SARA W STARKS APRN
NPI 1356831655
Nurse Practitioner - Acute Care in Lexington, KY

Active since May 14, 2018PECOS EnrolledAccepts Medicare Assignment
95.5/100
CMS Quality Rating
166 PASADENA DR STE 100, LEXINGTON, KY 40503(859) 278-0319(859) 277-9699 Get Directions Write a Review

NPPES record last updated: December 3, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 3, 2020, Jul 2, 2018, May 14, 2018 (3 updates tracked since 2018).

About Sara W Starks Aprn NPPES

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

SARA W STARKS APRN (NPI 1356831655) is an individual acute care provider in Lexington, Kentucky, licensed in Kentucky (3012442) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Lexington, and is a graduate of University Of South Alabama College Of Medicine (2018).

NPPES Registry Identity

NPI1356831655
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameSARA W STARKSCredential: APRN
Location Address166 PASADENA DR STE 100Lexington, KY 40503
Mailing Address230 Lexington Green Cir Ste 600Lexington, KY 40503-3326 · (859) 971-4695 · Fax (859) 971-4604
Fax(859) 277-9699
Sole ProprietorNo
Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 2018
Enumeration DateMay 14, 2018
Last NPPES UpdateDecember 3, 20203 updates tracked since enumeration
NPPES CertifiedDecember 3, 2020
NPI 1356831655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in KY · 3012442
166 PASADENA DR STE 100, Lexington, KY 40503

Accepted Insurance

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

Sara W Starks Aprn 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 ID1052668639
PECOS Enrollment IDI20180727002632
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 12

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.

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.
295 services186 patients
Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
58 services57 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
58 services57 patients
Test to measure expiratory airflow and volume 94010
This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.
38 services37 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
17 services17 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Baptist Health Lexington

Acute Care Hospitals · Lexington, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number180103
Location1740 Nicholasville RoadLexington, KY 40503 · Fayette County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40503 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
Most-billed visit code 99214
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.

95.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.59
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 4

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

Nurse Practitioner (Critical Care Medicine)
166 PASADENA DR STE 100
LEXINGTON, KY 40503
Internal Medicine (Pulmonary Disease)
166 PASADENA DR STE 100
LEXINGTON, KY 40503
Nurse Practitioner
166 PASADENA DR STE 100
LEXINGTON, KY 40503
Internal Medicine (Pulmonary Disease)
166 PASADENA DR STE 100
LEXINGTON, KY 40503

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 Sara Starks's NPI number?

The NPI number for Sara Starks is 1356831655. It was assigned to this individual provider in the NPPES registry on May 14, 2018.

Where is Sara Starks located?

Sara Starks practices at 166 Pasadena Dr Ste 100, Lexington, KY 40503. The listed phone number is (859) 278-0319.

What is Sara Starks's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Sara Starks enrolled in Medicare?

Yes. Sara Starks 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.

What insurance does Sara Starks accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list Sara Starks as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Sara Starks affiliated with any hospitals?

According to CMS data, Sara Starks is affiliated with Baptist Health Lexington.

When was this NPI record last updated?

The NPPES record for Sara Starks was last updated on December 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.