Dr. Brian Michael Starr, MD

  • San Antonio, TX
  • Interventional pain medicine physician
NPI1104086859
Medicare services, 2024
13,614
Medicare patients, 2024
381
Part D claims, 2024
1,601
MIPS score, 2024
88
Hospital affiliations
1
Practice address
3603 Paesanos Pkwy, San Antonio, TX 78231
Practice phone
Call (210) 600-9766
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

Sigma Pain Clinic PA

San Antonio, Texas

See all 4 affiliations

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Dr. Brian Michael Starr is an interventional pain medicine physician in San Antonio, Texas

Dr. Starr practices at Sigma Pain Clinic PA in San Antonio, Texas.

Dr. Starr's NPI, 1104086859, was assigned on June 16, 2008. Dr. Starr graduated from UTMB Health in 2005. Dr. Starr's Texas license number on file is T2071.

NPI and contact details
NPI enumeration date
June 16, 2008
NPI status
Active
Practice phone
(210) 600-9766
Professional email
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Personal email
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Mobile number
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Sex
Male
Estimated age
47
Medical school graduation
2005

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Practice Data

Dr. Brian Michael Starr practices at Sigma Pain Clinic PA in San Antonio, Texas

Dr. Starr's primary practice is Sigma Pain Clinic PA, at 3603 Paesanos Pkwy, San Antonio, TX 78231 in Bexar County. The practice phone is (210) 600-9766.

  • Sigma Pain Clinic PA
    3603 Paesanos Pkwy, San Antonio, TX 78231 · Bexar CountyPhone(210) 600-9766

Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data

Dr. Brian Michael Starr is affiliated with 3 sites of care and 1 medical group

Dr. Starr's primary practice is Sigma Pain Clinic PA in San Antonio, Texas. Dr. Starr is also affiliated with New Braunfels Regional Rehabilitation Hospital. The medical group on file is Sigma Pain Clinic. Dmand AI also links Dr. Starr to 1 more group practice or clinic, named with a free account.

See all 4 affiliations for Dr. Starr

Sources: NPPES NPI Registry (CMS); Dmand AI Practice Data; and Dmand AI Affiliation Data

Dmand AI tracks the EHR system at Dr. Brian Michael Starr's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Starr practices, 2 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Sigma Pain Clinic PAAvailable with a free account
+2 more affiliated sitesAvailable with a free account

Source: Dmand AI Technology Install Data

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Dr. Brian Michael Starr is one of 272 interventional pain medicine physicians in Texas

Interventional pain medicine is Dr. Starr's primary specialty in the NPI Registry, under taxonomy code 208VP0014X. Dr. Starr is board certified in anesthesiology by the American Board of Anesthesiology. Dmand AI has Dr. Starr's licenses on file in 6 states: Texas, California, North Carolina, New Mexico, Oregon and Virginia.

Specialties and state licenses

  • Interventional pain medicine, TexasPrimaryLicense T2071 · 2021 to 2025 · taxonomy 208VP0014X
  • California license2015 to 2022
  • North Carolina license2019 to 2021
  • New Mexico license2012 to 2016
  • Oregon license2010 to 2013
  • Virginia license2009 to 2011

Clinical focus

Dmand AI lists back pain injection, lower back pain, muscle pain, fibromyalgia, and limb pain, neck pain and spine problems, spinal stenosis and thoracic spine disorders among the conditions Dr. Starr treats.

Interventional pain medicine physicians near Dr. Starr

Counts of interventional pain medicine physicians with a Dmand AI profile, by place and practice. Each opens the list.

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Dr. Brian Michael Starr billed Medicare for 13,614 services in 2024

CMS data shows 13,614 Medicare services from Dr. Starr across 28 procedure codes in 2024, for 381 Medicare patients. Medicare paid $270,480 for them. Every service was in an office.

Medicare services, 202413,614
Medicare patients381
Paid by Medicare$270,480
Procedure codes28

Dr. Starr's Medicare services by type, 2023 to 2024

  • 2023
  • 2024
Drugs given in the office
2023: 9092024: 10,0931010%
Office and hospital visits
2023: 1,1902024: 1,2939%
Other services
2023: 02024: 1,243
Surgery
2023: 6432024: 77521%
Tests and treatments
2023: 662024: 10762%
Lab and pathology
2023: 02024: 52
Imaging
2023: 362024: 5142%

Dr. Starr compared with the Texas median for interventional pain medicine physicians, 2024

  • Dr. Starr
  • Texas median
Medicare services
13,614vs 2,5145.4 times
Medicare patients
381vs 25351% above
Part D claims
1,514vs 1,82817% below

Medians across 263 interventional pain medicine physicians in Texas with Dmand AI profiles that report each measure.

