DR. AUTUMN MARIE STARNES D.O.
NPI 1063605228
Dermatology in Wise, VA

Active since August 21, 2007PECOS EnrolledAccepts Medicare Assignment
94.9/100
CMS Quality Rating
143 WOODLAND DR SW, WISE, VA 24293(276) 365-8071(276) 221-1529 Get Directions Write a Review

NPPES record last updated: November 27, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 27, 2025, Sep 18, 2025, Sep 8, 2022 and 3 more (6 updates tracked since 2017).

About Dr. Autumn Marie Starnes D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. AUTUMN MARIE STARNES D.O. (NPI 1063605228) is an individual dermatology provider in Wise, Virginia, licensed in Virginia (0102202850) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS, is affiliated with Lonesome Pine Hospital, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1063605228
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameDR. AUTUMN MARIE STARNESCredential: D.O.
Location Address143 WOODLAND DR SWWise, VA 24293-4623
Mailing Address5542 Burwell RdWise, VA 24293-5929 · (276) 220-9149 · Fax (276) 221-1529
Fax(276) 221-1529
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateAugust 21, 2007
Last NPPES UpdateNovember 27, 20256 updates tracked since enumeration
NPPES CertifiedNovember 27, 2025
NPI 1063605228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in VA · 0102202850
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
143 WOODLAND DR SW, Wise, VA 24293

Other Names 1

Former Name (1)Dr. Autumn Marie Starnes D.o.

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Autumn Marie Starnes D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8820276017
PECOS Enrollment IDI20110616000454
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 20

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
1,873 services264 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
652 services453 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
506 services342 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
406 services310 patients
Biopsy of related skin growth, each additional growth 11103
A biopsy of related skin growth is a procedure where a small piece of skin growth is removed for testing. If additional growths are identified, they may also be biopsied. This helps in diagnosing skin conditions and planning appropriate treatment.
206 services107 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
180 services127 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lonesome Pine Hospital

Acute Care Hospitals · Big Stone Gap, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490114
Location1990 Holton Avenue EastBig Stone Gap, VA 24219 · Wise County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24293 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.9/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Promoting Interoperability83
Improvement Activities40

Reported Quality Measures

Melanoma: Continuity of Care - Recall System
100%145 patients
Melanoma: Coordination of Care
100%39 patients
One-Time Screening for Hepatitis C Virus (HCV) for all Patients
100%1,663 patients5/55-star benchmark: 98%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Patients combinedPopulations: 100% · 1,698 patients
Patients screened: 100% · 1,698 patients
98%101 patients
Provide Patients Electronic Access to Their Health Information
60%4,527 patients1/55-star benchmark: 100%
Psoriasis: Clinical Response to Systemic Medications
100%20 patients
Tobacco Use and Help with Quitting Among Adolescents
100%362 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dermatology
143 WOODLAND DR SW
WISE, VA 24293
Internal Medicine
143 WOODLAND DR SW
WISE, VA 24293

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Autumn Starnes's NPI number?

The NPI number for Autumn Starnes is 1063605228. It was assigned to this individual provider in the NPPES registry on August 21, 2007. The provider is also known as Dr. Autumn Marie Starnes D.O..

Where is Autumn Starnes located?

Autumn Starnes practices at 143 Woodland Dr SW, Wise, VA 24293. The listed phone number is (276) 365-8071.

What is Autumn Starnes's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Autumn Starnes enrolled in Medicare?

Yes. Autumn Starnes is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Autumn Starnes affiliated with any hospitals?

According to CMS data, Autumn Starnes is affiliated with Lonesome Pine Hospital.

When was this NPI record last updated?

The NPPES record for Autumn Starnes was last updated on November 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.