DR. AUSTIN STARNES M.D.
NPI 1396192118
Radiology - Diagnostic Radiology in Durham, NC

Active since May 22, 2016PECOS EnrolledAccepts Medicare Assignment
81.07/100
CMS Quality Rating
2301 ERWIN RD, DURHAM, NC 27705(919) 684-8111 Get Directions Write a Review

NPPES record last updated: June 17, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 17, 2021, Jan 12, 2021, Sep 30, 2019 and 1 more (4 updates tracked since 2016).

About Dr. Austin Starnes M.d. NPPES

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

DR. AUSTIN STARNES M.D. (NPI 1396192118) is an individual diagnostic radiology provider in Durham, North Carolina, licensed in Alabama (MD.37901) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS, is affiliated with Centura St. Catherine Hospital-garden City, and maintains a secondary practice location in Birmingham.

NPPES Registry Identity

NPI1396192118
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. AUSTIN STARNESCredential: M.D.
Location Address2301 ERWIN RDDurham, NC 27705-4699
Mailing Address2301 Erwin RdDurham, NC 27705-4699
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 2016
Enumeration DateMay 22, 2016
Last NPPES UpdateJune 17, 20214 updates tracked since enumeration
NPPES CertifiedJune 17, 2021
NPI 1396192118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in AL · MD.37901
Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 37901 (AL)
2301 ERWIN RD, Durham, NC 27705

Secondary Practice Location 1

Location 1833 Princeton ave. sw, Physician office building 3, Suite 200EBirmingham, AL 35211 · Phone (205) 599-4823

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

Dr. Austin Starnes M.d. 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 ID6709173784
PECOS Enrollment IDI20220725002004
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 30

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.

Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
98 services98 patients
Nuclear medicine study from skull base to mid-thigh with ct scan 78815
A nuclear medicine study from skull base to mid-thigh with a CT scan involves using a small amount of radioactive material and CT imaging to examine body tissues and organs. This helps detect any abnormalities by providing detailed images of the body's internal structure.
98 services90 patients
Ct scan of upper spine without contrast 72125
A CT scan of the upper spine without contrast is a non-invasive imaging test that uses X-rays to capture detailed images of your neck and upper back. It helps in identifying issues like fractures, tumors, or infections. No dye (contrast) is used in this scan.
87 services87 patients
Ct scan of blood vessels of chest with contrast 71275
A CT scan of the chest with contrast is a non-invasive imaging test. It uses X-rays and a special dye to get detailed images of your blood vessels in the chest. This helps in diagnosing conditions related to heart and lungs.
59 services59 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
53 services53 patients
Nuclear medicine study from skull base to mid-thigh with ct scan 78815
A nuclear medicine study from skull base to mid-thigh with a CT scan involves using a small amount of radioactive material and CT imaging to examine body tissues and organs. This helps detect any abnormalities by providing detailed images of the body's internal structure.
53 services49 patients

Hospital Affiliations CMS Care Compare

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

Centura St. Catherine Hospital-Garden City

Acute Care Hospitals · Garden City, KS
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number170023
Location401 East SpruceGarden City, KS 67846 · Finney County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27705 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

81.07/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality94.99
Improvement Activities40
Cost46.09

Other Providers at the Same Location NPPES 20

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

Ophthalmology
2301 ERWIN RD
DURHAM, NC 27705
Student in an Organized Health Care Education/Training Program
2301 ERWIN RD, DUKE UNIVERSITY HOSPITAL, HOSPITAL MED BOX 100800, DUMC
DURHAM, NC 27705
Internal Medicine
2301 ERWIN RD
DURHAM, NC 27705
Student in an Organized Health Care Education/Training Program
2301 ERWIN RD, DUKE MEDICAL RESIDENTS OFFICE
DURHAM, NC 27705
Physician Assistant
2301 ERWIN RD, DUKE NORTH 3200
DURHAM, NC 27705
Internal Medicine
2301 ERWIN RD, RM 8254DN
DURHAM, NC 27705
Nurse Practitioner
2301 ERWIN RD
DURHAM, NC 27705
Physician Assistant
2301 ERWIN RD
DURHAM, NC 27705

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 Austin Starnes's NPI number?

The NPI number for Austin Starnes is 1396192118. It was assigned to this individual provider in the NPPES registry on May 22, 2016.

Where is Austin Starnes located?

Austin Starnes practices at 2301 Erwin Rd, Durham, NC 27705. The listed phone number is (919) 684-8111.

What is Austin Starnes's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Austin Starnes enrolled in Medicare?

Yes. Austin 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.

What insurance does Austin Starnes accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. list Austin Starnes 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 Austin Starnes affiliated with any hospitals?

According to CMS data, Austin Starnes is affiliated with Centura St. Catherine Hospital-Garden City.

When was this NPI record last updated?

The NPPES record for Austin Starnes was last updated on June 17, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.