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Dr. Joshua Tyler Mirrer, MD

(Dr. Joshua Mirrer, MD)

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Specializes in: Hand Surgery and Plastic Surgery

Stony Brook University Medical Center, School of Medicine

Professional interests include: wrist problems, wounds, strains, and more.

550 First Avenue
New York, NY 10016

(212) 263-5506

Dr. Joshua Tyler Mirrer, MD is a hand surgeon in Phoenix, AZ specializing in hand surgery and plastic surgery. He graduated from Stony Brook University Medical Center, School of Medicine. Dr. Joshua Tyler Mirrer, MD is affiliated with Deer Valley Medical Center, Scottsdale Shea Medical Center, Scottsdale Osborn Medical Center, Phoenix Children's, Sonoran Crossing Medical Center, Abrazo Health, Abrazo Scottsdale Campus, Honor Health, Scottsdale Thompson Peak Medical Center, ARIZONA CENTER FOR HAND SURGERY PC and John C Lincoln Medical Center.

Office Locations

Address:

370 East Virginia Avenue Suite 100
Phoenix, AZ 85004

Address:

550 First Avenue
New York, NY 10016

Some issues Dr. Joshua Tyler Mirrer, MD can help you with:

Debridement (Removal of Unhealthy Tissue)

Debridement is a procedure that removes damaged skin to help the body heal a chronic wound, acute injury, or burn. Several layers of skin surrounding a chronic wound can include foreign debris, dead (necrotic) tissue, infected tissue, and calloused (hyperkeratotic) skin. If left untreated, these damaged skin layers can spread infection to other parts of the body and may aggravate the wound and delay its healing.

Debriding (removing) this damaged and diseased skin encourages the growth of healthy new tissue, impeding infection by triggering the body's natural cycle of tissue renewal. For this reason, debridement functions both as a wound treatment and as a preventative measure against more complex consequences of infected skin, such as sepsis and amputation. In some circumstances, debridement provides additional aesthetic benefits such as decreased scarring. Debridement also permits doctors to retrieve tissue samples for testing, such as to determine whether patients need antibiotic treatment.

Wounds that frequently require debridement include:

Nonhealing diabetic ulcers
Chronic wounds
Severe burns
Contaminated wounds

Debridement can be performed either surgically or nonsurgically; some methods are less invasive than others. Doctors select the appropriate debridement technique by considering the location, cause, and size of a patient's wound and may also weigh the patient's overall wellbeing, age, and risk of infection.

Surgical debridement is performed by cutting away dead, infected, and hyperkeratotic skin with a surgical scalpel. For deep wounds that tear away the skin and go into the muscle, skin from another region of a patient's body may be grafted onto the wound, which may then be periodically assessed and rebandaged until fully healed.

Non-surgical debridement is achieved with water or a dissolvent gel. Water softens the damaged skin and affected tissue, allowing doctors to remove it with wet-to-dry dressing. When wet tissue dries, it adheres to the dry dressing or bandage and comes off when the dressing is pulled away. In contrast, dissolvent gel deconstructs tissue, which can be cleaned off of the wound. Nonsurgical debridement is less invasive than surgical techniques; however, it can entail repeat treatments, slowing wound recovery.

While the prospect of stripping away skin may seem jarring, debridement can be critical to the treatment and healing of wounds which cannot not heal independently.

hospital care	18
inpatient care	18

**Gender**
Male	28
Female	23

**Ethnicity**
Non-Hispanic White	37
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	24
From 75 to 84	0
85 and over	0
Less than 65	14

Hypertension	75
High Cholesterol	59
Stroke	0
Ischemic Heart Disease	39
Depression	39
Chronic Kidney Disease	47
Asthma	0
Osteoperosis	0
Atrial Fibrilation	22
Heart Failure	31
Chronic Obstructive Pulmonary Disease	0
Diabetes	41
Dementia	25
Cancer	0

doctor visit	123
hospital care	64
inpatient care	64

**Gender**
Male	83
Female	84

**Ethnicity**
Non-Hispanic White	125
Black	0
Hispanic	16
Asian	0
Other	0
Native American	15

**Age**
From 65 to 74	67
From 75 to 84	44
85 and over	20
Less than 65	36

Hypertension	74
High Cholesterol	63
Stroke	11
Ischemic Heart Disease	38
Depression	38
Chronic Kidney Disease	46
Asthma	10
Osteoperosis	14
Atrial Fibrilation	14
Heart Failure	20
Chronic Obstructive Pulmonary Disease	20
Diabetes	38
Dementia	20
Cancer	12

doctor visit	114
hospital care	51
inpatient care	51

**Gender**
Male	71
Female	92

**Ethnicity**
Non-Hispanic White	127
Black	0
Hispanic	12
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	70
From 75 to 84	46
85 and over	20
Less than 65	27

Hypertension	72
High Cholesterol	63
Stroke	10
Ischemic Heart Disease	37
Depression	37
Chronic Kidney Disease	52
Asthma	11
Osteoperosis	10
Atrial Fibrilation	16
Heart Failure	24
Chronic Obstructive Pulmonary Disease	17
Diabetes	34
Dementia	14
Cancer	13

doctor visit	105
hospital care	31
inpatient care	31
plastic surgery procedures	11
reconstructive surgery	11
tissue transfer	11
wound repair (e.g. stitches)	11

