SAMUEL OLIVER STARKE JR. IRVINE (PA-C) – Physician Assistant, NPI 1376590059
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,201 PHYSICIAN ASSISTANT in AL
Provider Addresses for SAMUEL OLIVER STARKE JR. IRVINE (PA-C)
454 TAYLOR RD
MONTGOMERY, AL 361173563
Phone: (334) 613-9000
Fax: (334) 532-0056
Type: Location
2871 acton road
suite 100
Birmingham, AL 352432560
Phone: (205) 939-0023
Fax: (205) 939-4180
Type: Location
Acton Road, Birmingham, Jefferson County, Alabama, 35243, United States
SUITE 100
BIRMINGHAM, AL 352432560
Phone: (205) 939-0023
Fax: (205) 939-4180
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 12 Open Payments records for all available years, with a total value of $1,118.
Total Amount is formed as General ($1,118) + Research ($0) + Ownership ($0) = $1,118.
Last reported payment date: 2024-12-30 • Largest payer in this snapshot: Surgical Specialties Corporation (us), Inc. (dba Corza Medical) ($1,031).
Total Amount
$1,118
General + Research + Ownership
Payments
12
Total payment records
General Amount
$1,118
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Surgical Specialties Corporation (us), Inc. (dba Corza Medical) | $1,031 |
| DePuy Synthes Sales Inc. | $87 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2005-05-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050512000489 | I | Physician Assistant | AL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 36117)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | AL | |
| Occupational Therapist In Private Practice | AL | |
| Physical Therapist In Private Practice | AL | |
| Nurse Practitioner | AL | |
| Orthopedic Surgery | AL | |
| Orthopedic Surgery | AL | |
| Orthopedic Surgery | AL | |
| Physical Therapist In Private Practice | AL | |
| Physician Assistant | AL | |
| Nurse Practitioner | AL |
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