Dr. Nathan R. Starke , MD
Urology • Houston, TX
2651 Kipling St Apt 1816
Houston, TX 770981884
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 May 5, 2011; this date does not establish years in practice.
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Published CMS data list 666 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: 252 service units.
- 99215 — Established patient outpatient office visit: 155 service units.
- 96372 — Injection of drug or substance under skin or into muscle: 51 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 13 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 673 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Testosterone Cypionate — 138 prescription fills, including refills.
- Tamsulosin Hcl — 123 prescription fills, including refills.
- Anastrozole — 98 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 16 records in the table · Guide: How to read Medicare Part D prescriber data
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Close to the middle for Medicare Part B services among clinicians listed under Urology in Houston, TX (2024, 111 clinicians with data). Median for this group: 895. Middle half: 307 to 3,260.
Fewer Medicare Part B services than 70% of clinicians listed under Urology in Texas (2024, 608 clinicians with data). Median for this group: 1,751. Middle half: 623 to 4,690.
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 1,141 in 2020 to 666 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
2651 Kipling St Apt 1816
Houston, TX 770981884
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
What Public CMS Data Show
Urology: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
332 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 $86,182 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 $55,478 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.
30-day fills
1,442 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$59,412 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.
Industry payments (Open Payments)
Fewer than 11 payment records totaling $83.51 in 2025
Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.
It shows reported financial ties between this clinician and companies. You can ask your clinician about them.
These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.
General: payments not tied to research, such as meals, travel, consulting or speaking fees.
A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.
Source: CMS Open Payments, program year 2025.
NPI first issued
2011
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.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
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; 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.
Compared with the same specialty in Houston and Texas
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Close to the middle for clinicians listed under Urology in Houston, TX (2024, 111 clinicians with data). Median for this group: 895. Middle half: 307 to 3,260.
Fewer Medicare Part B services than 70% of clinicians listed under Urology in Texas (2024, 608 clinicians with data). Median for this group: 1,751. Middle half: 623 to 4,690.
Medicare-allowed amount
Close to the middle for clinicians listed under Urology in Houston, TX (2024, 111 clinicians with data). Median for this group: $90,522. Middle half: $36,972 to $190,478.
A lower Medicare-allowed amount than 65% of clinicians listed under Urology in Texas (2024, 608 clinicians with data). Median for this group: $130,907. Middle half: $56,287 to $242,595.
Paid by Medicare
Close to the middle for clinicians listed under Urology in Houston, TX (2024, 111 clinicians with data). Median for this group: $63,742. Middle half: $25,609 to $144,495.
A lower Medicare payment amount than 65% of clinicians listed under Urology in Texas (2024, 608 clinicians with data). Median for this group: $98,400. Middle half: $41,252 to $185,944.
Medicare Part D prescriptions
Close to the middle for clinicians listed under Urology in Houston, TX (2024, 123 clinicians with data). Median for this group: 840. Middle half: 168 to 2,301.
Fewer Part D prescriptions than 65% of clinicians listed under Urology in Texas (2024, 667 clinicians with data). Median for this group: 1,254. Middle half: 393 to 2,342.
Part D drug cost
Close to the middle for clinicians listed under Urology in Houston, TX (2024, 123 clinicians with data). Median for this group: $122,097. Middle half: $5,939 to $231,314.
A lower Part D drug cost than 65% of clinicians listed under Urology in Texas (2024, 667 clinicians with data). Median for this group: $146,128. Middle half: $29,835 to $354,962.
181 active clinicians are listed under Urology with a practice address in Houston, TX (961 in Texas).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Houston
42.5% of these 181 clinicians have the CMS telehealth indicator.
70.2% of these 181 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 42% from 1,141 in 2020 to 666 in 2024.
- 2020: 1,141
- 2021: 1,204
- 2022: 874
- 2023: 705
- 2024: 666
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Medicare-allowed amount
Medicare-allowed amount decreased 54% from $185,934 in 2020 to $86,182 in 2024.
- 2020: $185,934
- 2021: $247,398
- 2022: $133,035
- 2023: $90,150
- 2024: $86,182
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Paid by Medicare
Paid by Medicare decreased 59% from $136,913 in 2020 to $55,478 in 2024.
- 2020: $136,913
- 2021: $188,654
- 2022: $96,723
- 2023: $60,604
- 2024: $55,478
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Medicare Part D prescriptions
Medicare Part D prescriptions decreased 53% from 1,440 in 2020 to 673 in 2024.
- 2020: 1,440
- 2021: 1,527
- 2022: 1,344
- 2023: 887
- 2024: 673
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30-day fills
30-day fills decreased 47% from 2,728 in 2020 to 1,442 in 2024.
- 2020: 2,728
- 2021: 3,006
- 2022: 2,756
- 2023: 1,825
- 2024: 1,442
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Part D drug cost
Part D drug cost decreased 52% from $124,769 in 2020 to $59,412 in 2024.
