Active NPI 1659376747 Individual Practitioner Male Practitioner

Dr. Paul M Starker , MD

Surgery • Summit, NJ

Professional Overview & Biography Verified Profile Summary

Dr. Paul Starker, MD is a registered healthcare professional specializing in Surgery in Summit, NJ. Practice services are available at 11 OVERLOOK RD under active NPI credentials.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, repair of groin hernia (5 years or older). Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

11 Overlook Rd
Suite 160

Summit, NJ 079013577

Telephone 9086089001

Fax 9086089030

Associated Practice Facility / Clinic

🏢 Springfield Family Practice, Llc Facility NPI 1861493215

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Summit, NJ

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 28.5 Yrs

State Avg: 26.9 Yrs

Regional Practice Density

7 Specialists

Practicing in Summit, NJ (815 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

69.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	33	33	$364.00	$126.76
99213 Established patient office or other outpatient visit, typically 15 minutes	23	20	$247.00	$103.23
49505 Repair of groin hernia (5 years or older)	16	16	$2163.38	$608.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	42	31	$246.12	$82.36
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	38	38	$363.08	$122.78
49505 Repair of groin hernia (5 years or older)	16	16	$1836.31	$599.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	69	69	$363.00	$120.90
99213 Established patient office or other outpatient visit, typically 15 minutes	65	48	$246.00	$80.98
49505 Repair of groin hernia (5 years or older)	22	21	$1868.32	$621.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	71	71	$351.46	$118.03
99213 Established patient office or other outpatient visit, typically 15 minutes	47	36	$231.55	$80.80
49505 Repair of groin hernia (5 years or older)	28	28	$1782.32	$584.64
49568 Placement of mesh to repair incisional or abdominal hernia	12	11	$872.83	$290.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	66	66	$272.00	$119.59
99213 Established patient office or other outpatient visit, typically 15 minutes	44	39	$149.00	$80.78
49505 Repair of groin hernia (5 years or older)	29	29	$1304.10	$586.93
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$383.00	$179.79
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	12	$110.00	$48.74
49560 Repair of incisional or abdominal hernia	15	15	$5240.60	$762.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$233.00	$118.37
49568 Placement of mesh to repair incisional or abdominal hernia	14	14	$2018.93	$292.85
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$183.00	$83.05
47562 Removal of gallbladder using an endoscope	11	11	$1812.00	$672.03

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License NJ MA52781

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0713902 (NJ)

Commercial Insurance / Payer ID Empire

79L75 (NY)

Commercial Insurance / Payer ID Oxford

US129 (NJ)

Commercial Insurance / Payer ID Aetna

2088350 (NJ)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Dr. Andrew Robinson , MD

Surgery

NPI 1700228699

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active February 06, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location February 06, 2016

Registered at 11 OVERLOOK RD, SUITE 160, SUMMIT, NJ 079013577 (Tel: 9086089001)

📍

Updated Business Mailing Address February 06, 2016

Registered at PO BOX 416457, BOSTON, MA 022416457 (Tel: 9736566280)

👤

Provider Name / Credentials Updated February 06, 2016

Recorded as PAUL STARKER, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 06, 2016

Surgery (License #MA52781 in NJ)

🟢

Initial NPI Registration & Enumeration June 16, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1659376747

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 16, 2005

Last Update: February 06, 2016

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

Po Box 416457

Boston, MA 022416457

Phone: 9736566280

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.