Brett Starr, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery) · Hickory, NCNPI 1538579701
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (51.5%), travel and lodging and speaking fees — rather than concentrated in one kind of arrangement. Atricure, Inc. accounts for 64.8% of it on its own, with 28 other manufacturers making up the rest. 2025 is the largest year on record at $53,796, more than ten times the $23 reported in 2020. Among thoracic surgery (cardiothoracic vascular surgery) clinicians in NC with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 238 payments — averaging $400.36 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Atricure, Inc.$62K
- Intuitive Surgical$24K
- Edwards Lifesciences$3K
- Medtronic$2K
- Medical Device Business Services, Inc.$2K
- Abiomed$2K
- plus $2K from 23 others
What the payments were for
- Consulting fees$49,08352%
- Speaking & faculty fees$10,50011%
- Travel & lodging$22,20523%
- Food & beverage$6,5007%
- Education$7,0007%
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 |
|---|---|---|
| Atricure, Inc. | 80 | $61,771 |
| Intuitive Surgical | 39 | $23,639 |
| Edwards Lifesciences | 18 | $2,594 |
| Medtronic | 13 | $2,005 |
| Medical Device Business Services, Inc. | 8 | $1,654 |
| Abiomed | 27 | $1,598 |
| Artivion, Inc. | 4 | $291 |
| Getinge USA Sales, LLC | 12 | $278 |
| Johnson & Johnson(2 entities) | 8 | $252 |
| Cvrx, Inc. | 4 | $175 |
| Boston Scientific | 2 | $164 |
| Davol Inc. | 2 | $137 |
| Terumo Medical Corporation | 1 | $105 |
| Lucid Diagnostics Inc. | 2 | $103 |
| Hologic Sales And Service, LLC | 2 | $81 |
| Biosense Webster, Inc. | 1 | $72 |
| Cardiva Medical, Inc. | 2 | $63 |
| Kls-martin L.p. | 1 | $57 |
| Philips North America LLC | 1 | $46 |
| Livanova USA, Inc. | 2 | $28 |
| LSI Solutions Inc | 1 | $28 |
| Bolton Medical Inc | 1 | $26 |
| Inspire Medical Systems, Inc. | 1 | $22 |
| Zimmer Biomet | 1 | $22 |
| Baxter Healthcare | 1 | $17 |
| Haemonetics Corporation | 1 | $16 |
| Biom'up France SAS | 1 | $15 |
| Medline Industries LP | 1 | $15 |
| Merit Medical Systems Inc | 1 | $13 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
- Da Vinci Surgical System$23,145
- EPI-SENSE GUIDED COAGULATION SYSTEM WITH VISITRAX$11,815
- ATRICLIP LAA EXCLUSION SYSTEM$4,263
- SYNERGY ABLATION SYSTEM$3,765
- ATRICURE CRYOICE CRYOSPHERE CRYOABLATION SYSTEM$2,856
- COREVALVE EVOLUT R$1,675
- Echelon Flex$1,584
- Impella$873
- SAPIEN 3 Ultra RESILIA$216
- ON-X AORTIC HEART VALVE WITH CONFORM-X SEWING RING AND EXTENDED HOLDER$167
- BIOGLUE SURGICAL ADHESIVE$167
- VASCULAR$167
- ATRICURE CRYOICE CRYOABLATION SYSTEM (CRYO2)$155
- OPTICROSS$152
- Barostim Neo System$123
- Progel Applicator Spray Tips$114
- MC3 NAUTILUS(TM) ECMO OXYGENATOR$110
- ANGIO-SEAL$105
How this compares
$95,287 in reported general payments places this provider in the 90th percentile of 132 thoracic surgery (cardiothoracic vascular surgery) providers in North Carolina.
See all thoracic surgery (cardiothoracic vascular 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 |
|---|---|---|
| Gabapentin | 15 | $131 |
| ClopidogrelClopidogrel Bisulfate | 23 | $73 |
| Metoprolol Tartrate | 17 | $33 |
Paid to pharmacies, not to this prescriber.
Other thoracic surgery (cardiothoracic vascular surgery) in Hickory
- Joseph RubelowskyRaleigh$2.2M
- Matthew HartwigDurham$406K
- Gregory SmaroffNew Bern$205K
- David HarpoleDurham$177K
- Carmelo MilanoLumberton$169K
- Walter ChitwoodGreenville$139K
- Michael MillChapel Hill$137K
- Eric SkipperCharlotte$132K
- Thomas D AmicoDurham$94K
- Leonard WudelWinston Salem$92K
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.