Dr. Nathan R. Starke, MD
Urology (Urology Physician)
- Medicare participating
Medicare and federal program status
Opted out of Medicare from October 1, 2026 through October 1, 2028. Medicare does not pay for this clinician’s services: patients with Medicare sign a private contract and pay the clinician directly. They can still order tests and refer Medicare patients to other providers.
Source: CMS Medicare Opt Out Affidavits (record last updated September 15, 2026). Opting out is a legal choice many clinicians make, often to run a cash or concierge practice.
At a glance
- In the NPI registry since
- 2011
- Medicare patients seen, 2024
- 332
Licensed in Texas since 2017, according to the Texas Medical Board. We show license dates only for the states that publish them in bulk; see which states do. For other states, check the state medical board.
The NPI date is when this clinician registered for a National Provider Identifier, the billing number used on health claims. It is not a license, graduation or board-certification date. What an NPI is
Education and training
- 2011Registered with an NPI (national billing number; not a license date)
Medicare’s Care Compare data doesn’t list this clinician’s medical school. Undergraduate school, residency, fellowship, licensing exams and board certification aren’t in public federal data. Board certification can be confirmed with the certifying board (ABMS member boards for MDs, AOA boards for DOs).
Specialties and state licenses
-
Urology Physician primary
TX license R3597 (first issued 2017; active) · VA license 0101260346
As reported to the NPI registry. To confirm a license is current, check the state medical board.
Medicare patients and services
- Medicare patients, 2024
- 332
- Services billed
- 3,563
- Patients’ average age
- 73
| Service | Times | Patients |
|---|---|---|
| Established patient office or other outpatient visit, 30-39 minutes | 399 | 304 |
| Injection of drug or substance under skin or into muscle | 63 | 16 |
| Injection, ceftriaxone sodium, per 250 mg | 44 | 14 |
| Diagnostic exam of bladder and urethra using an endoscope | 41 | 39 |
| Ultrasound measurement of bladder capacity after voiding | 38 | 29 |
| New patient office or other outpatient visit, 45-59 minutes | 35 | 35 |
| Established patient office or other outpatient visit, 40-54 minutes | 33 | 33 |
| Insertion of multicomponent inflatable penile implant | 14 | 14 |
| Ultrasound scan of pelvic region through rectum | 14 | 14 |
| Biopsy of prostate gland | 13 | 13 |
Medicare fee-for-service only. CMS leaves out services billed for fewer than 11 patients. These figures describe a practice’s Medicare work; they aren’t a measure of quality.
Medicare prescriptions
| Drug | Prescriptions |
|---|---|
| Testosterone Cypionate Other prescribers in Houston, TX | 138 |
| Tamsulosin Hcl Other prescribers in Houston, TX | 123 |
| Anastrozole Other prescribers in Houston, TX | 98 |
| Levofloxacin Other prescribers in Houston, TX | 47 |
| Xyosted (testosterone enanthate) | 39 |
| Finasteride Other prescribers in Houston, TX | 39 |
| Alfuzosin Hcl Er (alfuzosin hcl) Other prescribers in Houston, TX | 29 |
| Sulfamethoxazole-Trimethoprim (sulfamethoxazole/trimethoprim) Other prescribers in Houston, TX | 29 |
| Testosterone Other prescribers in Houston, TX | 26 |
| Oxybutynin Chloride Er (oxybutynin chloride) Other prescribers in Houston, TX | 22 |
Prescriptions filled under Medicare Part D, including refills. CMS leaves out drugs prescribed fewer than 11 times.
Payments from drug and device companies
In 2025, 1 companies reported 1 payments worth $83.51 in total to this clinician.
| Teleflex LLC | $83.51 |
|---|
| Food and Beverage | $83.51 |
|---|
From CMS Open Payments. A payment is not evidence of wrongdoing; many are for consulting, teaching or meals. Clinicians can review and dispute their records with CMS.
Industry-funded research
Named as a principal investigator on 1 industry-funded study in 2025, from 1 company. The companies reported $2,095 in research payments for these studies, mostly to the institutions running them.
- IT Matters: The Erectile Restoration Registry
Boston Scientific Corporation · Enrolling by invitation · NCT04200937
From CMS Open Payments research payments, where companies name up to five principal investigators per payment. Research payments usually go to hospitals, universities and research sites, not to the investigator personally. A payment is not evidence of wrongdoing.