Dr. Starr's most billed Medicare procedure codes, 2024

CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.

See all procedures by Dr. Starr

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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks

Dr. Brian Michael Starr treated 381 Medicare patients in 2024, average age 76

CMS counts 381 Medicare patients who saw Dr. Starr in 2024. The largest group is 65 to 74, with 157 patients. 75% of them have arthritis, and 75% have high blood pressure. Their average risk score is 1.22, where 1.00 is the Medicare average.

Across all payers, Dmand AI patient panel data puts Dr. Starr's median patient age at 72, with 62% women.

Medicare patients, 2024381
Average age76
Average risk score1.22

Dr. Starr's Medicare patients by age, 2024

Dr. Starr's Medicare patients by sex, 2024

  • Women22659%
  • Men15541%

Chronic conditions among Dr. Starr's Medicare patients, 2024

  1. Arthritis75%
  2. High blood pressure75%
  3. High cholesterol75%
  4. Ischemic heart disease35%
  5. Diabetes33%
  6. Mood disorders30%
  7. Chronic kidney disease29%
  8. Depression28%

Share of Medicare patients with each condition. A patient can have several.

Dr. Starr's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 72

Patient panel by sex, all payers

  • Women62%
  • Men36%

Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data

Dr. Brian Michael Starr wrote 1,601 Medicare Part D claims in 2024

In 2024, Dr. Starr wrote 1,601 Medicare Part D claims for 271 patients. 96% of them were for generic drugs. CMS names the drug for 1,514 of them, across 20 drugs with 11 or more claims each, at $54,414 in total drug cost. In 2023, CMS named 1,487 claims across 20 drugs.

Part D claims, 20241,601
Drugs named by CMS20
Total drug cost$54,414
Part D patients271

Dr. Starr's Part D claims by kind of drug, 2024

  • Generic1,537 claims96%
  • Brand-name64 claims4%

Dr. Starr's most prescribed drugs by claims, 2024

CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.

Drug classes CMS tracks in Dr. Starr's Part D claims, 2024

  • Opioids41%653 of 1,601 claims

Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.

Part D claims for drugs CMS names, 2023 to 2024

  • 2023
  • 2024
Claims for drugs CMS names
2023: 1,4872024: 1,5142%

Drugs named by CMS: 20 in 2024, 20 in 2023.

See all prescribing by Dr. Starr

Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data

Dr. Brian Michael Starr scored 88 out of 100 in Medicare's MIPS program for 2024

CMS publishes a Merit-based Incentive Payment System (MIPS) score of 88 out of 100 for Dr. Starr for performance year 2024, reported as part of a group.

Dr. Starr's MIPS scores, performance year 2024

  • 88of 100Final score
  • 90.6of 100Quality
  • 93of 100Promoting Interoperability
  • 40of 100Improvement Activities
  • 75of 100Cost

Each score is out of 100. The final score weighs the categories CMS scored for this clinician.

Source: Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026

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Dr. Brian Michael Starr received $5,200 in industry payments from 2016 to 2025

CMS Open Payments shows 156 general payments to Dr. Starr from 26 drug and device companies from 2016 to 2025. Food and beverage make up the largest share, 77% of the total. Abbott Laboratories paid the most, $2,611.

General payments to Dr. Starr by program year, 2016 to 2025

General payments to Dr. Starr by kind, 2016 to 2025

$5.2Kin total
  • Food and beverage$4,01477%
  • Travel and lodging$1,18623%

Companies that paid Dr. Starr the most, 2016 to 2025

Share is of all general payments to this clinician.

See all payments to Dr. Starr

Source: Open Payments (CMS), 2025 data, released July 7, 2026

Dr. Brian Michael Starr graduated from UTMB Health

Dr. Starr graduated from UTMB Health in 2005.

  1. Medical schoolUTMB Health
  2. Board certified in anesthesiologyAmerican Board of Anesthesiology
  3. Board certified in pain medicineAmerican Board of Anesthesiology

Source: Dmand AI Professional Profile Data

Dr. Brian Michael Starr accepts plans from 22 insurance carriers

Dr. Starr is in network with 22 carriers, including Aetna, Elevance and Blue Cross Blue Shield of Michigan. HMO plans come from the most carriers, 12. Check the plan with the practice before a visit.

