DR. SARAH E STARNES (M.D.) – Anatomic Pathology & Clinical Pathology Physician, NPI 1215165410

DR. SARAH E STARNES (M.D.) is a healthcare provider. based in Alton, Illinois. specializing in PATHOLOGY. They hold the professional credentials M.D.. They hold a License No. 036138971 (MO). The NPI Number for DR. SARAH E STARNES (M.D.) is 1215165410

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
DR. SARAH E STARNES (M.D.)
NPI
1215165410
Phone
(618) 465-2571
Address
1 SAINT ANTHONYS WAY
Enumeration Date
25 June 2009
Last Update Date
10 February 2021

Doctor Profile

Medical School Name
SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9122612669
Graduation Year
2009 (17 years ago)
PAC ID
3274853825
Group Practice PAC ID
5890781371
Professional Enrollment ID
I20220311002338
Address ID
FL322078202JA800XXDRXX300

Contacts

FHIR Endpoint
sstarnes25618@direct-ehr-ssmhc.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness85
Years active:16State licenses:1Other namesUpdated within 12 months

406 PATHOLOGY in MO

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Provider Addresses for DR. SARAH E STARNES (M.D.)

  • 1 SAINT ANTHONYS WAY

    ALTON, IL 620024568

    Phone: (618) 465-2571

    Fax: (314) 977-7615

    Type: Mailing

  • SSM Health St. Mary's Hospital: Hospital Building, 6420, Clayton Road, Hi-Pointe, Richmond Heights, Saint Louis County, Missouri, 63117, United States

    DEPT. OF OB/GYN, 2ND FLOOR

    SAINT LOUIS, MO 631171811

    Phone: (314) 781-4772

    Fax: (314) 645-8771

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2022-03-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150521000797IPathologyMOTBD
I20151001003213IPathologyILTBD
I20220311002338IPathologyFLTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
88313Special stained specimen slides to examine tissue including interpretation and report7320$0
88305Pathology examination of tissue using a microscope, intermediate complexity6643$0
88341Special stained specimen slides to examine tissue, each additional procedure3819$0
88342Special stained specimen slides to examine tissue, initial procedure3627$0
88307Pathology examination of tissue using a microscope, moderately high complexity1513$0
View full utilization report →

Insurance plans in this area (ZIP 62002)

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Provider's Procedures

DR. SARAH E STARNES (M.D.) performs procedures in PATHOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PATHOLOGYMO88304Pathology examination of tissue using a microscope, moderately low complexity2622

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5890781371View full group profile
NameSpecialtyState
P A T H O L O G YTX
P A T H O L O G YGA
P A T H O L O G YAL
P A T H O L O G YGA
P A T H O L O G YGA
P A T H O L O G YGA
P A T H O L O G YGA
-FL
P A T H O L O G YIL
P A T H O L O G YAR

Reviews

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Frequently asked questions

Can I cross-check DR. SARAH E STARNES (M.D.) using NPI 1215165410?
NPI 1215165410 belongs to DR. SARAH E STARNES (M.D.); compare other details if you need extra assurance.
Would DR. SARAH E STARNES (M.D.) appear as active to a payer?
You can treat DR. SARAH E STARNES (M.D.) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with DR. SARAH E STARNES (M.D.)?
DR. SARAH E STARNES (M.D.)'s record emphasizes Anatomic Pathology & Clinical Pathology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. SARAH E STARNES (M.D.)?
Directory geography for DR. SARAH E STARNES (M.D.) centers on Alton, Illinois.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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