DR. CLAUDIO ROMERO M.D.
NPI 1033474838
Urology in Winter Haven, FL

Q: What is Claudio Romero's NPI number?

The NPI number for Claudio Romero is 1033474838. It was assigned to this individual provider in the NPPES registry on July 8, 2012.

Q: What is Claudio Romero's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Q: When was this NPI record last updated?

The NPPES record for Claudio Romero was last updated on February 28, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 08, 2012PECOS EnrolledAccepts Medicare Assignment

500 E CENTRAL AVE, WINTER HAVEN, FL 33880(863) 293-1191 Get Directions Write a Review

NPPES record last updated: February 28, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 28, 2017, Jul 15, 2016 (2 updates tracked since 2016).

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About Dr. Claudio Romero M.d. NPPES

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

DR. CLAUDIO ROMERO M.D. (NPI 1033474838) is an individual urology provider in Winter Haven, Florida, licensed in Texas (P3808) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS, is affiliated with Orlando Health, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1033474838

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameDR. CLAUDIO ROMEROCredential: M.D.

Location Address500 E CENTRAL AVEWinter Haven, FL 33880-3053

Mailing Address500 E Central AveWinter Haven, FL 33880-3053 · (863) 293-1191

Phone(863) 293-1191

Sole ProprietorNo

Medical School CMSOtherGraduated 1996

Enumeration DateJuly 8, 2012

Last NPPES UpdateFebruary 28, 20172 updates tracked since enumeration

✔ NPI 1033474838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

License✔ Licensed in TX · P3808

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

500 E CENTRAL AVE, Winter Haven, FL 33880

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, AvMed and more.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

Dr. Claudio Romero M.d. 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 ID6204092174

PECOS Enrollment IDI20160913000003

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 14

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

270 services138 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

72 services55 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

61 services61 patients

Imaging of urinary tract following injection of a contrast agent 74420

This procedure involves injecting a contrast agent into your body to help highlight the urinary tract during imaging. The contrast agent makes your urinary tract more visible on the images, providing detailed information about its structure and function. This can help in diagnosing any potential issues.

56 services42 patients

Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211

This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.

56 services28 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

54 services52 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

41 services30 patients

Diagnostic exam of bladder and urethra using an endoscope 52000

This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.

36 services30 patients

Insertion of stent in ureter using an endoscope 52332

This procedure involves placing a small, flexible tube (stent) in your body's drainage system to help urine flow from the kidneys to the bladder. An endoscope, a thin tube with a light and camera, is used for precise placement.

32 services29 patients

Crushing of stone of ureter with insertion of stent using an endoscope 52356

This procedure involves using a thin, flexible tube (endoscope) to locate and break down kidney stones in the ureter. After this, a small tube (stent) is inserted to help maintain an open pathway for urine to flow.

25 services24 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

18 services18 patients

Ultrasound measurement of bladder capacity after voiding 51798

Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.

14 services14 patients

Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings 51784

This procedure involves the use of non-invasive devices to record the electrical activity of muscles at specific body openings. It's helpful in understanding muscle function and can assist in diagnosing certain conditions.

13 services13 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Orlando Health

Acute Care Hospitals · Orlando, FL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100006

Location52 W Underwood StOrlando, FL 32806 · Orange County

Emergency services Birthing friendly

Orlando Health-Health Central Hospital

Acute Care Hospitals · Ocoee, FL

2/5 CMS rating

OwnershipGovernment - State

CMS Certification Number100030

Location10000 W Colonial DrOcoee, FL 34761 · Orange County

Emergency services

Orlando Health South Lake Hospital

Acute Care Hospitals · Clermont, FL

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100051

Location1900 Don Wickham DrClermont, FL 34711 · Lake County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33880 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

$130.04 typical visit price

range $56.00 – $171.84

Typical copayment $32.51 (range $14.00 – $42.96)

Most-billed visit code 99204

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Lubricant, individual sterile packet, each A4332

DME-Medical/Surgical Supplies · category DA000N

2 suppliers13 claims1,860 services$0.10 avg. paid by Medicare

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351

DME-Orthotic Devices · category DF008N

5 suppliers42 claims6,000 services$1.69 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

ROBERT KEVIN LERNER M.D.

Orthopaedic Surgery

500 E CENTRAL AVE
WINTER HAVEN, FL 33880

Polk County (863) 293-1191

ALAN L SALLMAN M.D.

Internal Medicine (Nephrology)

500 E CENTRAL AVE, BOND CLINIC, P.A.
WINTER HAVEN, FL 33880

Polk County (863) 293-1191

DABIR A SIDDIQUI M.D.

Internal Medicine (Gastroenterology)

500 E CENTRAL AVE
WINTER HAVEN, FL 33880

Polk County (863) 293-1191

MICHELLE PEREZ BULGER APRN

Nurse Practitioner (Family)

500 E CENTRAL AVE
WINTER HAVEN, FL 33880

Polk County (863) 293-1191

MR. GENE JASON ESTEP ATC, LAT

Specialist/Technologist (Athletic Trainer)

500 E CENTRAL AVE
WINTER HAVEN, FL 33880

Polk County (863) 293-1191

EVA J SALAMON M.D.

Obstetrics & Gynecology

500 E CENTRAL AVE
WINTER HAVEN, FL 33880

Polk County (863) 293-1191

DR. JOSE LUIS PRIETO D.O.

Internal Medicine

500 E CENTRAL AVE
WINTER HAVEN, FL 33880

Polk County (863) 293-1191

JESSICA R HUGHES ARNP

Nurse Practitioner

500 E CENTRAL AVE
WINTER HAVEN, FL 33880

Polk County (863) 293-1191

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 Claudio Romero's NPI number?

The NPI number for Claudio Romero is 1033474838. It was assigned to this individual provider in the NPPES registry on July 8, 2012.

Where is Claudio Romero located?

Claudio Romero practices at 500 E Central Ave, Winter Haven, FL 33880. The listed phone number is (863) 293-1191.

What is Claudio Romero's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Claudio Romero enrolled in Medicare?

Yes. Claudio Romero 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 Claudio Romero accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Claudio Romero 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 Claudio Romero affiliated with any hospitals?

According to CMS data, Claudio Romero is affiliated with Orlando Health, Orlando Health-Health Central Hospital and Orlando Health South Lake Hospital.

When was this NPI record last updated?

The NPPES record for Claudio Romero was last updated on February 28, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.