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DR. LUIS FELIPE ROMERO-CORTEZ MD
NPI 1053574491
Family Medicine in Zionsville, IN

Active since July 07, 2008PECOS EnrolledAccepts Medicare Assignment
10801 N MICHIGAN RD, ZIONSVILLE, IN 46077(317) 344-1234 Get Directions Write a Review

NPPES record last updated: August 11, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 11, 2022, Mar 19, 2019 (2 updates tracked since 2019).

About Dr. Luis Felipe Romero-cortez Md NPPES

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

DR. LUIS FELIPE ROMERO-CORTEZ MD (NPI 1053574491) is an individual family medicine provider in Zionsville, Indiana, licensed in Indiana (01067323A) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, is affiliated with Ascension St Vincent Hospital, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1053574491
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. LUIS FELIPE ROMERO-CORTEZCredential: MD
Location Address10801 N MICHIGAN RDZionsville, IN 46077-8170
Mailing Address10801 N Michigan RdZionsville, IN 46077-8170
Phone(317) 344-1234
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateJuly 7, 2008
Last NPPES UpdateAugust 11, 20222 updates tracked since enumeration
NPPES CertifiedAugust 11, 2022
✔ NPI 1053574491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IN · 01067323A
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.

10801 N MICHIGAN RD, Zionsville, IN 46077
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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. Luis Felipe Romero-cortez 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 ID2961535729
PECOS Enrollment IDI20100729000871
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 5

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.
278 services140 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
130 services92 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
83 services83 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
29 services29 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
25 services25 patients

Hospital Affiliations CMS Care Compare 3

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

Ascension St Vincent Hospital

Acute Care Hospitals · Indianapolis, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150084
Location2001 W 86th StIndianapolis, IN 46260 · Marion County
Emergency services Birthing friendly

Witham Health Services

Acute Care Hospitals · Lebanon, IN
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150104
Location2605 N Lebanon StLebanon, IN 46052 · Boone County
Emergency services Birthing friendly

Ascension St Vincent Carmel

Acute Care Hospitals · Carmel, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150157
Location13500 N Meridian StCarmel, IN 46032 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46077 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
68%267 patients3/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
73%623 patients
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
73%705 patients4/55-star benchmark: 85%
Depression Utilization of the PHQ-9 Tool
The percentage of patients age 18 and older with the diagnosis of major depression or dysthymia who have a completed PHQ-9 during each applicable 4 month period in which there was a qualifying visit
Patients 4MonthsOfEnd: 27% · 95 patients
Patients 4MonthsOfStart: 50% · 127 patients
27%89 patients
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
59%220 patients3/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
98%11,035 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
72%999 patients4/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%453 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
20%2,189 patients1/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
65%1,976 patients3/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
97%2,189 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
98%2,189 patients5/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
74%2,189 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers24 claims71 services$6.56 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$53.14 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
4 suppliers15 claims15 services$150.00 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 18

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

PETER ROGER SKAFISH MD
Pediatrics
10801 N MICHIGAN RD
ZIONSVILLE, IN 46077
Boone County (317) 344-1234
DR. ANGELA N BERGHOFF OD
Optometrist
10801 N MICHIGAN RD
ZIONSVILLE, IN 46077
Boone County (317) 344-1262
DR. HARVEY SIEVERS MD
Emergency Medicine
10801 N MICHIGAN RD, SUITE 110
ZIONSVILLE, IN 46077
Boone County (317) 344-1235
SPECIAL SMILES PEDIATRIC DENTISTRY
Clinic/Center (Dental)
10801 N MICHIGAN RD, SUITE 210
ZIONSVILLE, IN 46077
Boone County (317) 873-3448
DR. JENNIFER LOUISE SATTERFIELD-SIEGEL D.D.S. PEDIATRIC
Dentist (Pediatric Dentistry)
10801 N MICHIGAN RD, SUITE 210
ZIONSVILLE, IN 46077
Boone County (317) 873-3448
OSSIP OPTOMETRY, PC
Optometrist
10801 N MICHIGAN RD, STE 100
ZIONSVILLE, IN 46077
Boone County (317) 344-1266
ST. VINCENT OPTICAL, LLC
Eyewear Supplier
10801 N MICHIGAN RD
ZIONSVILLE, IN 46077
Boone County (317) 344-1266
MIN WANG NP
Nurse Practitioner (Adult Health)
10801 N MICHIGAN RD
ZIONSVILLE, IN 46077
Boone County (317) 344-1234

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 Luis Romero-cortez's NPI number?

The NPI number for Luis Romero-cortez is 1053574491. It was assigned to this individual provider in the NPPES registry on July 7, 2008.

Where is Luis Romero-cortez located?

Luis Romero-cortez practices at 10801 N Michigan Rd, Zionsville, IN 46077. The listed phone number is (317) 344-1234.

What is Luis Romero-cortez's specialty?

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

Is Luis Romero-cortez enrolled in Medicare?

Yes. Luis Romero-cortez 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 Luis Romero-cortez accept?

Health plans from CareSource list Luis Romero-cortez 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 Luis Romero-cortez affiliated with any hospitals?

According to CMS data, Luis Romero-cortez is affiliated with Ascension St Vincent Hospital, Witham Health Services and Ascension St Vincent Carmel.

When was this NPI record last updated?

The NPPES record for Luis Romero-cortez was last updated on August 11, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.