Medicare Enrolled

Dr. David Starch, MD

Orthopedic Surgery · New Braunfels, TX
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
705 LANDA, New Braunfels, TX 78130
8306253481
Registered in NPPES since 2006
NPI: 1184680209 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. Starch 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 →
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What this data tells you about Dr. Starch

Dr. David Starch is an orthopedic surgery specialist in New Braunfels, TX, with 20 years of NPI registration. Based on federal Medicare data, Dr. Starch performed 2,852 Medicare services in 2023. These records do not provide a deduplicated patient total.

Between the years covered by Open Payments, Dr. Starch received a total of $7,971 from 23 pharmaceutical and/or device companies across 103 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Starch 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.

✓ 20 years of NPI registration ▲ Top 20% volume in TX $7,971 industry payments

Medicare Practice Summary — 2023

Medicare Utilization ↗
2,852
Medicare services
Top 20% in TX for orthopedic surgery
Not available
Unique patients (not deduplicated)
$52
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →

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
Hymovis intra-articular injection
An injection of Hymovis, a hyaluronan derivative, administered directly into a joint space.
1,056 $13 $33
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.
349 $86 $375
Injection, methylprednisolone acetate, 40 mg 260 $6 $15
Knee X-ray, 3 views
An X-ray imaging test of the knee joint that captures three different angles to evaluate the bones and surrounding structures.
215 $28 $165
New patient office visit (30-44 min)
An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range.
213 $69 $325
Ultrasound-guided large joint aspiration or injection
This procedure uses ultrasound imaging to guide the removal of fluid from or the injection of medication into a large joint.
209 $70 $258
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.
203 $62 $260
Shoulder X-ray, 2+ views
An X-ray imaging test of the shoulder joint using at least two different angles to visualize the bones and surrounding structures.
193 $23 $90
Knee X-ray, 1-2 views
An X-ray imaging test of the knee joint using one to two different angles to visualize the bones and surrounding structures.
77 $23 $150
Total knee replacement 35 $940 $8,279
Partial collarbone removal via endoscope
This procedure involves the surgical removal of a portion of the collarbone (clavicle) using an endoscope, a small camera inserted through a tiny incision to guide the surgeon.
15 $211 $2,750
Arthroscopic shoulder surgery for bone shaving and ligament repair
A minimally invasive procedure using a small camera to shave part of the shoulder bone and repair a ligament.
15 $132 $3,496
Arthroscopic rotator cuff repair
A minimally invasive surgery to repair torn shoulder tendons using a small camera and instruments inserted through tiny incisions.
12 $828 $5,720
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. These counts do not measure clinical quality or years of experience.
1.8% high complexity
53.5% medium
44.8% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$7,971
Total received (2018-2024)
Avg $1,139/year across 7 years
Top 41% in TX for orthopedic surgery
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
23
Companies
103
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →

Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$389
2023
$824
2022
$1,986
2021
$334
2020
$1,236
2019
$929
2018
$2,272

Payments by company (2024)

Amgen Inc.
$180
Boehringer Ingelheim Pharmaceuticals, Inc.
$111
Anika Therapeutics, Inc.
$47
Fidia Pharma USA Inc.
$26
VERTEX PHARMACEUTICALS INCORPORATED
$25
Top 3 companies account for 86.8% of 2024 payments
All-time payments by company (2018-2024) ›
Arthrex, Inc.
$3,176
Medinc of Texas
$1,907
Abbott Laboratories
$465
Amgen Inc.
$334
Pacira Pharmaceuticals Incorporated
$307
Smith & Nephew, Inc.
$254
Davol Inc.
$197
Anika Therapeutics, Inc.
$148
Medtronic, Inc.
$142
Regeneron Healthcare Solutions, Inc.
$131
Pacira Therapeutics, Inc.
$125
Flexion Therapeutics, Inc.
$120
Biosense Webster, Inc.
$119
Boehringer Ingelheim Pharmaceuticals, Inc.
$111
Cardiovascular Systems Inc.
$104
FIDIA PHARMA USA INC.
$78
Smith+Nephew, Inc.
$68
BREG, INC
$53
Endo Pharmaceuticals Inc.
$49
Fidia Pharma USA Inc.
$26
VERTEX PHARMACEUTICALS INCORPORATED
$25
Bioventus LLC
$19
DePuy Synthes Sales Inc.
$11
Top 3 companies account for 69.6% of all-time payments
Associated products mentioned in payments ›
Anchors · BME NITINOL CONTINUOUS COMPRESSION IMPLANTS · Bioinductive Implant with Arthroscopic Delivery System - Medium · Breg VPULSE · Carto 3 System · EVENITY · EXPAREL · Exogen · Exparel · HYALGAN · HYMOVIS · HeartMate · Iovera System · Journey II XR · Navio Surgical System · OCTRODE · Otezla · PICO · PICO Single Use Negative Pressure Wound Therapy · PROCLAIM · PlasmaFlow · PolarCareWave · Proclaim Family of SCS IPGs · REAL INTELLIGENCE · Regeneten · RevoMotion · TAVNEOS · Tactoset · VENASEAL · VPULSE · XIAFLEX · Zilretta
Should you be concerned? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. 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 →
Looking for an orthopedic surgery specialist in New Braunfels?
Compare orthopedic surgeons in the New Braunfels area by procedure volume, costs, and industry payment transparency.
Browse orthopedic surgeons nearby

Geographic Context

Orthopedic surgeons in nearby ZIP areas
28
County median income
$93,776
Nearest hospital to ZIP centroid (approximate)
RESOLUTE HEALTH HOSPITAL
0.0 mi

Data Sources

Provider Registry NPPES NPPES snapshot; verify current record
Medicare Enrollment PECOS PECOS snapshot
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not included 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. Starch is a clinical cardiology specialist, with above-average Medicare volume (top 20% in TX), with 20 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. Starch experienced with hymovis intra-articular injection?
Based on Medicare claims data, Dr. Starch performed 1,056 hymovis intra-articular injection services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Dr. Starch receive payments from pharmaceutical companies?
Yes. Dr. Starch received a total of $7,971 from 23 companies across 103 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. 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. Starch's costs compare to other orthopedic surgeons in New Braunfels?
Dr. Starch's average Medicare payment per service is $52. 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. Starch) 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 the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. 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?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
About this page

This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: 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. Industry payment disclosure alone establishes neither wrongdoing nor legality. 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 →