ROBERT ROMAINE MD
NPI 1023233947
Family Medicine in South Charleston, WV

Active since April 16, 2007PECOS EnrolledAccepts Medicare Assignment
90.11/100
CMS Quality Rating
4605 MACCORKLE AVE SW, SOUTH CHARLESTON, WV 25309(304) 766-3601 Get Directions Write a Review

NPPES record last updated: November 4, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Robert Romaine Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROBERT ROMAINE MD (NPI 1023233947) is an individual family medicine provider in South Charleston, West Virginia, licensed in West Virginia (23264) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Thomas Memorial Hospital, and is a graduate of West Virginia University School Of Medicine (2006).

NPPES Registry Identity

NPI1023233947
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameROBERT ROMAINECredential: MD
Location Address4605 MACCORKLE AVE SWSouth Charleston, WV 25309-1311
Mailing Address4605 Maccorkle Ave SwSouth Charleston, WV 25309-1311 · (304) 766-3601
Sole ProprietorNo
Medical School CMSWest Virginia University School Of MedicineGraduated 2006
Enumeration DateApril 16, 2007
Last NPPES UpdateNovember 4, 2010
NPI 1023233947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WV · 23264
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

4605 MACCORKLE AVE SW, South Charleston, WV 25309

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Robert Romaine Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID244395903
PECOS Enrollment IDI20090212000301
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
154 services150 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
143 services137 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
56 services56 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
33 services32 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Thomas Memorial Hospital

Acute Care Hospitals · South Charleston, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510029
Location4605 Maccorkle Avenue SWSouth Charleston, WV 25309 · Kanawha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25309 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

90.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality66.96
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
4605 MACCORKLE AVE SW
SOUTH CHARLESTON, WV 25309
Registered Nurse (Perinatal)
4605 MACCORKLE AVE SW
SOUTH CHARLESTON, WV 25309
Physical Therapist
4605 MACCORKLE AVE SW
SOUTH CHARLESTON, WV 25309
Physician Assistant (Surgical)
4605 MACCORKLE AVE SW
SOUTH CHARLESTON, WV 25309
Nurse Anesthetist, Certified Registered
4605 MACCORKLE AVE SW
SOUTH CHARLESTON, WV 25309
Nurse Practitioner (Family)
4605 MACCORKLE AVE SW
SOUTH CHARLESTON, WV 25309
Internal Medicine
4605 MACCORKLE AVE SW
SOUTH CHARLESTON, WV 25309
Technician/Technologist
4605 MACCORKLE AVE SW
CHARLESTON, WV 25309

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Robert Romaine's NPI number?

The NPI number for Robert Romaine is 1023233947. It was assigned to this individual provider in the NPPES registry on April 16, 2007.

Where is Robert Romaine located?

Robert Romaine practices at 4605 Maccorkle Ave SW, South Charleston, WV 25309. The listed phone number is (304) 766-3601.

What is Robert Romaine's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Robert Romaine enrolled in Medicare?

Yes. Robert Romaine is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Robert Romaine accept?

Health plans from CareSource list Robert Romaine as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Robert Romaine affiliated with any hospitals?

According to CMS data, Robert Romaine is affiliated with Thomas Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Robert Romaine was last updated on November 4, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.