- 2020: $124,769
- 2021: $172,277
- 2022: $127,833
- 2023: $79,284
- 2024: $59,412
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Industry payments (Open Payments)
Industry payments (Open Payments) decreased 99% from $6,824.18 in 2021 to $83.51 in 2025.
- 2021: $6,824.18
- 2022: $21,824.76
- 2023: $10,539.87
- 2024: $1,558.79
- 2025: $83.51
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, 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 $83.51.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Teleflex LLC |
Food and Beverage
In-kind items and services
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UROLIFT | General | $83.51 |
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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252 | 208 | $314.00 | $128.78 |
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99215
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
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155 | 124 | $421.00 | $180.07 |
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96372
Injection of drug or substance under skin or into muscle
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51 | 15 | $97.00 | $14.28 |
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51798
Ultrasound measurement of bladder capacity after voiding
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45 | 34 | $112.00 | $11.28 |
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52000
Diagnostic exam of bladder and urethra using an endoscope
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30 | 30 | $1081.00 | $232.02 |
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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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27 | 27 | $483.00 | $168.46 |
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76872
Ultrasound scan of pelvic region through rectum
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21 | 21 | $498.00 | $136.56 |
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55700
Biopsy of prostate gland
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17 | 17 | $1186.00 | $242.04 |
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51741
Electronic assessment of bladder emptying
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16 | 14 | $442.00 | $14.54 |
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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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16 | 16 | $600.00 | $223.07 |
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J0696
Injection, ceftriaxone sodium, per 250 mg
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14 | 13 | $11.00 | $0.47 |
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54235
Injection procedure to cause erection
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11 | 11 | $470.00 | $91.38 |
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93980
Complete ultrasound of penis artery and vein blood flow
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11 | 11 | $757.00 | $116.13 |
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.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Testosterone Cypionate | Testosterone Cypionate | 138 | 9,647 | $7,418.14 | 86 |
| Tamsulosin Hcl | Tamsulosin Hcl | 123 | 10,530 | $1,965.38 | 55 |
| Anastrozole | Anastrozole | 98 | 7,702 | $645.29 | 45 |
| Levofloxacin | Levofloxacin | 47 | 218 | $186.70 | 41 |
| Finasteride | Finasteride | 39 | 3,510 | $447.74 | 17 |
| Xyosted | Testosterone Enanthate | 39 | 1,436 | $29,484.25 | 15 |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 29 | 220 | $95.53 | 23 |
| Alfuzosin Hcl Er | Alfuzosin Hcl | 29 | 2,010 | $820.94 | 11 |
| Testosterone | Testosterone | 26 | 1,210 | $2,237.79 | — |
| Oxybutynin Chloride Er | Oxybutynin Chloride | 22 | 1,080 | $451.37 | 17 |
| Tramadol Hcl | Tramadol Hcl | 20 | 95 | $68.15 | 18 |
| Meloxicam | Meloxicam | 15 | 450 | $41.54 | 14 |
| Gemtesa | Vibegron | 14 | 376 | $5,740.23 | — |
| Myrbetriq | Mirabegron | 12 | 648 | $9,405.67 | — |
| Clotrimazole-Betamethasone | Clotrimazole/Betamethasone Dip | 11 | 150 | $78.51 | — |
| Tadalafil | Tadalafil | 11 | 870 | $324.38 | — |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2026-03-25NUCC Taxonomy Code: 208800000X
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
NUCC Taxonomy Code: 208800000X
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Additional State Medicaid & Healthcare Payer Identifiers
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 2651 KIPLING ST APT 1816, HOUSTON, TX 770981884 (Tel: 7135845480)
Registered at 2651 KIPLING ST APT 1816, HOUSTON, TX 770981884 (Tel: 7135845480)
Urology (license number reported to NPPES: TX R3597)
Registered at 6560 FANNIN ST STE 2100, HOUSTON, TX 77030 (Tel: 7134416455)
Urology (license number reported to NPPES: VA 0101260346)
Urology (license number reported to NPPES: TX NOT YET ISSUED)
NPI status registered as active in NPPES database
Registered at 6560 FANNIN ST STE 2100, HOUSTON, TX 770302769 (Tel: 7134416455)
Registered at 1 HOSPITAL DR FL 2, CHARLOTTESVILLE, VA 229080001 (Tel: 4349242224)
Recorded as NATHAN STARKE, MD
Urology (license number reported to NPPES: TX R3597)
NPI status registered as active in NPPES database
Registered at 1 HOSPITAL DR FL 2, CHARLOTTESVILLE, VA 229080001 (Tel: 4349242224)
Registered at PO BOX 9007, CHARLOTTESVILLE, VA 229069007
Recorded as NATHAN STARKE, MD
Urology (license number reported to NPPES: VA 0101260346)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Urology Specialists in Houston
- Dr. Blair Stocks, MD, PhD
- Dr. Brenton Armstrong, MD
- Dr. Gregory Hester, MD
- Dr. Thomas Smith, MD
- Dr. Stephen Lapin, MD
- Dr. Erwin Winkel, MD
Mailing Address
2651 Kipling St Apt 1816
Houston, TX 770981884
Phone: 7135845480