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DR. TERRY MARK ROMAN D.O.
NPI 1083895312
Orthopaedic Surgery - Sports Medicine in Watertown, WI

Active since November 15, 2007PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
123 HOSPITAL DR, SUITE 1008, WATERTOWN, WI 53098(920) 206-6500(920) 261-4013 Get Directions Write a Review

NPPES record last updated: August 29, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Terry Mark Roman D.o. NPPES

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

DR. TERRY MARK ROMAN D.O. (NPI 1083895312) is an individual sports medicine provider in Watertown, Wisconsin, licensed in Wisconsin (54555-021) and active in the NPI registry since November 2007. He is enrolled in Medicare PECOS, is affiliated with The Monroe Clinic, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1083895312
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameDR. TERRY MARK ROMANCredential: D.O.
Location Address123 HOSPITAL DR, SUITE 1008Watertown, WI 53098-3331
Mailing Address123 Hospital Dr, Suite 1008Watertown, WI 53098-3331 · (920) 206-6500 · Fax (920) 261-4013
Phone(920) 206-6500
Fax(920) 261-4013
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateNovember 15, 2007
Last NPPES UpdateAugust 29, 2013
✔ NPI 1083895312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License✔ Licensed in WI · 54555-021
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
123 HOSPITAL DR, Watertown, WI 53098
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Other Identifiers 2

Medicaid1083895312WI
Medicare PIN301250110WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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. Terry Mark Roman D.o. 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 ID648317347
PECOS Enrollment IDI20101019000737
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 9

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 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.
60 services52 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
49 services42 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
36 services33 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.
35 services31 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
29 services26 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
25 services25 patients

Hospital Affiliations CMS Care Compare 4

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

The Monroe Clinic

Acute Care Hospitals · Monroe, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520028
Location515 22nd AveMonroe, WI 53566 · Green County
Emergency services Birthing friendly

Fort Memorial Hospital

Acute Care Hospitals · Fort Atkinson, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number520071
Location611 Sherman Ave EFort Atkinson, WI 53538 · Jefferson County
Emergency services Birthing friendly

Ssm Health St Mary's Hospital - Madison

Acute Care Hospitals · Madison, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520083
Location700 South Park StMadison, WI 53715 · Dane County
Emergency services Birthing friendly

Ssm Health St Mary's Hospital - Janesville

Acute Care Hospitals · Janesville, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number520208
Location3400 East Racine StreetJanesville, WI 53546 · Rock County
Emergency services Birthing friendly

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
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.

WATERTOWN REGIONAL MEDICAL CENTER, INC
Physician Assistant
123 HOSPITAL DR, STE 2004
WATERTOWN, WI 53098
Dodge County (920) 262-4371
WATERTOWN INTERNAL MEDICINE SC
Internal Medicine
123 HOSPITAL DR, SUITE 2009
WATERTOWN, WI 53098
Dodge County (920) 262-9833
HEARING CENTER, INC.
Hearing Aid Equipment
123 HOSPITAL DR, STE 112
WATERTOWN, WI 53098
Dodge County (920) 261-7024
WATERTOWN REGIONAL MEDICAL CENTER, INC
Plastic Surgery
123 HOSPITAL DR, STE 2003
WATERTOWN, WI 53098
Dodge County (920) 262-4577
GEORGE ANDREW BOUSH M.D.
Ophthalmology
123 HOSPITAL DR, SUITE 1002
WATERTOWN, WI 53098
Dodge County (920) 261-8225
DR. LEXI DERRY O.D.
Optometrist
123 HOSPITAL DR
WATERTOWN, WI 53098
Dodge County (202) 618-2259
WATERTOWN REGIONAL MEDICAL CENTER, INC
Ophthalmology
123 HOSPITAL DR, SUITE 1002
WATERTOWN, WI 53098
Dodge County (920) 261-8225
DEBORAH PACEY P.A.-C
Physician Assistant
123 HOSPITAL DR, SUITE 1008
WATERTOWN, WI 53098
Dodge County (920) 206-6500

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 Terry Roman's NPI number?

The NPI number for Terry Roman is 1083895312. It was assigned to this individual provider in the NPPES registry on November 15, 2007.

Where is Terry Roman located?

Terry Roman practices at 123 Hospital Dr Suite 1008, Watertown, WI 53098. The listed phone number is (920) 206-6500.

What is Terry Roman's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Terry Roman enrolled in Medicare?

Yes. Terry Roman 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 Terry Roman accept?

Health plans from Anthem Blue Cross and Blue Shield list Terry Roman 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 Terry Roman affiliated with any hospitals?

According to CMS data, Terry Roman is affiliated with The Monroe Clinic, Fort Memorial Hospital, Ssm Health St Mary's Hospital - Madison and Ssm Health St Mary's Hospital - Janesville.

When was this NPI record last updated?

The NPPES record for Terry Roman was last updated on August 29, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.