Active NPI 1851389282 Individual Practitioner Female Practitioner

Dr. Vivian I Starr , DO

Internal Medicine • Youngstown, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Vivian Starr, DO is a certified Internal Medicine practicing in Youngstown, OH. With approximately 29 years of clinical experience since graduating from Des Moines University Of Osteopathic Medicine And Health Sciences in 1997, Dr. Starr delivers high-quality medical care to the local community at 602 PARMALEE AVE.

Dr. Starr is affiliated with Triad Health Services Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial nursing facility visit, nursing facility discharge day management. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

602 Parmalee Ave
Suite 400

Youngstown, OH 445101653

Telephone 3307478611

Associated Practice Facility / Clinic

🏢 Primary Care Associates Facility NPI 1508962564

Medicare Profile & Education

Medical School

Des Moines University Of Osteopathic Medicine And Health Sciences

Graduation Year

1997

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Youngstown, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

29 Yrs +7.7 yrs vs City Avg

City Avg: 21.3 Yrs

State Avg: 26.9 Yrs

Regional Practice Density

134 Specialists

Practicing in Youngstown, OH (5516 Statewide)

Telehealth Adoption Rate

5.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

65.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Starr (29 Years) 29 Yrs

Youngstown Specialty Average (21.3 Years) 21.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	900	94	$225.00	$79.72
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	472	103	$322.00	$120.00
99306 Initial nursing facility visit, typically 45 minutes per day	138	131	$517.00	$183.54
99315 Nursing facility discharge day management, 30 minutes or less	89	85	$226.00	$82.19
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	80	45	$215.00	$74.91
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	74	71	$624.00	$175.21
99238 Hospital discharge day management, 30 minutes or less	72	66	$225.00	$81.59
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	52	43	$215.00	$74.91
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	33	28	$282.00	$108.09
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	31	27	$282.00	$108.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	853	91	$225.00	$76.43
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	685	106	$322.00	$114.99
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	78	76	$624.00	$167.65
99238 Hospital discharge day management, 30 minutes or less	72	68	$225.00	$77.64
99306 Initial nursing facility visit, typically 45 minutes per day	57	52	$517.00	$174.98
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	53	37	$215.00	$71.28
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	40	30	$215.00	$71.32
99315 Nursing facility discharge day management, 30 minutes or less	34	33	$226.00	$78.20
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	29	23	$282.00	$102.09
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	25	22	$282.00	$102.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	690	115	$210.00	$69.11
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	416	111	$301.00	$99.00
99231 Follow-up hospital inpatient care per day, typically 15 minutes	297	36	$114.00	$37.86
99238 Hospital discharge day management, 30 minutes or less	98	85	$210.00	$69.39
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	85	57	$201.00	$66.40
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	57	53	$583.00	$192.00
99306 Initial nursing facility visit, typically 45 minutes per day	57	55	$483.00	$158.81
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	56	55	$376.00	$124.49
99315 Nursing facility discharge day management, 30 minutes or less	50	48	$211.00	$69.72
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	48	31	$264.00	$86.90
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	29	17	$201.00	$66.36
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	29	20	$264.00	$86.71
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	26	26	$398.00	$131.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	723	114	$224.00	$70.48
99231 Follow-up hospital inpatient care per day, typically 15 minutes	594	54	$122.00	$37.67
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	134	73	$213.00	$67.17
99238 Hospital discharge day management, 30 minutes or less	121	88	$225.00	$70.40
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	96	77	$428.00	$133.49
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	63	61	$400.00	$126.27
99315 Nursing facility discharge day management, 30 minutes or less	29	27	$226.00	$71.04
99306 Initial nursing facility visit, typically 45 minutes per day	20	20	$516.00	$162.51
99218 Hospital observation care typically 30 minutes	13	12	$311.00	$96.68
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	11	11	$213.00	$67.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	1,014	165	$156.72	$71.45
99231 Follow-up hospital inpatient care per day, typically 15 minutes	912	79	$95.42	$38.61
99238 Hospital discharge day management, 30 minutes or less	152	123	$172.68	$71.56
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	138	112	$281.93	$134.99
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	106	59	$126.29	$67.93
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	47	46	$268.98	$127.72
99315 Nursing facility discharge day management, 30 minutes or less	21	20	$123.00	$71.99
99218 Hospital observation care typically 30 minutes	20	19	$230.80	$99.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	1,151	202	$95.00	$71.01
99231 Follow-up hospital inpatient care per day, typically 15 minutes	1,070	96	$75.00	$38.34
99238 Hospital discharge day management, 30 minutes or less	218	170	$135.00	$71.04
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	204	85	$87.00	$66.78
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	201	164	$175.00	$133.31
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	91	81	$166.00	$125.63
99315 Nursing facility discharge day management, 30 minutes or less	85	76	$93.00	$71.37
99218 Hospital observation care typically 30 minutes	41	37	$127.00	$95.65
99306 Initial nursing facility visit, typically 45 minutes per day	33	33	$213.00	$162.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	1,567	232	$95.00	$69.16
99231 Follow-up hospital inpatient care per day, typically 15 minutes	947	89	$75.00	$37.32
99238 Hospital discharge day management, 30 minutes or less	204	168	$135.00	$69.15
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	193	90	$87.00	$65.41
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	180	157	$175.00	$130.07
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	97	93	$166.00	$123.49
99315 Nursing facility discharge day management, 30 minutes or less	79	74	$93.00	$68.88
99315 Nursing facility discharge day management, 30 minutes or less	46	45	$93.00	$68.80
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	43	43	$166.00	$123.42
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	36	29	$87.00	$65.31
99306 Initial nursing facility visit, typically 45 minutes per day	35	33	$213.00	$158.10
99218 Hospital observation care typically 30 minutes	21	19	$127.00	$95.20
99306 Initial nursing facility visit, typically 45 minutes per day	12	11	$213.00	$158.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	1,298	202	$95.00	$69.27
99231 Follow-up hospital inpatient care per day, typically 15 minutes	565	53	$75.00	$37.75
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	205	88	$85.42	$66.03
99238 Hospital discharge day management, 30 minutes or less	160	132	$135.00	$69.29
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	152	130	$173.82	$131.58
99315 Nursing facility discharge day management, 30 minutes or less	132	121	$90.94	$70.02
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	125	118	$164.58	$123.80
99306 Initial nursing facility visit, typically 45 minutes per day	51	47	$208.88	$159.63
99218 Hospital observation care typically 30 minutes	26	25	$123.54	$96.28
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	12	12	$166.00	$124.51

