Dr. Efrain Irizarry , MD
Internal Medicine โข Gainesville, FL
6500 W Newberry Rd
Gainesville, FL 326054309
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Dr. Efrain Irizarry is listed in NPPES under Internal Medicine.
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NPI assigned on January 31, 2011; this date does not establish years in practice.
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Published CMS data list 1,781 Original Medicare Part B services in 2022.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2022. Published rows only; this is not a quality measure.
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Published Part B service records, 2022:
- 99233 โ Subsequent hospital care with moderate levelof medical decision making: 511 service units.
- 99309 โ Subsequent nursing facility care with moderate level of medical decision making, per day: 321 service units.
- 99232 โ Subsequent hospital care with moderate levelof medical decision making: 290 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2022. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2021 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2022). CPT notice
See all 11 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 309 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Atorvastatin Calcium โ 33 prescription fills, including refills.
- Memantine Hcl โ 28 prescription fills, including refills.
- Clopidogrel (Clopidogrel Bisulfate) โ 26 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 19 records in the table ยท Guide: How to read Medicare Part D prescriber data
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Close to the middle for Part D prescriptions among clinicians listed under Internal Medicine in Gainesville, FL (2024, 149 clinicians with data). Median for this group: 369. Middle half: 69 to 2,736.
Fewer Part D prescriptions than 65% of clinicians listed under Internal Medicine in Florida (2024, 6,545 clinicians with data). Median for this group: 1,318. Middle half: 158 to 5,882.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 1,546 in 2018 to 1,781 in 2022.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2018โ2022.
Practice Location & Contact Primary Location
6500 W Newberry Rd
Gainesville, FL 326054309
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 1 group name: Vitas Solutions Inc. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
2008
What Public CMS Data Show
Internal Medicine: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare-allowed amount
About $177,129 in 2022
The total amount Medicare approved for these services in 2022. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2022.
Paid by Medicare
About $140,033 in 2022
The part of the Medicare-allowed amount that Medicare itself paid in 2022, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2022.
30-day fills
319 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$21,322 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024.
Industry payments (Open Payments)
Fewer than 11 payment records totaling $145.45 in 2023
Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.
It shows reported financial ties between this clinician and companies. You can ask your clinician about them.
These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.
General: payments not tied to research, such as meals, travel, consulting or speaking fees.
A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.
Source: CMS Open Payments, program year 2023.
Years since graduation
18 years (graduated 2008)
CMS Doctors and Clinicians data list 2008 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2011
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
May accept Medicare assignment
CMS data show this clinician may accept Medicare assignment. Clinicians who do not always accept assignment can decide case by case.
Ask the office before your visit. If a clinician does not accept assignment for a service, they can charge up to 15% more than the Medicare-approved amount, and you may be asked to pay the full amount at the visit.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. Irizarry has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Dr. Irizarry as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Gainesville and Florida
Billing and prescribing volume is not a quality rating.
Medicare Part D prescriptions
Close to the middle for clinicians listed under Internal Medicine in Gainesville, FL (2024, 149 clinicians with data). Median for this group: 369. Middle half: 69 to 2,736.
Fewer Part D prescriptions than 65% of clinicians listed under Internal Medicine in Florida (2024, 6,545 clinicians with data). Median for this group: 1,318. Middle half: 158 to 5,882.
Part D drug cost
Close to the middle for clinicians listed under Internal Medicine in Gainesville, FL (2024, 149 clinicians with data). Median for this group: $21,368. Middle half: $2,230 to $200,110.
A lower Part D drug cost than 60% of clinicians listed under Internal Medicine in Florida (2024, 6,545 clinicians with data). Median for this group: $86,865. Middle half: $8,159 to $434,445.
Medicare Part B
Comparisons use 2024 data. The latest CMS data for Dr. Irizarry are from 2022.
290 active clinicians are listed under Internal Medicine with a practice address in Gainesville, FL (10,165 in Florida).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Gainesville
13.1% of these 290 clinicians have the CMS telehealth indicator.
49.3% of these 290 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 15% from 1,546 in 2018 to 1,781 in 2022.
- 2018: 1,546
- 2019: 811
- 2020: 1,240
- 2021: 1,161
- 2022: 1,781
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Medicare-allowed amount
Medicare-allowed amount increased 29% from $137,162 in 2018 to $177,129 in 2022.
- 2018: $137,162
- 2019: $156,998
- 2020: $143,939
- 2021: $115,213
- 2022: $177,129
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Paid by Medicare
Paid by Medicare increased 28% from $109,284 in 2018 to $140,033 in 2022.
- 2018: $109,284
- 2019: $124,323
- 2020: $113,307
- 2021: $91,476
- 2022: $140,033
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 1305% from 22 in 2020 to 309 in 2024.
- 2020: 22
- 2021: 195
- 2022: 1,440
- 2023: 495
- 2024: 309
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30-day fills
30-day fills increased 1350% from 22 in 2020 to 319 in 2024.
