Dr. Lawrence Robert Starin , MD
Surgery • Silver Spring, MD
3921 Ferrara Dr
Silver Spring, MD 209064709
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on July 31, 2006; this date does not establish years in practice.
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Published CMS data list 294 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99214 — Established patient outpatient office visit: 86 service units.
- 99204 — New patient outpatient office visit: 63 service units.
- 76942 — Ultrasonic guidance for needle placement: 41 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 7 records in the table · Guide: How to read Medicare Part B data
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Close to the middle for Medicare Part B services among clinicians listed under Surgery in Maryland (2024, 321 clinicians with data). Median for this group: 292. Middle half: 123 to 501.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 327 in 2020 to 294 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
3921 Ferrara Dr
Silver Spring, MD 209064709
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 1 group name: Center For Vein Restoration Md Llc. See the list
Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026
Columbia University College Of Physicians And Surgeons
1983
What Public CMS Data Show
Surgery: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
173 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.
Medicare-allowed amount
About $60,182 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
Paid by Medicare
About $45,108 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
Open Payments general payments, program year 2025
All general payments: $71.76 across 4 records.
By nature of payment
- Food and Beverage: $71.76 across 4 records.
Reporting-company totals
- Tactile Systems Technology Inc: $35.23 across 2 records.
- Patriot Medical Distributors: $19.01 across 1 record.
- HOLOGIC INC: $17.52 across 1 record.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
43 years (graduated 1983)
CMS Doctors and Clinicians data list 1983 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026.
NPI first issued
2006
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.
Enrolled in Medicare (PECOS)
Dr. Starin has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Dr. Starin as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Silver Spring and Maryland
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Close to the middle for clinicians listed under Surgery in Maryland (2024, 321 clinicians with data). Median for this group: 292. Middle half: 123 to 501.
Too few clinicians listed under Surgery in Silver Spring have Medicare Part B data for 2024 to compare.
Medicare-allowed amount
A higher Medicare-allowed amount than 65% of clinicians listed under Surgery in Maryland (2024, 321 clinicians with data). Median for this group: $43,410. Middle half: $17,932 to $82,734.
Too few clinicians listed under Surgery in Silver Spring have Medicare Part B data for 2024 to compare.
Paid by Medicare
A higher Medicare payment amount than 60% of clinicians listed under Surgery in Maryland (2024, 321 clinicians with data). Median for this group: $33,321. Middle half: $13,209 to $64,097.
Too few clinicians listed under Surgery in Silver Spring have Medicare Part B data for 2024 to compare.
15 active clinicians are listed under Surgery with a practice address in Silver Spring, MD (672 in Maryland).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Silver Spring
13.3% of these 15 clinicians have the CMS telehealth indicator.
33.3% of these 15 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services decreased 10% from 327 in 2020 to 294 in 2024.
- 2020: 327
- 2021: 546
- 2022: 346
- 2023: 328
- 2024: 294
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Medicare-allowed amount
Medicare-allowed amount decreased 20% from $74,906 in 2020 to $60,182 in 2024.
- 2020: $74,906
- 2021: $155,658
- 2022: $94,273
- 2023: $89,704
- 2024: $60,182
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Paid by Medicare
Paid by Medicare decreased 23% from $58,540 in 2020 to $45,108 in 2024.
- 2020: $58,540
- 2021: $123,094
- 2022: $72,665
- 2023: $68,905
- 2024: $45,108
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $178.10 in 2021 to $71.76 in 2025.
- 2021: $178.10
- 2022: $126.03
- 2023: $46.63
- 2024: $258.22
- 2025: $71.76
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $71.76.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Tactile Systems Technology Inc |
Food and Beverage
In-kind items and services
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Flexitouch Plus | General | $21.20 |
| Patriot Medical Distributors |
Food and Beverage
In-kind items and services
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LYMPHA PRESS OPTIMAL PLUS(US) BT | General | $19.01 |
| HOLOGIC INC |
Food and Beverage
In-kind items and services
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MYOSURE TISSUE REMOVAL DEVICE | General | $17.52 |
| Tactile Systems Technology Inc |
Food and Beverage
In-kind items and services
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Flexitouch Plus | General | $14.03 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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86 | 67 | $290.00 | $137.44 |
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99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
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63 | 63 | $450.00 | $179.62 |
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76942
Ultrasonic guidance for needle placement
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41 | 21 | $610.00 | $64.13 |
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36471
Injection of chemical agent into multiple incompetent veins of leg
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39 | 20 | $661.00 | $220.31 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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32 | 28 | $190.00 | $99.54 |
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36475
Destruction of first incompetent vein of arm or leg using radiofrequency and imaging guidance
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18 | 13 | $5130.00 | $1059.11 |
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99205
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more
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15 | 15 | $570.00 | $238.33 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 208600000X
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.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - GENERAL SURGERY
I20110919000552
DC
1153489067
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026
Center For Vein Restoration Md Llc
10750 Columbia Pike, Silver Spring, MD 209014402
Phone: 8558308346
Center For Vein Restoration Md Llc
1160 Varnum St Ne, Washington, DC 200172106
Phone: 8558308346
Center For Vein Restoration Md Llc
1401 Dual Hwy, Hagerstown, MD 217406568
Phone: 8558308346
Center For Vein Restoration Md Llc
141 Thomas Johnson Dr, Frederick, MD 217024509
Phone: 8558308346
Center For Vein Restoration Md Llc
1600 Crain Hwy S, Glen Burnie, MD 210616437
Phone: 8558308346
Center For Vein Restoration Md Llc
7300 Hanover Dr, Greenbelt, MD 207702250
Phone: 8556308346
Center For Vein Restoration Md Llc
831 University Blvd E, Silver Spring, MD 209032920
Phone: 8558308346
Center For Vein Restoration Md Llc
9110 Philadelphia Rd, Rosedale, MD 212374327
Phone: 8558308346
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Internal Medicine
Doctor of Medicine (M.D.)
Career & Practice History
NPI enumerated July 31, 2006.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to November 2026.
NPI Administrative Meta
Other Surgery Specialists in Silver Spring
- Dr. Tsion Berhane, MD
- Dr. Gian-Paul Vidal, MD
- Joseph Mullen
- Dr. George Conrad, MD
- Dr. Dean Lurie, MD
- Dr. S. Julie-Ann Lloyd, MD, PhD
Mailing Address
3921 Ferrara Dr
Silver Spring, MD 209064709
Phone: 3019334283