Julia Francesca Irby , ARNP
Nurse Practitioner • Tampa, FL
4915 Ehrlich Rd
Tampa, FL 336242038
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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NPI assigned on September 8, 2017; this date does not establish years in practice.
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Published CMS data list 2,649 Original Medicare Part B services in 2018.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2018. Published rows only; this is not a quality measure.
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Published Part B service records, 2018:
- 17003 — Destruction of precancer skin growth, 2-14 growths: 830 service units.
- 99335 — Established patient assisted living visit: 552 service units.
- 99336 — Established patient assisted living visit: 239 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2018. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2017 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2018). CPT notice
See all 21 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 12 Medicare Part D prescriptions, including refills, in 2019.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2019. Published rows only; this is not a quality measure.
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Published Part D records, 2019:
- Ketoconazole — 12 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2019. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See the full table · Guide: How to read Medicare Part D prescriber data
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Medicare Part B services went from 551 in 2017 to 2,649 in 2018.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2017–2018.
Practice Location & Contact Primary Location
4915 Ehrlich Rd
Tampa, FL 336242038
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
2016
What Public CMS Data Show
Nurse Practitioner: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare-allowed amount
About $154,633 in 2018
The total amount Medicare approved for these services in 2018. 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 – by Provider and Service, 2018.
Paid by Medicare
About $111,601 in 2018
The part of the Medicare-allowed amount that Medicare itself paid in 2018, 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 – by Provider and Service, 2018.
30-day fills
12 standardized 30-day fills in 2019
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
$594 in 2019
The total cost of these prescriptions in 2019, 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 – by Provider and Drug, 2019.
Open Payments general payments, program year 2025
All general payments: $176.92 across 3 records.
By nature of payment
- Food and Beverage: $176.92 across 3 records.
Reporting-company totals
- Galderma Laboratories, L.P.: $134.27 across 2 records.
- MERZ NORTH AMERICA, INC.: $42.65 across 1 record.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
10 years (graduated 2016)
CMS Doctors and Clinicians data list 2016 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
2017
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.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
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, “Does your provider accept Medicare as full payment?”
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.
Can order Medicare-covered services
CMS lists Julia Irby as eligible to order or refer durable medical equipment (DME) 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 Tampa and Florida
Billing and prescribing volume is not a quality rating.
Medicare Part B
Comparisons use 2024 data. The latest CMS data for Julia Irby are from 2018.
Medicare Part D
Comparisons use 2024 data. The latest CMS data for Julia Irby are from 2019.
821 active clinicians are listed under Nurse Practitioner with a practice address in Tampa, FL (8,853 in Florida).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Tampa
18.6% of these 821 clinicians have the CMS telehealth indicator.
54.4% of these 821 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 381% from 551 in 2017 to 2,649 in 2018.
- 2017: 551
- 2018: 2,649
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Medicare-allowed amount
Medicare-allowed amount increased 373% from $32,716 in 2017 to $154,633 in 2018.
- 2017: $32,716
- 2018: $154,633
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Paid by Medicare
Paid by Medicare increased 328% from $26,067 in 2017 to $111,601 in 2018.
- 2017: $26,067
- 2018: $111,601
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Medicare Part D prescriptions
Medicare Part D prescriptions decreased 84% from 73 in 2017 to 12 in 2019.
- 2017: 73
- 2018: 394
- 2019: 12
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30-day fills
30-day fills decreased 84% from 77 in 2017 to 12 in 2019.
- 2017: 77
- 2018: 416
- 2019: 12
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Part D drug cost
Part D drug cost decreased 89% from $5,259 in 2017 to $594 in 2019.
- 2017: $5,259
- 2018: $57,189
- 2019: $594
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $60.05 in 2022 to $176.92 in 2025.
