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ALFRED THOMAS ROMERO M.D
NPI 1063597912
Internal Medicine - Cardiovascular Disease in Palatka, FL

Active since October 26, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
6710 OLD WOLF BAY RD, PALATKA, FL 32177(386) 326-1590(386) 326-1592 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Alfred Thomas Romero M.d NPPES

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

ALFRED THOMAS ROMERO M.D (NPI 1063597912) is an individual cardiovascular disease provider in Palatka, Florida, licensed in Florida (ME60213) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Medical Center - Jacksonville, and is a graduate of Other (1986).

NPPES Registry Identity

NPI1063597912
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameALFRED THOMAS ROMEROCredential: M.D
Location Address6710 OLD WOLF BAY RDPalatka, FL 32177-6830
Mailing Address5000 Us Highway 17, Suite 18 #288Orange Park, FL 32003-8231 · (386) 326-1590 · Fax (386) 326-1592
Phone(386) 326-1590
Fax(386) 326-1592
Sole ProprietorYes
Medical School CMSOtherGraduated 1986
Enumeration DateOctober 26, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1063597912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in FL · ME60213
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
6710 OLD WOLF BAY RD, Palatka, FL 32177
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Other Identifiers 4

Medicare ID-Type UnspecifiedK7328Medicare Provider Number
Medicare ID-Type UnspecifiedP00200884Rr Medicare Provider No.
Other23880FL · Bcbs Of Florida Provider
Medicare UPINF77036

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL).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

Alfred Thomas 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 ID8820045057
PECOS Enrollment IDI20050401000238
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 13

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.

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.
765 services98 patients
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.
326 services127 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
221 services146 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
128 services115 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.
121 services97 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
84 services84 patients

Hospital Affiliations CMS Care Compare 5

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

Baptist Health Medical Center - Jacksonville

Acute Care Hospitals · Jacksonville, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100088
Location800 Prudential DrJacksonville, FL 32207 · Duval County
Emergency services Birthing friendly

Flagler Hospital

Acute Care Hospitals · Saint Augustine, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100090
Location400 Health Park BlvdSaint Augustine, FL 32086 · St. Johns County
Emergency services Birthing friendly

Mayo Clinic

Acute Care Hospitals · Jacksonville, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100151
Location4500 San Pablo RdJacksonville, FL 32224 · Duval County
Emergency services

Hca Florida Orange Park Hospital

Acute Care Hospitals · Orange Park, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number100226
Location2001 Kingsley AveOrange Park, FL 32073 · Clay County
Emergency services Birthing friendly

Hca Florida Putnam Hospital

Acute Care Hospitals · Palatka, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100232
Location611 Zeagler DrPalatka, FL 32177 · Putnam County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32177 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.

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Reported Quality Measures

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.
38%292 patients1/55-star benchmark: 99%
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.
64%157 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…
78%157 patients4/55-star benchmark: 100%
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.
5%157 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.

Other Providers at the Same Location NPPES 3

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

NORTHEAST FLORIDA CARDIOLOGY PA
Internal Medicine (Cardiovascular Disease)
6710 OLD WOLF BAY RD
PALATKA, FL 32177
Putnam County (386) 326-1590
PUTNAM HEART CENTER PA
Internal Medicine (Cardiovascular Disease)
6710 OLD WOLF BAY RD
PALATKA, FL 32177
Putnam County (386) 326-1590
DR. MUKESH GOEL M.D.
Internal Medicine (Cardiovascular Disease)
6710 OLD WOLF BAY RD
PALATKA, FL 32177
Putnam County (386) 326-1590

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 Alfred Romero's NPI number?

The NPI number for Alfred Romero is 1063597912. It was assigned to this individual provider in the NPPES registry on October 26, 2006.

Where is Alfred Romero located?

Alfred Romero practices at 6710 Old Wolf Bay Rd, Palatka, FL 32177. The listed phone number is (386) 326-1590.

What is Alfred Romero's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Alfred Romero enrolled in Medicare?

Yes. Alfred 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 Alfred Romero accept?

Health plans from Florida Blue (BlueCross BlueShield FL) list Alfred 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 Alfred Romero affiliated with any hospitals?

According to CMS data, Alfred Romero is affiliated with Baptist Health Medical Center - Jacksonville, Flagler Hospital, Mayo Clinic, Hca Florida Orange Park Hospital and Hca Florida Putnam Hospital.

When was this NPI record last updated?

The NPPES record for Alfred Romero was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.