Individual provider Active NPI

Mark Jeffery Irby, PA-C

  • Surgical Physician Assistant
  • Houston, TX
National Provider Identifier
1174967780
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA08327 Issued in TX
Practice address
6400 Fannin St
Ste 1700
Houston, TX 77030-1521
Phone
(713) 486-7550
NPI assigned
Apr 25, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA08327 TX Primary
Physician Assistant 363A00000X PA219358 OR

Addresses

Primary practice location

6400 Fannin St
Ste 1700
Houston, TX 77030-1521

Mailing address

7401 SW Washo CT Ste 100
Tualatin, OR 97062-8342

Other practice location 1

6485 SW Borland Rd Ste A
Tualatin, OR 97062-9762
Phone (503) 665-0836

Other practice location 2

1508 Division St Ste 105
Oregon City, OR 97045-1584
Phone (503) 547-6083

Other practice location 3

7401 SW Washo Ct Ste 100
Tualatin, OR 97062-8342
Phone (503) 665-0836

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250909003935 OR Practitioner - Physician Assistant 1951541168 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Baylor College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regenerative Orthopedic Center LLCGroup PAC ID 0749640597, 27 clinicians

Practice addresses (Care Compare)

15755 SW Sequoia Pkwy
Suite 200
Tigard, OR 97224-7166
Phone (503) 639-6002

Hospital & facility affiliations

  • Legacy Meridian Park Medical Center Hospital, Tualatin, OR, CCN 380089
  • Providence Willamette Falls Medical Center Hospital, Oregon City, OR, CCN 380038

Merit-based Incentive Payment System (MIPS)

Final score
84.11 of 100Reported as group
Quality
69.15
Promoting interoperability
100
Improvement activities
40
Cost
73.63

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA08327TXMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Regenerative Orthopedic Center LLC CurrentSince Sep 1, 2025 Accepting new patients
Regenerative Orthopedic Center LLC CurrentSince Sep 1, 2025 Accepting new patients

Locations

1508 Division St
Ste 105
Oregon City, OR 97045
Phone (503) 656-0836

15755 SW Sequoia Pkwy
Ste 200
Tigard, OR 97224
Phone (503) 639-6002

7401 SW Washo Ct
Ste 100
Tualatin, OR 97062
Phone (503) 656-0836

6485 SW Borland Rd
Tualatin, OR 97062
Phone (503) 783-3090

6485 SW Borland Rd
Ste A
Tualatin, OR 97062
Phone (503) 665-0836

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1366848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1174967780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7401 SW WASHO CT STE 100",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970628342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 FANNIN ST",
            "address_2": "STE 1700",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770301521",
            "telephone_number": "713-486-7550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6485 SW Borland Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Tualatin",
            "state": "OR",
            "postal_code": "970629762",
            "country_code": "US",
            "telephone_number": "503-665-0836",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1508 Division St Ste 105",
            "address_purpose": "LOCATION",
            "city": "Oregon City",
            "state": "OR",
            "postal_code": "970451584",
            "country_code": "US",
            "telephone_number": "503-547-6083",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7401 SW Washo Ct Ste 100",
            "address_purpose": "LOCATION",
            "city": "Tualatin",
            "state": "OR",
            "postal_code": "970628342",
            "country_code": "US",
            "telephone_number": "503-665-0836",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IRBY",
        "first_name": "MARK",
        "middle_name": "JEFFERY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-25",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA08327",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA219358",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.