- 2020: 22
- 2021: 205
- 2022: 1,460
- 2023: 501
- 2024: 319
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Part D drug cost
Part D drug cost went from $126 in 2020 to $21,322 in 2024.
- 2020: $126
- 2021: $9,023
- 2022: $69,881
- 2023: $30,348
- 2024: $21,322
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $105.75 in 2019 to $145.45 in 2023.
- 2019: $105.75
- 2021: $259.79
- 2022: $139.50
- 2023: $145.45
Sources: CMS Medicare Physician & Other Practitioners (2022), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2023), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2023 (payments made January 1 โ December 31, 2023): fewer than 11 records totaling $145.45.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Medtronic, Inc. |
Food and Beverage
In-kind items and services
|
CLOSUREFAST | General | $145.45 |
Source: CMS Open Payments, program year 2023, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ2021 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2017โ2022; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99233
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
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511 | 222 | $267.00 | $101.83 |
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99309
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes
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321 | 51 | $233.00 | $89.18 |
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99232
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
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290 | 154 | $186.00 | $71.10 |
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99310
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes
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227 | 46 | $346.00 | $132.06 |
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99239
Hospital discharge day management, more than 30 minutes
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115 | 114 | $274.00 | $104.03 |
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99307
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes
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92 | 32 | $113.00 | $42.72 |
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99223
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
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71 | 69 | $519.00 | $195.75 |
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99306
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more
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57 | 48 | $425.00 | $163.03 |
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99238
Hospital discharge day management, 30 minutes or less
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45 | 43 | $186.00 | $71.15 |
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99308
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more
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32 | 14 | $176.00 | $67.56 |
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99217
Hospital observation care on day of discharge
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20 | 20 | $186.00 | $71.11 |
Source: CMS Part B by Provider and Service, 2022; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Atorvastatin Calcium | Atorvastatin Calcium | 33 | 1,182 | $511.12 | โ |
| Memantine Hcl | Memantine Hcl | 28 | 731 | $851.15 | โ |
| Clopidogrel | Clopidogrel Bisulfate | 26 | 664 | $407.86 | โ |
| Levetiracetam | Levetiracetam | 15 | 366 | $517.32 | โ |
| Lisinopril | Lisinopril | 14 | 366 | $198.15 | โ |
| Metoprolol Tartrate | Metoprolol Tartrate | 14 | 366 | $198.15 | โ |
| Gabapentin | Gabapentin | 14 | 366 | $265.44 | โ |
| Xarelto | Rivaroxaban | 14 | 366 | $7,549.83 | โ |
| Donepezil Hcl | Donepezil Hcl | 14 | 366 | $248.64 | โ |
| Escitalopram Oxalate | Escitalopram Oxalate | 14 | 366 | $217.21 | โ |
| Pantoprazole Sodium | Pantoprazole Sodium | 14 | 366 | $237.12 | โ |
| Potassium Chloride | Potassium Chloride | 14 | 366 | $505.35 | โ |
| Tamsulosin Hcl | Tamsulosin Hcl | 14 | 366 | $254.55 | โ |
| Mirtazapine | Mirtazapine | 14 | 366 | $266.35 | โ |
| Farxiga | Dapagliflozin Propanediol | 14 | 366 | $7,748.22 | โ |
| Celecoxib | Celecoxib | 14 | 366 | $549.06 | โ |
| Sertraline Hcl | Sertraline Hcl | 13 | 361 | $220.02 | โ |
| Digoxin | Digoxin | 13 | 361 | $319.94 | โ |
| Montelukast Sodium | Montelukast Sodium | 13 | 361 | $256.41 | โ |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 207R00000X
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.
NUCC Taxonomy Code: 207R00000X
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.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - INTERNAL MEDICINE
I20120712000573
FL
3476718677
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Vitas Solutions Inc
3720 Executive Way, Miramar, FL 330253946
Phone: 8778684827
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Physician Assistant
Psychiatry & Neurology - Psychiatry
Doctor of Medicine (M.D.)
Emergency Medicine
Doctor of Osteopathic Medicine (D.O.)
Anesthesiology
Doctor of Medicine (M.D.)
Anesthesiology
Doctor of Medicine (M.D.)
Student in an Organized Health Care Education/Training Program
Bachelor of Medicine, Bachelor of Surgery (M.B.B.S.)
Career & Practice History
NPI enumerated January 31, 2011.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.
NPI Administrative Meta
Other Internal Medicine Providers in Gainesville
- Dr. Tiffany Billings, MD
- Dr. Ahmed Nawaz, MD
- Dr. Paru Mehta, MD
- Dr. Freeman Kamuru, MD
- Dr. Omar Al-Radideh, MD
- Dr. Mitchell Bourne, MD
Mailing Address
6500 W Newberry Rd
Gainesville, FL 326054309
Phone: 3529890986