- 2022: $60.05
- 2023: $120.92
- 2024: $48.88
- 2025: $176.92
Sources: CMS Medicare Physician & Other Practitioners (2018), CMS Medicare Part D Prescribers (2019), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · 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 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $176.92.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Galderma Laboratories, L.P. |
Food and Beverage
In-kind items and services
|
— | General | $115.62 |
| MERZ NORTH AMERICA, INC. |
Food and Beverage
In-kind items and services
|
Xeomin | General | $42.65 |
| Galderma Laboratories, L.P. |
Food and Beverage
In-kind items and services
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— | General | $18.65 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2017 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 – by Provider and Service data, 2017–2018; 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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17003
Destruction of precancer skin growth, 2-14 growths
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830 | 140 | $11.07 | $4.49 |
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99335
Established patient assisted living visit, typically 25 minutes
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552 | 355 | $190.33 | $80.78 |
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99336
Established patient assisted living visit, typically 40 minutes
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239 | 196 | $272.59 | $115.64 |
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17000
Destruction of precancer skin growth, 1 growth
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236 | 186 | $133.12 | $49.67 |
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17004
Destruction of precancer skin growth, 15 or more growths
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111 | 78 | $289.35 | $122.17 |
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17110
Destruction of skin growth, 1-14 growths
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96 | 75 | $217.21 | $92.38 |
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11100
Biopsy of single growth of skin and/or tissue
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85 | 76 | $210.38 | $82.87 |
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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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81 | 55 | $139.75 | $58.31 |
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99326
New patient assisted living visit, typically 45 minutes
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78 | 78 | $282.63 | $119.02 |
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99348
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes
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55 | 40 | $169.87 | $71.90 |
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17003
Destruction of precancer skin growth, 2-14 growths
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52 | 13 | $11.00 | $2.18 |
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99334
Established patient custodial care facility, group care, or assisted living visit, typically 15 minutes
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46 | 42 | $120.37 | $51.28 |
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99349
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes
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31 | 27 | $260.71 | $109.92 |
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99327
New patient custodial care facility, group care, or assisted living visit, typically 1 hour
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29 | 29 | $376.07 | $159.45 |
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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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25 | 21 | $184.44 | $77.99 |
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99325
New patient assisted living visit, typically 30 minutes
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25 | 25 | $164.00 | $68.52 |
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11101
Biopsy of each additional growth of skin and/or tissue
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21 | 17 | $66.29 | $27.98 |
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17000
Destruction of precancer skin growth, 1 growth
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18 | 17 | $132.72 | $41.39 |
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99305
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes
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14 | 14 | $264.14 | $111.25 |
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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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14 | 14 | $337.86 | $142.29 |
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11100
Biopsy of single growth of skin and/or tissue
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11 | 11 | $211.64 | $42.93 |
Source: CMS Part B by Provider and Service, 2018; 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 2019.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Ketoconazole | Ketoconazole | 12 | 310 | $593.74 | — |
Source: CMS Part D by Provider and Drug, 2019; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2025-01-30NUCC Taxonomy Code: 363L00000X
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSSources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Nurse Practitioner - Adult Health
Advanced Registered Nurse Practitioner
Dermatology
Doctor of Medicine (M.D.)
Radiology - Radiation Oncology
Doctor of Medicine (M.D.)
Physician Assistant
Physician Assistant (Certified)
Dermatology
Doctor of Medicine (M.D.)
Physician Assistant
Physician Assistant
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Recorded as JULIA IRBY, ARNP
NPI status registered as active in NPPES database
Registered at 4915 EHRLICH RD, TAMPA, FL 336242038 (Tel: 8139602400)
Registered at 14601 BRENTWOOD LN, TAMPA, FL 336182011 (Tel: 8135001932)
Recorded as JULIA PIZZURRO, ARNP
Nurse Practitioner (license number reported to NPPES: FL 9343208)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Nurse Practitioners in Tampa
- Amanda Puello
- Shanita Evans, APRN
- Bindu Joe, ARNP
- Ashley Salas-Santiago
- Marlene Gillen, ARNP
- Jennifer Hanle, AGPCNP
Mailing Address
14601 Brentwood Ln
Tampa, FL 336182011
Phone: 8135001932