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DR. MICHAEL RAY STARKS M.D.
NPI 1801859913
Surgery in Bangor, ME

Active since April 10, 2006PECOS EnrolledAccepts Medicare Assignment
98.44/100
CMS Quality Rating
360 BROADWAY, BANGOR, ME 04401(207) 907-3650(207) 907-3660 Get Directions Write a Review

NPPES record last updated: February 3, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 3, 2022, Apr 9, 2020 (2 updates tracked since 2020).

About Dr. Michael Ray Starks M.d. NPPES

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

DR. MICHAEL RAY STARKS M.D. (NPI 1801859913) is an individual surgery provider in Bangor, Maine, licensed in Maine (MD15539) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with St Joseph Hospital, and is a graduate of University Of Washington School Of Medicine (1997).

NPPES Registry Identity

NPI1801859913
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. MICHAEL RAY STARKSCredential: M.D.
Location Address360 BROADWAYBangor, ME 04401-3979
Mailing AddressC/o St Marys Health System - Provider Enrollment, Po Box 7291Lewiston, ME 04243-7291 · (207) 777-8560 · Fax (207) 777-8800
Phone(207) 907-3650
Fax(207) 907-3660
Sole ProprietorNo
Medical School CMSUniversity Of Washington School Of MedicineGraduated 1997
Enumeration DateApril 10, 2006
Last NPPES UpdateFebruary 3, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2022
✔ NPI 1801859913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in ME · MD15539
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
360 BROADWAY, Bangor, ME 04401
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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. Michael Ray Starks 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 ID4981660248
PECOS Enrollment IDI20041208000422
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 8

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
47 services47 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.
43 services38 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
39 services39 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.
21 services13 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.
20 services19 patients
Removal or exploration of parathyroid glands 60500
The procedure for removal or exploration of parathyroid glands involves a surgeon making a small incision in the neck to locate and remove one or more of the tiny parathyroid glands. These glands control calcium levels in the body. This procedure helps treat conditions like hyperparathyroidism.
18 services18 patients

Hospital Affiliations CMS Care Compare 2

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

St Joseph Hospital

Acute Care Hospitals · Bangor, ME
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number200001
Location360 BroadwayBangor, ME 04401 · Penobscot County
Emergency services

Northern Light Eastern Maine Medical Center

Acute Care Hospitals · Bangor, ME
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200033
Location489 State StreetBangor, ME 04401 · Penobscot County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04401 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
$82.58 typical visit price
range $53.26 – $162.77
Typical copayment $20.64 (range $13.31 – $40.69)
Most-billed visit code 99203
Established Patient
$66.74 typical visit price
range $16.90 – $132.79
Typical copayment $16.68 (range $4.22 – $33.19)
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.

98.44/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.88
Promoting Interoperability100
Improvement Activities40

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.

JAMES HILDEBRAND M.D.
Emergency Medicine
360 BROADWAY
BANGOR, ME 04401
Penobscot County (207) 907-1703
THERESA ANNE YOUNG RN
Registered Nurse
360 BROADWAY
BANGOR, ME 04401
Penobscot County (207) 525-4526
DANE HASSANI MD
Anesthesiology
360 BROADWAY
BANGOR, ME 04401
Penobscot County (207) 907-1430
LIGA YUSVIRAZI MD
Emergency Medicine
360 BROADWAY
BANGOR, ME 04401
Penobscot County (207) 907-3283
DR. PEDRO PABLO GOMEZ VALENCIA M.D.
Surgery
360 BROADWAY
BANGOR, ME 04401
Penobscot County (207) 907-3650
DR. ALGIS VYDAS M.D.
Specialist
360 BROADWAY
BANGOR, ME 04401
Penobscot County (207) 262-1938
DR. GANESHA SANTHYADKA MD
Internal Medicine (Pulmonary Disease)
360 BROADWAY
BANGOR, ME 04401
Penobscot County (207) 907-1155
DR. AMINA S QAZI DO, PHARMD
Internal Medicine (Cardiovascular Disease)
360 BROADWAY
BANGOR, ME 04401
Penobscot County (207) 907-1770

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 Michael Starks's NPI number?

The NPI number for Michael Starks is 1801859913. It was assigned to this individual provider in the NPPES registry on April 10, 2006.

Where is Michael Starks located?

Michael Starks practices at 360 Broadway, Bangor, ME 04401. The listed phone number is (207) 907-3650.

What is Michael Starks's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Michael Starks enrolled in Medicare?

Yes. Michael 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 Michael Starks accept?

Health plans from Anthem Blue Cross and Blue Shield list Michael 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 Michael Starks affiliated with any hospitals?

According to CMS data, Michael Starks is affiliated with St Joseph Hospital and Northern Light Eastern Maine Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Starks was last updated on February 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.