Adam Starr, MD
Hand Surgery · Asheville, NCNPI 1215101373
Payments from drug & device makers
What this record shows
This record is dominated by travel and lodging: $1,298 of the $1,989 with a category attached, or 65.3%. Peerless Surgical Inc. accounts for 62.4% of it on its own, with 15 other manufacturers making up the rest. Reporting peaked in 2023 at $1,594 and has fallen 91.4% since, to $137 in 2025. That places this record below the midpoint for hand surgery clinicians in NC, where the typical reported total is $2,519.
Across 28 payments — averaging $71.05 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Peerless Surgical Inc.$1K
- Arthrex$275
- Ascensia Diabetes Care US Inc.$92
- Abbott$74
- Bristol Myers Squibb$68
- Solventum Corporation$52
- plus $188 from 10 others
What the payments were for
- Travel & lodging$1,29865%
- Food & beverage$69135%
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| Peerless Surgical Inc. | 6 | $1,241 |
| Arthrex | 3 | $275 |
| Ascensia Diabetes Care US Inc. | 1 | $92 |
| Abbott | 3 | $74 |
| Bristol Myers Squibb | 3 | $68 |
| Solventum Corporation | 2 | $52 |
| Anika Therapeutics, Inc. | 1 | $33 |
| Heron Therapeutics, Inc. | 1 | $27 |
| Zimmer Biomet | 1 | $25 |
| BD | 1 | $20 |
| Johnson & Johnson | 1 | $17 |
| Checkpoint Surgical, Inc | 1 | $16 |
| KCI USA, Inc. | 1 | $15 |
| Convatec Inc. | 1 | $13 |
| Paragon 28, Inc. | 1 | $12 |
| Cequr Corporation | 1 | $10 |
How this compares
$1,989 in reported general payments places this provider in the 45th percentile of 79 hand surgery providers in North Carolina.
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Cephalexin | 16 | $73 |
Paid to pharmacies, not to this prescriber.
Other hand surgery in Asheville
- John YanikAsheville$32K
- Aimee RileyAsheville$6K
- Angelo CammarataAsheville$1K
- James PhelpsAsheville$653
- Christpher KliftoDurham$575K
- Raymond GastonCharlotte$505K
- Ryan GarciaCharlotte$381K
- Richard MooreWilmington$177K
- Erica TaylorRaleigh$97K
- Tyler PidgeonMorrisville$50K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.