MR. JERRY LYLE STARR (PA-C) – Physician Assistant, NPI 1194706358

Physician Assistant

MR. JERRY LYLE STARR (PA-C) is a healthcare provider. based in Fort sam houston, Texas. specializing in Physician Assistant. They hold the professional credentials PA-C. The NPI Number for MR. JERRY LYLE STARR (PA-C) is 1194706358

Main info

Male

Name

MR. JERRY LYLE STARR (PA-C)

NPI

1194706358

Phone

(210) 916-2460

Address

3851 ROGER BROOKE DR

Enumeration Date

7 November 2005

Last Update Date

31 July 2024

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience60

Completeness75

Years active:20State licenses:0Digital endpointsOther names

Provider Addresses for MR. JERRY LYLE STARR (PA-C)

3851 ROGER BROOKE DR
MCHE-QD (CREDS)
FORT SAM HOUSTON, TX 782344501
Phone: (210) 916-2460
Type: Location
623, Infantry Post Road, Government Hill, San Antonio, Bexar County, Texas, 78234, United States
SAN ANTONIO, TX 782341301
Phone:
Type: Mailing
6600 VAN AALST BLVD
FORT MOORE, GA 319052102
Phone: (762) 408-1374
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: 2015-05-11

PECOS data refreshed: 2026-05-27

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 78234)

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Reviews

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Frequently asked questions

How is MR. JERRY LYLE STARR (PA-C) identified in CMS data?

CMS-hosted NPPES data lists MR. JERRY LYLE STARR (PA-C) with NPI 1194706358.

Can I rely on MR. JERRY LYLE STARR (PA-C) being an active provider?

As of the registry snapshot, MR. JERRY LYLE STARR (PA-C) is marked active.

What taxonomy line describes MR. JERRY LYLE STARR (PA-C)?

For research purposes, treat MR. JERRY LYLE STARR (PA-C) as Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.

What address line appears for MR. JERRY LYLE STARR (PA-C)?

MR. JERRY LYLE STARR (PA-C)'s geographic hint is Fort Sam Houston, Texas in our summary view.

Is the information about MR. JERRY LYLE STARR (PA-C) up to date?

Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."