Medicare Enrolled

Dr. Holly Starnes, F.N.P.-C.

Physician Assistant · Raleigh, NC
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Speaking/Promotional
1540 SUNDAY DR, Raleigh, NC 27607
9197823456
In practice since 2008 (18 years)
NPI: 1104099761 verify on NPPES ↗
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Dr. Starnes from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
Are you Dr. Starnes? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Starnes

Dr. Holly Starnes is a physician assistant in Raleigh, NC, with 18 years of NPI registration. Based on federal Medicare data, Dr. Starnes performed 612 Medicare services across 511 unique beneficiaries.

Between the years covered by Open Payments, Dr. Starnes received a total of $46,397 from 50 pharmaceutical and/or device companies across 442 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in physician assistant. The majority of payments are for speaking programs and promotional activities, reflecting participation in industry-sponsored events. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Starnes is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 18 years in practice ▲ Top 19% volume in NC $46,397 industry payments

Medicare Practice Summary

Medicare Utilization ↗
612
Medicare services
Top 19% in NC for physician assistant
511
Unique beneficiaries
$63
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~34 Medicare services per year of practice

Top procedures by volume

Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.

Procedure Volume Avg. paid Avg. submitted
Office visit, established patient (30-39 min)
A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition.
 285 $71 $220
Office visit, established patient (20-29 min)
An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition.
 283 $48 $150
Office visit, established patient, complex (40-54 min)
An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter.
 44 $109 $300
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.

Industry Payment Transparency

Open Payments through 2024 ↗
$46,397
Total received (2021-2024)
Avg $11,599/year across 4 years
Top 0% in NC for physician assistant
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
50
Companies
442
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →

Payment profile

Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.

Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$40,874 (88.1%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$4,790 (10.3%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$733 (1.6%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$18,406
2023
$14,553
2022
$10,294
2021
$3,144

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Alexion Pharmaceuticals, Inc.
$16,923
MDD US Operations, LLC
$248
Lilly USA, LLC
$194
ABBVIE INC.
$188
Novartis Pharmaceuticals Corporation
$146
UCB, Inc.
$133
E.R. Squibb & Sons, L.L.C.
$109
PFIZER INC.
$86
Sumitomo Pharma America, Inc.
$78
Takeda Pharmaceuticals U.S.A., Inc.
$67
Amgen Inc.
$38
Aucta Pharmaceuticals, Inc.
$38
Neurelis, Inc.
$33
Lundbeck LLC
$29
Amneal Pharmaceuticals LLC
$23
SK Life Science, Inc.
$22
Neurocrine Biosciences, Inc.
$18
Biogen, Inc.
$18
Kyowa Kirin, Inc.
$16
Top 3 companies account for 94.3% of 2024 payments
All-time payments by company (2021-2024) ›
Alexion Pharmaceuticals, Inc.
$40,857
AbbVie Inc.
$733
ABBVIE INC.
$672
MDD US Operations, LLC
$461
Novartis Pharmaceuticals Corporation
$340
Amgen Inc.
$308
UCB, Inc.
$249
IMPEL PHARMACEUTICALS INC.
$212
E.R. Squibb & Sons, L.L.C.
$208
Lilly USA, LLC
$206
Teva Pharmaceuticals USA, Inc.
$162
Biohaven Pharmaceutical Holding Company Ltd.
$131
PFIZER INC.
$122
GENZYME CORPORATION
$113
Biohaven Pharmaceuticals, Inc.
$105
Sunovion Pharmaceuticals Inc.
$96
Sumitomo Pharma America, Inc.
$95
Neurocrine Biosciences, Inc.
$82
Eisai Inc.
$79
CSL Behring
$76
UPSHER-SMITH LABORATORIES LLC
$70
Takeda Pharmaceuticals U.S.A., Inc.
$67
Banner Life Sciences, LLC
$66
Neurelis, Inc.
$66
Biogen, Inc.
$62
Lundbeck LLC
$58
EISAI INC.
$57
Amneal Pharmaceuticals LLC
$54
SK Life Science, Inc.
$51
Supernus Pharmaceuticals, Inc.
$50
Janssen Pharmaceuticals, Inc
$38
Otsuka America Pharmaceutical, Inc.
$38
Aucta Pharmaceuticals, Inc.
$38
GRT US Holding, Inc.
$34
Collegium Pharmaceutical, Inc.
$33
Celgene Corporation
$32
EMD Serono, Inc.
$29
Axsome Therapeutics, Inc.
$27
TG THERAPEUTICS, INC.
$25
ACADIA Pharmaceuticals Inc
$24
Microtransponder, Inc.
$22
AstraZeneca Pharmaceuticals LP
$19
AQUESTIVE THERAPEUTICS, INC.
$18
Avion Pharmaceuticals
$18
Merz Pharmaceuticals, LLC
$17
Acorda Therapeutics, Inc
$17
Grifols USA, LLC
$16
Kyowa Kirin, Inc.
$16
Arbor Pharmaceuticals, Inc.
$16
Currax Pharmaceuticals LLC
$13
Top 3 companies account for 91.1% of all-time payments
Associated products mentioned in payments ›
AIMOVIG · AJOVY · AMYVID · APTIOM · AUBAGIO · AUSTEDO · Aimovig · Austedo XR · BAFIERTAM · BOTOX · BRILINTA · BRIUMVI · Briviact · COMIRNATY · Dayvigo · Dhivy · ELYXYB - celecoxib · EMGALITY · Fycompa · GOCOVRI · Gamunex-C · Gocovri · HYQVIA · Hizentra · Horizant · INBRIJA · INGREZZA · KESIMPTA · KISUNLA · KYNMOBI · Leqembi · Motpoly XR · NUEDEXTA · NUPLAZID · NURTEC ODT · Nayzilam · Nourianz · ONGENTYS · ONZETRA XSAIL · OXTELLAR XR · Ongentys · Ponvory · QULIPTA · Qutenza · RYTARY · Rystiggo · SOLIRIS · SYMPAZAN · Soliris · Sunosi · TOSYMRA · TROKENDI XR · TYSABRI · Trudhesa · UBRELVY · ULTOMIRIS · UPLIZNA · VALTOCO · VUMERITY · VYEPTI · Xeomin · ZEMBRACE SYMTOUCH · ZEPOSIA
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →

