Timothy Duane Starner, MD
Pediatric Pulmonology Physician · Madison, WI
Timothy Duane Starner, MD is a pediatric pulmonology physician with a practice address in Madison, Wisconsin, and NPI 1972592004, issued on Oct 20, 2005. Check the license (Wisconsin 70625-20, as entered in NPPES) on the Wisconsin Medical Examining Board; the Medicare figures below come from public CMS files.
- Name
- Timothy Duane Starner
- Credential
- MD
- Primary taxonomy
- Pediatric Pulmonology Physician 2080P0214X
- License numbers
- 70625-20 WI
32733 IA
Self-reported in NPPES; status is on the state search - Practice location
- 5522 Dahlen Dr, Madison, WI 53705
- Phone
- (319) 621-6170
- Enumerated
- Oct 20, 2005
- Record last updated
- Oct 16, 2023
- Medicaid IDs
- 34503500 WI
0235820 IA - Medicare enrollment
- Enrolled (PECOS I20231108002501); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest pediatric pulmonology physician records → All 26 in Wisconsin → Look up another NPI →
Verify Timothy Duane Starner in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWisconsin Medical Examining Board
Search for license 70625-20Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
The practice group's MIPS final score for 2023 (Medicare payment program): 77.4 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Bills Medicare through one group practice
- Carle Health Care IncorporatedUrbana, IL
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Timothy Duane Starner among 26 pediatric pulmonology physician records in Wisconsin
Timothy Duane Starner, MD is one of 26 pediatric pulmonology physician records with a practice address in Wisconsin. 65% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2005, is newer than 0% of them.
- NPI issued2005 · 0% of these records are older, 96% newer
- In a Medicare fileYes · 65% of these records are
- In the CMS Doctors and Clinicians fileYes · 19% of these records are
- Record last updated2023 · 58% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 2080P0214X and a Wisconsin practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Pediatric Pulmonology Physician providers in Wisconsin
There are 26 pediatric pulmonology physician records in Wisconsin.
All 26 in Wisconsin → Every provider in Madison → Pediatric Pulmonology Physician nationwide →
The 8 pediatric pulmonology physician records with the nearest ZIP codes
- Vivek Balasubramaniam, MDMadison, WI 537921003991746
- Carrie Barker, M.D.Madison, WI 537921720045024
- Arij Beshish, MBBCH, PHDMadison, WI 537921457857930
- Lisa Burns, M.D.Madison, WI 537921174547087
- Philip Farrell, MD PHDMadison, WI 537921376511865
- Hara Levy, MDMadison, WI 537921891871877
- Mary Nevin, MDMadison, WI 537921871555805
- Michael Rock, MDMadison, WI 537921689640773
Common questions
What is Timothy Duane Starner, MD's NPI number?
Timothy Duane Starner, MD's National Provider Identifier (NPI) is 1972592004, issued on Oct 20, 2005. An NPI identifies a provider in billing; it is not a license.
Where is Timothy Duane Starner, MD located?
The NPPES record lists a practice address at 5522 Dahlen Dr, Madison, WI, 53705. Phone: (319) 621-6170. Providers update this record themselves, so call before visiting.
How can I verify Timothy Duane Starner, MD's license?
NPPES lists Wisconsin license number 70625-20, as entered by the provider. Search the Wisconsin Medical Examining Board at https://dsps.wi.gov/Pages/BoardsCouncils/MEB/Default.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
What is Timothy Duane Starner, MD's MIPS final score?
The 2023 MIPS final score is 77.4 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.