Theresa Starkey, MD
NPI 1619900487 · Hospitalist Physician · Duluth, MN
Enrolled with Medicare as Practitioner - Hospitalist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Theresa Starkey, MD is a Hospitalist Physician provider in Duluth, MN (NPI 1619900487).
Provider details
- NPI number
- 1619900487
- Entity type
- Individual
- Primary specialty
- Hospitalist PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 39599 (MN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
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
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
256 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) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 133 | $75 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 61 | $115 |
| Hospital Discharge Day Management, More Than 30 Minutes99239 | 40 | $112 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 22 | $167 |
Typical Medicare-allowed amounts for these services range $75–$167 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote 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 · 7 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Metoprolol Succinate | 26 | 14 |
| Prednisone | 22 | 11 |
| Atorvastatin Calcium | 16 | — |
| Oxycodone Hcl | 13 | 12 |
| Omeprazole | 12 | — |
| Isosorbide Mononitratebrand: Isosorbide Mononitrate Er | 11 | — |
| Lisinopril |
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-07-07
- Last updated
- 2021-05-19
- Certified
- 2021-05-19
Frequently asked questions
- What is Theresa Starkey's NPI number?
- Theresa Starkey's National Provider Identifier (NPI) is 1619900487, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Theresa Starkey's specialty?
- Theresa Starkey is listed in the NPPES registry with a primary specialty of Hospitalist Physician (Allopathic & Osteopathic Physicians).
- Where is Theresa Starkey located?
- Theresa Starkey's practice location on file with NPPES is 915 E 1st St, Duluth, MN 55805-2107.
- What is Theresa Starkey's phone number?
- The practice phone number listed in the NPPES registry for Theresa Starkey is (218) 249-5555.
- Does Theresa Starkey accept Medicare?
- Theresa Starkey is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Theresa Starkey's NPI active?
- Yes — Theresa Starkey's NPI (1619900487) is active in the NPPES registry as of the last update on 2021-05-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.