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License OH 34007057

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

2199446 (OH)

Hospital & Practice Group Affiliations

Triad Health Services Llc

8401 Market St, Youngstown, OH 445126725

Phone: 3307292929

Triad Health Services Llc

602 Parmalee Ave, Youngstown, OH 445101653

Phone: 3307478611

Triad Health Services Llc

7629 Market St, Youngstown, OH 445126051

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Scott Tofil , MD

Internal Medicine

NPI 1083618474

Doctor of Medicine (M.D.)

Nancy Thomas , CRNP

Nurse Practitioner - Adult Health

NPI 1457599367

Certified Registered Nurse Practitioner

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 14, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location July 14, 2009

Registered at 602 PARMALEE AVE, SUITE 400, YOUNGSTOWN, OH 445101653 (Tel: 3307478611)

📍

Updated Business Mailing Address July 14, 2009

Registered at 602 PARMALEE AVE, SUITE 400, YOUNGSTOWN, OH 445101653 (Tel: 3307478611)

👤

Provider Name / Credentials Updated July 14, 2009

Recorded as VIVIAN STARR, DO

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 14, 2009

Internal Medicine (License #34007057 in OH)

🟢

Initial NPI Registration & Enumeration October 10, 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: 1851389282

Entity Type:

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

Enumeration Date: October 10, 2005

Last Update: July 14, 2009

Sole Proprietor: No

Update or Correct Profile

Mailing Address

602 Parmalee Ave, Suite 400

Youngstown, OH 445101653

Phone: 3307478611

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.