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DR. KENNETH STARR M.D.
NPI 1861431595
Internal Medicine - Addiction Medicine in Arroyo Grande, CA

Active since June 06, 2006PECOS Enrolled
94.62/100
CMS Quality Rating
107 NELSON ST, ARROYO GRANDE, CA 93420(805) 242-1360 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 21, 2022, Jun 7, 2021, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Dr. Kenneth Starr M.d. NPPES

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

DR. KENNETH STARR M.D. (NPI 1861431595) is an individual addiction medicine provider in Arroyo Grande, California, licensed in California (A105044) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Templeton.

NPPES Registry Identity

NPI1861431595
Entity TypeIndividualMale
Primary Taxonomy207RA0401X
Provider Legal NameDR. KENNETH STARRCredential: M.D.
Location Address107 NELSON STArroyo Grande, CA 93420-3318
Mailing Address105 S Main StTempleton, CA 93465-9601 · (805) 434-1869
Phone(805) 242-1360
Sole ProprietorNo
Enumeration DateJune 6, 2006
Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration
NPPES CertifiedJune 7, 2021
✔ NPI 1861431595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RA0401X
License✔ Licensed in CA · A105044
Definition
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
Also ListedEmergency MedicineTaxonomy 207P00000X · License MD22323O (OR)
107 NELSON ST, Arroyo Grande, CA 93420
Open in Google Maps ↗

Secondary Practice Location 1

Location 11100 Las Tablas RdTempleton, CA 93465-9704 · Phone (805) 434-4700

Other Identifiers 8

Other057221014Bcbs
OtherA032Champus
OtherH00866Champus
OtherH00866Group Health
Medicaid288397OR
OtherH00866Lipa
MedicaidXPY196669CA
Medicaid8283574WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kenneth Starr M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

3

Medicare enrollment records show Kenneth Starr reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cep America - California
12 mi
Emergency Medicine
1911 JOHNSON AVENUE
San Luis Obispo, CA 93401
  • Reassigned Medicare billing, California enrollment
  • 1,204 clinicians in this Medicare group
NPI 1295781615 (805) 543-5353
Central Coast Emergency Physicians
31 mi
Emergency Medical Services
1100 LAS TABLAS RD
Templeton, CA 93465
  • Reassigned Medicare billing, California enrollment
  • 41 clinicians in this Medicare group
NPI 1972535557 (805) 434-3500
Monterey Bay Observation Medicine
125 mi
Emergency Medicine
23625 HOLMAN HWY
Monterey, CA 93940
  • Reassigned Medicare billing, California enrollment
  • 51 clinicians in this Medicare group
NPI 1205225505 (831) 625-4900

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93420 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
$135.73 typical visit price
range $59.84 – $178.89
Typical copayment $33.93 (range $14.96 – $44.72)
Most-billed visit code 99204
Established Patient
$104.82 typical visit price
range $19.70 – $146.55
Typical copayment $26.20 (range $4.92 – $36.63)
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.

94.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.67
Improvement Activities40
Cost97.14

Other Providers at the Same Location NPPES 5

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

CATHERINE MARGARET STANTON RN
Registered Nurse (Infusion Therapy)
107 NELSON ST
ARROYO GRANDE, CA 93420
San Luis Obispo County (805) 242-1360
KEN STARR MD WELLNESS GROUP
Clinic/Center (Multi-Specialty)
107 NELSON ST
ARROYO GRANDE, CA 93420
San Luis Obispo County (626) 797-9977
MRS. EMILY JEAN MADDOX LPCC #374
Counselor (Addiction (Substance Use Disorder))
107 NELSON ST
ARROYO GRANDE, CA 93420
San Luis Obispo County (805) 362-0676
TIKVA TREATMENT
Substance Abuse Rehabilitation Facility
107 NELSON ST
ARROYO GRANDE, CA 93420
San Luis Obispo County (805) 202-3440
LISA ANNE DAWES RD
Dietitian, Registered
107 NELSON ST
ARROYO GRANDE, CA 93420
San Luis Obispo County (805) 316-5113

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 Kenneth Starr's NPI number?

The NPI number for Kenneth Starr is 1861431595. It was assigned to this individual provider in the NPPES registry on June 6, 2006.

Where is Kenneth Starr located?

Kenneth Starr practices at 107 Nelson St, Arroyo Grande, CA 93420. The listed phone number is (805) 242-1360.

What is Kenneth Starr's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Addiction Medicine, with taxonomy code 207RA0401X.

Is Kenneth Starr enrolled in Medicare?

Yes. Kenneth Starr is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kenneth Starr's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Starr reassigns Medicare benefits to 3 organizations: Cep America - California (San Luis Obispo, CA), Central Coast Emergency Physicians (Templeton, CA) and Monterey Bay Observation Medicine (Monterey, CA). 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 Kenneth Starr's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kenneth Starr accept?

Health plans from Blue Cross and Blue Shield of Texas list Kenneth 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.

When was this NPI record last updated?

The NPPES record for Kenneth Starr was last updated on July 21, 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.