DR. JAY A STARR M.D.
NPI 1912998477
Urology in Traverse City, MI

Active since November 03, 2005PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
3922 CEDAR RUN RD, TRAVERSE CITY, MI 49684(231) 935-0322(231) 935-0334 Get Directions Write a Review

NPPES record last updated: December 30, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Jay A Starr M.d. NPPES

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

DR. JAY A STARR M.D. (NPI 1912998477) is an individual urology provider in Traverse City, Michigan, licensed in Michigan (4301085113) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Munson Healthcare Cadillac Hospital, and is a graduate of Michigan State University College Of Human Medicine (2000).

NPPES Registry Identity

NPI1912998477
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. JAY A STARRCredential: M.D.
Location Address3922 CEDAR RUN RDTraverse City, MI 49684-9687
Mailing Address3922 Cedar Run RdTraverse City, MI 49684-9687 · (231) 935-0322 · Fax (231) 935-0334
Fax(231) 935-0334
Sole ProprietorNo
Medical School CMSMichigan State University College Of Human MedicineGraduated 2000
Enumeration DateNovember 3, 2005
Last NPPES UpdateDecember 30, 2020
NPPES CertifiedDecember 30, 2020
NPI 1912998477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in MI · 4301085113
Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

3922 CEDAR RUN RD, Traverse City, MI 49684

Other Identifiers 1

Medicaid104735011MI

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. Jay A 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 ID6608822416
PECOS Enrollment IDI20050324000727
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 17

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.
292 services211 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.
244 services195 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
117 services92 patients
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.
95 services95 patients
Biopsy of prostate gland 55700
A biopsy of the prostate gland is a procedure where a small sample of tissue is taken from your body's internal gland, located near the bladder, for testing. This helps in diagnosing potential health issues. It's usually done with a fine needle and imaging technology for accuracy.
60 services60 patients
Imaging of urinary tract following injection of a contrast agent 74420
This procedure involves injecting a contrast agent into your body to help highlight the urinary tract during imaging. The contrast agent makes your urinary tract more visible on the images, providing detailed information about its structure and function. This can help in diagnosing any potential issues.
56 services44 patients

Hospital Affiliations CMS Care Compare 5

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

Munson Healthcare Cadillac Hospital

Acute Care Hospitals · Cadillac, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230081
Location400 Hobart StCadillac, MI 49601 · Wexford County
Emergency services Birthing friendly

Munson Medical Center

Acute Care Hospitals · Traverse City, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230097
Location1105 Sixth StreetTraverse City, MI 49684 · Grand Traverse County
Emergency services Birthing friendly

Munson Healthcare Otsego Memorial Hospital

Acute Care Hospitals · Gaylord, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230133
Location825 N Center AveGaylord, MI 49735 · Otsego County
Birthing friendly

Paul Oliver Memorial Hospital

Critical Access Hospitals · Frankfort, MI
OwnershipGovernment - Local
CMS Certification Number231300
Location224 Park AvenueFrankfort, MI 49635 · Benzie County
Emergency services

Kalkaska Memorial Health Center

Critical Access Hospitals · Kalkaska, MI
OwnershipGovernment - Hospital District or Authority
CMS Certification Number231301
Location419 S CoralKalkaska, MI 49646 · Kalkaska County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49684 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Biopsy Follow-Up
Percentage of new patients whose biopsy results have been reviewed and communicated to the primary care/referring physician and patient by the performing physician
100%60 patients5/55-star benchmark: 100%
Closing the Referral Loop: Receipt of Specialist Report
Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred
24%95 patients2/55-star benchmark: 95%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
96%2,070 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
82%722 patients3/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
68%128 patients3/55-star benchmark: 96%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
96%246 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
74%1,358 patients4/55-star benchmark: 99%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
22%1,359 patients1/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
62%1,358 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
2%1,358 patients1/55-star benchmark: 59%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 1,756 patients
2%1,756 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 6

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

Lubricant, individual sterile packet, each A4332
DME-Medical/Surgical Supplies · category DA000N
3 suppliers11 claims3,726 services$0.11 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
7 suppliers26 claims6,870 services$1.70 avg. paid by Medicare
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
2 suppliers12 claims4,050 services$5.27 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
3 suppliers11 claims26 services$9.39 avg. paid by Medicare
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each A4358
DME-Orthotic Devices · category DF000N
2 suppliers14 claims44 services$4.81 avg. paid by Medicare
Lubricant, per ounce A4402
DME-Orthotic Devices · category DF010N
4 suppliers11 claims59 services$1.43 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 19

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

Psychiatry & Neurology (Neurology)
3922 CEDAR RUN RD
TRAVERSE CITY, MI 49684
Urology
3922 CEDAR RUN RD
TRAVERSE CITY, MI 49684
Urology
3922 CEDAR RUN RD
TRAVERSE CITY, MI 49684
Psychiatry & Neurology (Neurology)
3922 CEDAR RUN RD
TRAVERSE CITY, MI 49684
Nurse Practitioner
3922 CEDAR RUN RD
TRAVERSE CITY, MI 49684
Psychiatry & Neurology (Neurology)
3922 CEDAR RUN RD
TRAVERSE CITY, MI 49684
Urology
3922 CEDAR RUN RD
TRAVERSE CITY, MI 49684
Physician Assistant
3922 CEDAR RUN RD
TRAVERSE CITY, MI 49684

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 Jay Starr's NPI number?

The NPI number for Jay Starr is 1912998477. It was assigned to this individual provider in the NPPES registry on November 3, 2005.

Where is Jay Starr located?

Jay Starr practices at 3922 Cedar Run Rd, Traverse City, MI 49684. The listed phone number is (231) 935-0322.

What is Jay Starr's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Jay Starr enrolled in Medicare?

Yes. Jay 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.

What insurance does Jay Starr accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Jay 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 Jay Starr affiliated with any hospitals?

According to CMS data, Jay Starr is affiliated with Munson Healthcare Cadillac Hospital, Munson Medical Center, Munson Healthcare Otsego Memorial Hospital, Paul Oliver Memorial Hospital and Kalkaska Memorial Health Center.

When was this NPI record last updated?

The NPPES record for Jay Starr was last updated on December 30, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.