**Gender**
Male	89
Female	74

**Ethnicity**
Non-Hispanic White	131
Black	0
Hispanic	0
Asian	0
Other	0
Native American	14

**Age**
From 65 to 74	81
From 75 to 84	45
85 and over	16
Less than 65	21

Hypertension	67
High Cholesterol	58
Stroke	0
Ischemic Heart Disease	35
Depression	24
Chronic Kidney Disease	35
Asthma	0
Osteoperosis	9
Atrial Fibrilation	13
Heart Failure	20
Chronic Obstructive Pulmonary Disease	12
Diabetes	30
Dementia	13
Cancer	8

**Gender**
Male	68
Female	74

**Ethnicity**
Non-Hispanic White	112
Black	0
Hispanic	11
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	70
From 75 to 84	41
85 and over	17
Less than 65	14

Hypertension	69
High Cholesterol	73
Stroke	11
Ischemic Heart Disease	24
Depression	23
Chronic Kidney Disease	23
Asthma	11
Osteoperosis	19
Atrial Fibrilation	21
Heart Failure	9
Chronic Obstructive Pulmonary Disease	15
Diabetes	34
Dementia	11
Cancer	14

Average Medicare Procedure Volume From 2018 - 2022

Volume of procedures performed by Dr. Joshua Tyler Mirrer, MD for Medicare patients.

The highest averages for the top procedures that Dr. Joshua Tyler Mirrer, MD treated as a hand surgeon in Phoenix, AZ were hospital care, inpatient care, nerve procedures and upper extremity surgery.

decompression surgery	14
doctor visit	109
hospital care	40
inpatient care	40
lower extremity surgery	14
nerve procedures	14
plastic surgery procedures	10
reconstructive surgery	10
tissue transfer	10
upper extremity surgery	14
wound repair (e.g. stitches)	10

Average Medicare Patient Data From 2018 - 2022

Information about Medicare patients treated by Dr. Joshua Tyler Mirrer, MD.

**Gender**
Male	33
Female	34

**Ethnicity**
Black / African American	0
Asian / Pacific Islander	0
Non-Hispanic White	53
Native American / Alaskan Native	2
Hispanic	3
Other	0

**Age**
75 to 84	17
85 and over	7
Less than 65	11
65 to 74	31

Average of Total of Conditions of Medicare patients treated by Dr. Joshua Tyler Mirrer, MD From 2018 - 2022

The highest averages of the most common conditions of Medicare patients that Dr. Joshua Tyler Mirrer, MD treated were hypertension, high cholesterol, chronic kidney disease and diabetes.

Hypertension	35
High Cholesterol	31
Stroke	3
Ischemic Heart Disease	17
Depression	16
Chronic Kidney Disease	20
Asthma	3
Osteoporosis	5
Heart Failure	10
Chronic Obstructive Pulmonary Disease	6
Diabetes	17
Atrial Fibrillation	8
Cancer	4
Dementia	8

Education & Training

Dr. Joshua Tyler Mirrer, MD graduated from Stony Brook University Medical Center, School of Medicine. He completed residency at NYU Langone Medical Center. He is certified by the American Board of Plastic Surgery - Surgery of the Hand, American Board of Plastic Surgery - Plastic Surgery and has a state license in Arizona.

Medical School: Stony Brook University Medical Center, School of Medicine

Residency: NYU Langone Medical Center

Board Certification: American Board of Plastic Surgery - Surgery of the Hand, American Board of Plastic Surgery - Plastic Surgery

Licensed In: Arizona

Affiliations & Hospitals

Dr. Joshua Tyler Mirrer, MD is associated with these hospitals and organizations:

Deer Valley Medical Center

Scottsdale Shea Medical Center

Scottsdale Osborn Medical Center

Phoenix Children's

Sonoran Crossing Medical Center

Abrazo Health

Abrazo Scottsdale Campus

Honor Health

Scottsdale Thompson Peak Medical Center

ARIZONA CENTER FOR HAND SURGERY PC

John C Lincoln Medical Center

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General Payments

These charts describe general payments received by Dr. Joshua Tyler Mirrer, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
Arthrex, Inc.	$3,323 $3,323
AXOGEN	$1,847 AxoGuard Nerve Protector $1,679	AxoTouch $99	AxoGuard Nerve Connector $58	AVANCE NERVE GRAFT $11
Liberty Surgical, Inc	$1,099 $1,099
Desert Mountain Medical	$206 $206
TELA Bio, Inc.	$169 OviTex Reinforced Bioscaffold With Permanent Polymer (OviTex) $169
Other	$781 Anatomic Radial Head System $161	Aptus $98	Flowable $96	No Related Product $70	PRO $69	Other $286

**Types of Payments**
Education	$3,394
Food and Beverage	$2,036
Travel and Lodging	$1,894
Gift	$99

Biography

Dr. Joshua Mirrer's medical specialty is plastic surgery and hand surgery. Dr. Mirrer's areas of clinical interest consist of hand problems, wrist problems, and orthopedic surgery. He is affiliated with Scottsdale Osborn Medical Center, Scottsdale Shea Medical Center, and Deer Valley Medical Center. He obtained his medical school training at Stony Brook University Medical Center, School of Medicine and performed his residency at NYU Langone Medical Center.