The majority of payments (88%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in physician assistant and does not inherently indicate bias, but patients may wish to be aware. Total industry engagement is in the top 0% for physician assistant in NC.

Looking for a physician assistant in Raleigh?
Compare physician assistants in the Raleigh area by procedure volume, costs, and industry payment transparency.
Browse physician assistants nearby

Geographic Context

Physician assistants within 10 mi
585
Per 100K population
50.8
County median income
$101,763
Nearest hospital
REX HOSPITAL
0.0 mi

Data Sources

Provider Registry ✓ NPPES Weekly updates
Medicare Enrollment ✓ PECOS Monthly updates
Practice Data ✓ Medicare Util. Annual (CY lag)
Industry Payments ✓ Open Payments CY 2024
Disciplinary History — Not public N/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →

Summary

Dr. Starnes is a clinical cardiology specialist, with above-average Medicare volume (top 19% in NC), with speaking/promotional industry engagement in the top 0% of NC peers, with 18 years of NPI registration.

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Dr. Starnes experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Starnes performed 285 office visit, established patient (30-39 min) services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Starnes receive payments from pharmaceutical companies?
Yes. Dr. Starnes received a total of $46,397 from 50 companies across 442 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Starnes's costs compare to other physician assistants in Raleigh?
Dr. Starnes's average Medicare payment per service is $63. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Starnes) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →

Explore related providers

Same specialty & city
Physician Assistants in Raleigh
Browse physician assistants in Raleigh ranked by procedure volume and transparency data.
Highest volume
Top Physician Assistants in NC
Physician assistants ranked by total Medicare services performed statewide.
Industry payments
Pharma Payments to Physician Assistants in NC
Which NC physician assistants receive the most from drug and device companies.
By company
Alexion Pharmaceuticals, Inc. Payments to Doctors
See all physicians who received payments from Alexion Pharmaceuticals, Inc.
By company
AbbVie Inc. Payments to Doctors
See all physicians who received payments from AbbVie Inc.
By company
ABBVIE INC. Payments to Doctors
See all physicians who received payments from ABBVIE INC.
About this page

All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.

This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →