2026 NPPES data Gynecologic Oncology Physician NPI 1205155348 M.D.
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KRISTEN STARBUCK, M.D.

Gynecologic Oncology Physician in DECATUR, Georgia. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
611
Medicare Part D claims · 107 beneficiaries · Gynecologic Oncology Physician avg: 188
Generic prescribing
91%
generic claims · 9% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
92.2614/100
▲ 9 pts above national avg 83.1 · [object Object]
Industry payments
$207.73
3 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: KRISTEN STARBUCK, M.D. is a Gynecologic Oncology Physician ([object Object]) practicing in DECATUR, Georgia with a Medicare Part D prescribing footprint of 611 claims across 107 beneficiaries — 9% brand-name prescribing . Their CMS MIPS Final Score of 92.2614/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $207.73 across 3 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: KRISTEN STARBUCK, M.D. reported a CMS MIPS final score of 92.2614 out of 100, above the 83.1 national average, and filed 611 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

KRISTEN STARBUCK, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

KRISTEN STARBUCK, M.D. at a glance

High performer (top quartile)

NPI registry status

Active

Issued 05/28/2010

NPI 1205155348

Primary specialty

Gynecologic Oncology Physician

Niche

1,360 US NPIs in this specialty

Medicare Part D claims

611 225% vs specialty avg

2023 prescription claims

Specialty avg: 188

MIPS final score

92.2614/100 9.1614% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Georgia

How Gynecologic Oncology Physician compares to other specialties among Georgia providers

Georgia providers

Gynecologic Oncology Physician share within Georgia

1. Gynecologic Oncology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Gynecologic Oncology Physician share within Georgia

Medicare quality performance — MIPS

KRISTEN STARBUCK, M.D.'s 2023 MIPS final score plotted against the Gynecologic Oncology Physician national average

High performer (top quartile)
MIPS Final Score
92.2614/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Gynecologic Oncology Physician) — 92.2614/100 vs national avg 83.1

0%100%National avg83%92.3%
MIPS final score (Gynecologic Oncology Physician) — 92.2614/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

KRISTEN STARBUCK, M.D. is a Gynecologic Oncology Physician provider practicing in DECATUR, Georgia, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1205155348. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

KRISTEN STARBUCK, M.D. appears in the CMS NPPES registry as a Gynecologic Oncology Physician provider holding M.D. credentials at 2665 N DECATUR RD STE 630, DECATUR, GA, 30033, with a listed phone of (404) 778-3401. NPI 1205155348 was issued on 05/28/2010. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what STARBUCK most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 611 prescription claims written by this provider, covering 107 Medicare beneficiaries and totaling roughly $591K in drug spend, split 9% brand-name and 91% generic by claim count, with an opioid prescribing rate of 2.9%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 92.2614/100 for the 2023 performance year (Quality 73.8353), compared with the national average of 83.1.

Gynecologic Oncology Physician is a narrow specialty nationwide, with 1,360 enrolled providers across 49 states and an average of 188 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

2665 N DECATUR RD STE 630
DECATUR, GA 30033

Provider Details

NPI 1205155348
Specialty Gynecologic Oncology Physician
Credentials M.D.
Gender Female
NPI Issued 05/28/2010

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

92.2614
Final Score
Avg: 83.1
73.8353
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where KRISTEN STARBUCK, M.D. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

THE EMORY CLINIC INC
ATLANTA, GA

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for KRISTEN STARBUCK, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$208

Largest payer

Aadi Bioscience, Inc.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Brand vs generic prescribing mix · Generic-heavy

KRISTEN STARBUCK, M.D. — brand share 9.0%
Specialty average (est.)

9% brand-name claims vs 91% generic, on 611 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

611
Total Claims
$591K
Total Drug Cost
107
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
668
Total Day Supply
11,047
Brand vs Generic
9% brand / 91% generic
Brand Drug Cost
$584K
Generic Drug Cost
$7K
Opioid Claims
18 (2.9% rate)
Antibiotic Claims
18

Patient Demographics

Average Patient Age
71.0 years
Avg HCC Risk Score
1.88
Gender Split
100% female / 0% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Dexamethasone
125
Ondansetron Hcl
86
Prochlorperazine Maleate
67
Gabapentin
49
Letrozole
17
Megestrol Acetate
16
Ibuprofen
14
Lenvima
Lenvatinib Mesylate
14
Nystatin-Triamcinolone
Nystatin/Triamcinolone Acet
13
Estradiol
12

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Gynecologic Oncology Physician Overview

How KRISTEN STARBUCK, M.D. fits within the Gynecologic Oncology Physician landscape nationally.

1,360
Gynecologic Oncology Physician Providers in US
49
States with Gynecologic Oncology Physician
188
Avg Claims per Provider

KRISTEN STARBUCK, M.D.'s 611 claims are above the specialty average of 188.

Nearby Gynecologic Oncology Physician Providers in Georgia

Other clinicians with the same primary specialty enrolled in Georgia, drawn from the same CMS NPPES roster as STARBUCK.

Compare Gynecologic Oncology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is KRISTEN STARBUCK, M.D.'s specialty?
KRISTEN STARBUCK, M.D. specializes in Gynecologic Oncology Physician and practices in DECATUR, Georgia. Credentials: M.D..
How much does KRISTEN STARBUCK, M.D. prescribe under Medicare Part D?
In 2023, KRISTEN STARBUCK, M.D. wrote 611 Medicare Part D claims totaling $591K in drug costs for 107 beneficiaries.
What is KRISTEN STARBUCK, M.D.'s Medicare quality score?
KRISTEN STARBUCK, M.D. has a CMS MIPS Final Score of 92.2614/100 (Quality: 73.8353). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is KRISTEN STARBUCK, M.D. located?
KRISTEN STARBUCK, M.D. is located at 2665 N DECATUR RD STE 630, DECATUR, GA, 30033. Phone: (404) 778-3401.
What is KRISTEN STARBUCK, M.D.'s NPI number?
KRISTEN STARBUCK, M.D.'s National Provider Identifier (NPI) is 1205155348, issued on 05/28/2010.
Does KRISTEN STARBUCK, M.D. prescribe more brand-name or generic drugs?
KRISTEN STARBUCK, M.D.'s prescribing is 9% brand-name and 91% generic drugs by claim count, with $584K in brand drug costs.
Does KRISTEN STARBUCK, M.D. prescribe opioids?
Yes, KRISTEN STARBUCK, M.D. had 18 opioid claims in 2023 with an opioid prescribing rate of 2.9%.
How many Gynecologic Oncology Physician providers are there in the US?
There are 1,360 Gynecologic Oncology Physician providers across 49 states in the US. The average Gynecologic Oncology Physician provider writes 188 Medicare Part D claims per year.
What drugs does KRISTEN STARBUCK, M.D. prescribe most often?
Based on 2023 Medicare Part D data, KRISTEN STARBUCK, M.D.'s most frequently prescribed drugs include Dexamethasone, Ondansetron Hcl, Prochlorperazine Maleate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does KRISTEN STARBUCK, M.D. accept Medicare?
KRISTEN STARBUCK, M.D. appears in CMS Medicare data with 611 Part D claims and 107 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify KRISTEN STARBUCK, M.D.'s credentials?
KRISTEN STARBUCK, M.D.'s NPI is 1205155348 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology