts
- Alexandru Baraba…
Alexandru Barabas
96 MIPS pts
- Daniel Pirvan · …
Daniel Pirvan
96 MIPS pts
- Robin Lanford · …
Robin Lanford
96.1 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Jesse Irwin, M.D.'s MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
96 ≥ 78th percentile 78% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Jesse Irwin, M.D. sits
This provider among general practice physician peers
Across the 714 general practice physician providers who report both Medicare Part D prescribing and a MIPS quality score, Jesse Irwin, M.D. writes more Part D claims than 31% of them and scores higher on MIPS quality than 83% - placing this provider in the lower-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one general practice physician peer from a representative sample of 60; the gold marker is Jesse Irwin, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Jesse Irwin, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Jesse Irwin, M.D.?
High performer (top quartile)Primary specialty
General Practice Physician
Medicare Part D claims
183 94% vs specialty avg
MIPS final score
96/100 12.5 pts vs avg
Specialty distribution in District of Columbia
How General Practice Physician compares to other specialties among District of Columbia providers
Medicare quality performance, MIPS
Jesse Irwin, M.D.'s 2023 MIPS final score plotted against the General Practice Physician national average
- MIPS Final Score
- 96/100
- vs 83.5 national avg · 2023 performance year
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Practice Address
Provider Details
| NPI | 1225033863 |
|---|---|
| Specialty | General Practice Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 06/20/2005 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
95.9921
Final Score
Measured-score avg: 83.5
85.4835
Quality
74.8785
Cost
100
Promoting Interoperability
Reporting: Group practice
Industry payments received (2024) - CMS Open Payments transparency data
The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Jesse Irwin, M.D.. Source: openpaymentsdata.cms.gov.
Total received
$34
Largest payer
Janssen Pharmaceuticals, Inc
Most common payment type
Food and Beverage
Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2024.
183
Total Claims
$3K
Total Drug Cost
126
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 183.067
- Total Day Supply
- 2,326
- Generic Drug Cost
- $1K
- Opioid Claims
- 20 (10.9% rate)
- Antibiotic Claims
- 30
Patient Demographics
- Average Patient Age
- 74.0 years
- Avg HCC Risk Score
- 1.43
- Gender Split
- 63% female / 37% male
- Age Distribution
- <65: 23, 65-74: 43, 75-84: 37, 85+: 23
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
| Drug | Claims |
|---|---|
| Prednisone | 17 |
| Oxycodone-Acetaminophen Oxycodone Hcl/Acetaminophen | 13 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More General Practice Physician in DC →
All providers in District of Columbia →
Compare specialties →
General Practice Physician Overview
How Jesse Irwin, M.D. fits within the General Practice Physician landscape nationally.
16,838
General Practice Physician Providers in US
56
States with General Practice Physician
2,957
Avg Claims per Provider
Jesse Irwin, M.D.'s 183 claims are below the specialty average of 2,957.
Nationwide General Practice Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Irwin, both outside District of Columbia so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (96 here).
Same NPPES enumeration year (2005)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby General Practice Physician Providers in District of Columbia
Other clinicians with the same primary specialty enrolled in District of Columbia, drawn from the same CMS NPPES roster as Irwin.
One of 52 General Practice Physician providers enrolled in District of Columbia, 5 are shown here.
Dr. Iman Abdel Mohsen Khalil
MD
Washington, DC
Dr. Robert Allen
MD
Washington, DC
Dr. Sylvia Alvarado
M.D.
Washington, DC
Dr. Kovid Bhayana
MD, MBA
Washington, DC
Dr. Daniel Carucci
MD, PHD
Washington, DC
Compare General Practice Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Jesse Irwin, M.D.'s specialty? ▼
Jesse Irwin, M.D. specializes in General Practice Physician and practices in Washington, District of Columbia. Credentials: M.D..
How much does Jesse Irwin, M.D. prescribe under Medicare Part D? ▼
In 2024, Jesse Irwin, M.D. wrote 183 Medicare Part D claims totaling $3K in drug costs for 126 beneficiaries.
What is Jesse Irwin, M.D.'s Medicare quality score? ▼
Jesse Irwin, M.D. has a CMS MIPS Final Score of 96/100 (Quality: 85.5, Cost: 74.9). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Jesse Irwin, M.D. located? ▼
Jesse Irwin, M.D. is located at 2300 E ST NW, Washington, DC, 20372. Phone: (202) 762-0553.
What is Jesse Irwin, M.D.'s NPI number? ▼
Jesse Irwin, M.D.'s National Provider Identifier (NPI) is 1225033863, issued on 06/20/2005.
Does Jesse Irwin, M.D. prescribe opioids? ▼
Yes, Jesse Irwin, M.D. had 20 opioid claims in 2024 with an opioid prescribing rate of 10.9%.
How many General Practice Physician providers are there in the US? ▼
There are 16,838 General Practice Physician providers across 56 states in the US. The average General Practice Physician provider writes 2,957 Medicare Part D claims per year.
What drugs does Jesse Irwin, M.D. prescribe most often? ▼
Based on 2024 Medicare Part D data, Jesse Irwin, M.D.'s most frequently prescribed drugs include Prednisone, Oxycodone-Acetaminophen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Jesse Irwin, M.D. accept Medicare? ▼
Jesse Irwin, M.D. appears in CMS Medicare data with 183 Part D claims and 126 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Jesse Irwin, M.D.'s credentials? ▼
Jesse Irwin, M.D.'s NPI is 1225033863 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.
Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2024). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Quality Performance
- CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of August 2026 (NPPES) / 2024 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.