Plan types Dr. Starr accepts, by number of carriers

  1. HMO12
  2. PPO12
  3. Medicare10
  4. POS6
  5. EPO4
  6. Medicaid1

Source: Dmand AI Insurance Network Data

Sources for Dr. Brian Michael Starr's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data
Primary practice, affiliations and health systemNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice DataDmand AI Affiliation Data
Medicare services and procedure codesMedicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab)
State medians for the same specialtyDmand AI Peer Benchmarks
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
Part D prescribingMedicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab)
MIPS scores, telehealth, assignment and procedure percentilesClinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab)
Industry paymentsOpen Payments (CMS) (opens in a new tab)
Training, board certification and membershipsDmand AI Professional Profile Data
Insurance carriers and plan typesDmand AI Insurance Network Data
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Dr. Brian Michael Starr

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Dr. Brian Michael Starr's NPI number?

Dr. Brian Michael Starr's NPI number is 1104086859. It was assigned on June 16, 2008, and it is active in the NPI Registry.

What kind of doctor is Dr. Brian Michael Starr?

Dr. Brian Michael Starr is an interventional pain medicine physician in San Antonio, Texas. The primary specialty in the NPI Registry is Interventional Pain Medicine Physician (taxonomy code 208VP0014X).

Where does Dr. Brian Michael Starr practice?

Dr. Starr practices at 3603 Paesanos Pkwy, San Antonio, TX 78231. Dr. Starr's primary practice is Sigma Pain Clinic PA in San Antonio, Texas. Dmand AI also links Dr. Starr to 1 group practice or clinic.

What is Dr. Brian Michael Starr's office phone number?

The practice phone on file for Dr. Starr is (210) 600-9766.

What is Dr. Brian Michael Starr's medical license number?

Dr. Starr's Texas license number on file is T2071, one of the licenses on file in 6 states.

Which states has Dr. Brian Michael Starr been licensed in?

Dmand AI has state licenses on file for Dr. Starr in Texas (2021 to 2025), California (2015 to 2022), North Carolina (2019 to 2021), New Mexico (2012 to 2016), Oregon (2010 to 2013) and Virginia (2009 to 2011).

Which hospitals is Dr. Brian Michael Starr affiliated with?

Dr. Starr is affiliated with New Braunfels Regional Rehabilitation Hospital.

What medical group is Dr. Brian Michael Starr part of?

Dr. Starr is linked to Sigma Pain Clinic.

Does Dr. Brian Michael Starr accept Medicare?

Yes. CMS data shows Dr. Starr billed Medicare for 13,614 services in 2024.

What is Dr. Brian Michael Starr's MIPS score?

Dr. Starr's MIPS final score for performance year 2024 is 88 out of 100, reported as part of a group.

Show 8 more questionsShow fewer questions

How many Medicare patients does Dr. Brian Michael Starr see?

CMS counts 381 Medicare patients who saw Dr. Starr in 2024, with an average age of 76.

Is Dr. Brian Michael Starr board certified?

Yes. Dr. Starr is board certified in anesthesiology by the American Board of Anesthesiology.

What services does Dr. Brian Michael Starr bill to Medicare?

In 2024, Dr. Starr's most billed Medicare services were injected or infused drug (J1010), medicare service (G2211) and injected or infused drug (J1100).

Where did Dr. Brian Michael Starr go to medical school?

Dr. Starr graduated from UTMB Health in 2005.

What drugs does Dr. Brian Michael Starr prescribe most?

In 2024 Medicare Part D data, Dr. Starr's most prescribed drugs by claims were Gabapentin, Hydrocodone-Acetaminophen and Tramadol HCl.

Has Dr. Brian Michael Starr received payments from drug or device companies?

CMS Open Payments shows $5,200 in general payments to Dr. Starr from 26 companies from 2016 to 2025. The largest total came from Abbott Laboratories.

How long has Dr. Brian Michael Starr been practicing?

Dr. Starr graduated from medical school in 2005, 21 years ago.

What insurance does Dr. Brian Michael Starr accept?

Dr. Starr is in network with 22 carriers, including Aetna, Elevance and Blue Cross Blue Shield of Michigan. HMO plans come from the most carriers, 12. Check the plan with the practice before a visit.

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