1. Home
  2. Directory
  3. North Carolina
  4. Hickory
  5. Thoracic Surgery Cardiothoracic Vascular Surgery
  6. NPI Profile

BRETT TIMOTHY STARR M.D.
NPI 1538579701
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Hickory, NC

Active since April 28, 2014PECOS EnrolledAccepts Medicare Assignment
80.46/100
CMS Quality Rating
415 N CENTER ST STE 204, HICKORY, NC 28601(828) 323-1100(828) 324-9189 Get Directions Write a Review

NPPES record last updated: November 19, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 19, 2025, Dec 1, 2021, Aug 2, 2021 and 1 more (4 updates tracked since 2017).

About Brett Timothy Starr M.d. NPPES

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

BRETT TIMOTHY STARR M.D. (NPI 1538579701) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Hickory, North Carolina, licensed in North Carolina (2017-00304) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Frye Regional Medical Center, and maintains a secondary practice location in Great Falls.

NPPES Registry Identity

NPI1538579701
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameBRETT TIMOTHY STARRCredential: M.D.
Location Address415 N CENTER ST STE 204Hickory, NC 28601-5036
Mailing Address415 N Center St Ste 204Hickory, NC 28601-5036
Phone(828) 323-1100
Fax(828) 324-9189
Sole ProprietorNo
Medical School CMSWake Forest University School Of MedicineGraduated 2014
Enumeration DateApril 28, 2014
Last NPPES UpdateNovember 19, 20254 updates tracked since enumeration
NPPES CertifiedNovember 19, 2025
✔ NPI 1538579701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
Licenses✔ Licensed in NC · 2017-00304✔ Licensed in MT · 107245
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
Also ListedSurgeryTaxonomy 208600000X · License 2017-00304 (NC)
415 N CENTER ST STE 204, Hickory, NC 28601
Open in Google Maps ↗

Secondary Practice Location 1

Location 11101 26th St SGreat Falls, MT 59405-5161 · Phone (406) 731-8888 · Fax (406) 731-8318

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Brett Timothy Starr 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 ID244539138
PECOS Enrollment IDI20210729003485
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Brett Starr reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dlp Frye Medical Group LLC
Same address
Neonatal-Perinatal Medicine
415 N CENTER ST
Hickory, NC 28601
  • Reassigned Medicare billing, North Carolina enrollment
  • 228 clinicians in this Medicare group
NPI 1356865067 (828) 323-8281
Benefis Hospitals, Inc.
1,734 mi
General Acute Care Hospital
1101 26TH ST S
Great Falls, MT 59405
  • Reassigned Medicare billing, Montana enrollment
  • 637 clinicians in this Medicare group
NPI 1881650737 (406) 455-5000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 11

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
127 services41 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
47 services16 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
46 services46 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
40 services24 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.
39 services31 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
37 services37 patients

Hospital Affiliations CMS Care Compare

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

Frye Regional Medical Center

Acute Care Hospitals · Hickory, NC
1/5 CMS rating
OwnershipProprietary
CMS Certification Number340116
Location420 N Center StHickory, NC 28601 · Catawba County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28601 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
$165.09 typical visit price
range $54.12 – $165.09
Typical copayment $41.27 (range $13.53 – $41.27)
Most-billed visit code 99205
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.

80.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.1
Promoting Interoperability75
Improvement Activities40
Cost62.61

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers15 claims15 services$16.26 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers15 claims15 services$83.80 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

PATRICK CHARLES COLMENERO PA
Physician Assistant
415 N CENTER ST STE 204
HICKORY, NC 28601
Catawba County (828) 323-1100

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 Brett Starr's NPI number?

The NPI number for Brett Starr is 1538579701. It was assigned to this individual provider in the NPPES registry on April 28, 2014.

Where is Brett Starr located?

Brett Starr practices at 415 N Center St Ste 204, Hickory, NC 28601. The listed phone number is (828) 323-1100.

What is Brett Starr's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Brett Starr enrolled in Medicare?

Yes. Brett Starr 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.

Which organizations bill Medicare for Brett Starr's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brett Starr reassigns Medicare benefits to 2 organizations: Dlp Frye Medical Group LLC (Hickory, NC) and Benefis Hospitals, Inc. (Great Falls, MT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Brett Starr's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brett Starr accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC and 3 other insurers list Brett Starr 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 Brett Starr affiliated with any hospitals?

According to CMS data, Brett Starr is affiliated with Frye Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Brett Starr was last updated on November 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.