Not Medicare Enrolled

Dr. Nathan Starke, MD

Urology Physician · Houston, TX
Practice pattern: Clinical Cardiology— Primarily office-based clinical cardiology
Mixed engagement
6560 FANNIN ST STE 2100, Houston, TX 77030
7134416455
In practice since 2011 (14 years)
NPI: 1386936680 verify on NPPES ↗
Very High
DATA COVERAGE
Data in 3 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. Starke 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. Starke? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Starke

Dr. Nathan Starke is an urology physician in Houston, TX, with 14 years in practice. Based on federal Medicare data, Dr. Starke performed 705 Medicare services across 522 unique beneficiaries.

Between the years covered by Open Payments, Dr. Starke received a total of $54,511 from 32 pharmaceutical and/or device companies across 369 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in urology physician. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Starke is Very High — reflecting how much public federal data is available about this provider. This is not a quality rating. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 14 years in practice▲ 705 Medicare services$ $54,511 industry payments

Medicare Practice Summary

Medicare Utilization ↗
705
Medicare services
Bottom 28% in TX for urology physician
Lower Medicare volume may reflect subspecialty focus, hospital-based work, or a higher share of non-Medicare patients.
522
Unique beneficiaries
$86
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~50 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.

ProcedureVolumeAvg. paidAvg. submitted
Office visit, established patient (30-39 min)399$82$314
Drug injection, under skin or into muscle63$10$97
Ceftriaxone antibiotic injection44$0$11
Diagnostic exam of bladder and urethra using an endoscope41$162$1,081
Bladder ultrasound after voiding38$8$112
New patient office visit (45-59 min)35$102$483
Office visit, established patient, complex (40-54 min)33$121$421
Insertion of multicomponent inflatable penile implant14$576$4,277
Ultrasound scan of pelvic region through rectum14$97$498
Biopsy of prostate gland13$180$1,186
Injection procedure to cause erection11$70$470
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 ↗
$54,511
Total received (2018-2024)
Avg $7,787/year across 7 years
Top 5% in TX for urology physician
32
Companies
369
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.

Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$21,745 (39.9%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$20,797 (38.2%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$11,969 (22.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$1,559
2023
$10,540
2022
$21,825
2021
$6,824
2020
$2,262
2019
$7,299
2018
$4,203

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Antares Pharma, Inc.
$18,452
Boston Scientific Corporation
$8,627
Endo Pharmaceuticals Inc.
$7,271
Acerus Pharmaceuticals Corporation
$7,170
Coloplast Corp
$5,004
BOSTON SCIENTIFIC CORPORATION
$2,704
Teleflex LLC
$1,877
NeoTract Inc.
$507
COLOPLAST CORP
$429
Stryker Corporation
$410
Cook Incorporated
$325
Axonics, Inc.
$233
Intuitive Surgical, Inc.
$213
Astellas Pharma US Inc
$184
Supernus Pharmaceuticals, Inc.
$156
BIOTISSUE HOLDINGS, INC.
$148
Sumitomo Pharma America, Inc.
$133
PROCEPT BioRobotics Corporation
$129
Janssen Products, LP
$99
KARL STORZ Endoscopy-America
$68
PFIZER INC.
$60
Baxter Healthcare
$47
Axonics Modulation Technologies, Inc.
$45
Endo USA, Inc.
$41
UROVANT SCIENCES INC
$33
180 Medical, Inc.
$31
ABBVIE INC.
$25
Novo Nordisk Inc
$24
Alafair Biosciences, Inc.
$22
UroGen Pharma, Inc.
$16
BioTissue Holdings, Inc.
$15
Rigicon,Inc.
$12
Top 3 companies account for 63.0% of total payments
Associated products mentioned in payments ›
24/26 FR. · AMBICOR · AMS · AMS 700 · AMS 700 CXR RTE KIT · AMS 700 CXR RTE Kit · ATLAS · AVEED · AXIS · AquaBeam Robotic System · Axonics · Axonics r-SNM System · BIO4 · BIPOLAR · CUTTING LOOP · Da Vinci Surgical System · EDEX · GEMTESA · GENERAL KIDNEY STONE DISEASE · GENERAL BPH · GENERAL FEMALE SUI · GENERAL KIDNEY STONE DISEASE · GENERAL - BPH · GENERAL - KIDNEY STONE DISEASE · GENERAL BPH · GENERAL ERECTILE DYSFUNCTION · GREENLIGHT · General - Erectile Dysfunction · LITHOVUE · LUPRON DEPOT · MYRBETRIQ · Myrbetriq · NEOX · NOCDURNA · Natesto · OTREXUP · REZUM · Rigi10 Malleable Penile Prosthesis · Rivfloza · SWISS LITHOCLAST · Swiss LithoClast Triology · TACTRA · TISSEEL · TITAN · TLANDO · TOROSA · TREVO · Titan · UROLIFT · UroLift · UroLift System · VersaWrap · XIAFLEX · XTANDI · XYOSTED · ZYTIGA
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 →

Most payments (40%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 5% for urology physician in TX.

Equivalent to $7,732 per 100 Medicare services performed
Looking for a urology physician in Houston?
Compare urology physicians in the Houston area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Urology Physicians within 10 mi
198
Per 100K population
4.2
County median income
$73,104
Nearest hospital
MEMORIAL HERMANN - TEXAS MEDICAL CENTER
0.0 mi

Data Sources

Provider Registry NPPESWeekly updates
Medicare Enrollment— Not enrolledN/A
Practice Data Medicare Util.Annual (CY lag)
Industry Payments Open PaymentsCY 2024
Disciplinary History— Not publicN/A

This provider has data in 3 of 4 available federal datasets, with a Data Coverage level of Very High. This measures how much public data is available about a provider — not how good they are. How we calculate this →

Summary

Dr. Starke is a clinical cardiology specialist, with moderate Medicare volume, and high industry engagement (mixed engagement, top 5%).

This summary is auto-generated from federal data. It describes data availability and patterns — not clinical quality. Read our methodology →

Frequently Asked Questions

Is Dr. Starke experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Starke performed 399 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. Starke receive payments from pharmaceutical companies?
Yes. Dr. Starke received a total of $54,511 from 32 companies across 369 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. Starke's costs compare to other urology physicians in Houston?
Dr. Starke's average Medicare payment per service is $86. 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. Starke) 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 →
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. The Transparency Score measures 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 →