Hal Starnes, M.D.
NPI 1528083482 · Specialist · Saratoga Springs, NY
Enrolled with Medicare as Practitioner - General Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Hal Starnes, M.D. is a Specialist provider in Saratoga Springs, NY (NPI 1528083482).
Provider details
- NPI number
- 1528083482
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
83% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
422 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 132 | $86 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 110 | $122 |
| Ultrasound Scan of Head and Neck Soft Tissue76536 | 77 | $103 |
| Removal of Noncancer Skin Growth of Body, Arms, Or Legs, 1.1-2.0 Cm11402 | 68 | $133 |
| Established Patient Office Or Other Outpatient Visit With Straightforward Medical Decision Making, If Using Time, 10 Minutes Or More99212 | 35 | $53 |
Typical Medicare-allowed amounts for these services range $53–$133 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 4 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Levothyroxine Sodium | 124 | 33 |
| Levothyroxine Sodiumbrand: Synthroid | 29 | — |
| Cephalexin | 16 | — |
| Liothyronine Sodium | 11 | — |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-07-13
- Last updated
- 2019-11-07
Frequently asked questions
- What is Hal Starnes's NPI number?
- Hal Starnes's National Provider Identifier (NPI) is 1528083482, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Hal Starnes's specialty?
- Hal Starnes is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Hal Starnes located?
- Hal Starnes's practice location on file with NPPES is 381 Church St, Saratoga Springs, NY 12866-8626.
- What is Hal Starnes's phone number?
- The practice phone number listed in the NPPES registry for Hal Starnes is (518) 581-1100.
- Does Hal Starnes accept Medicare?
- Hal Starnes is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Hal Starnes's NPI active?
- Yes — Hal Starnes's NPI (1528083482) is active in the NPPES registry as of the last update on 2019-11-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.