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ROMULO V VASQUEZ MD
NPI 1164867347
Family Medicine in Stamford, CT

Active since May 01, 2013PECOS EnrolledAccepts Medicare Assignment
70.76/100
CMS Quality Rating
170 WASHINGTON BLVD, STAMFORD, CT 06902(203) 276-2472(203) 276-4594 Get Directions Write a Review

NPPES record last updated: June 7, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 7, 2024, Jun 10, 2021, Apr 20, 2020 and 1 more (4 updates tracked since 2017).

About Romulo V Vasquez Md NPPES

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

ROMULO V VASQUEZ MD (NPI 1164867347) is an individual family medicine provider in Stamford, Connecticut, licensed in Connecticut (53485) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1164867347
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameROMULO V VASQUEZCredential: MD
Location Address170 WASHINGTON BLVDStamford, CT 06902-8904
Mailing Address170 Washington BlvdStamford, CT 06902-8904 · (203) 276-2472 · Fax (203) 276-4594
Phone(203) 276-2472
Fax(203) 276-4594
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateMay 1, 2013
Last NPPES UpdateJune 7, 20244 updates tracked since enumeration
NPPES CertifiedJune 7, 2024
✔ NPI 1164867347 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in CT · 53485✔ Licensed in NY · 272256
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.
Also ListedEmergency Medicine · Sports MedicineTaxonomy 207PS0010X · License 53485 (CT)
Also ListedFamily Medicine · Sports MedicineTaxonomy 207QS0010X · License 272256 (NY)
170 WASHINGTON BLVD, Stamford, CT 06902
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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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Romulo V Vasquez 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 ID1254561640
PECOS Enrollment IDI20141218001703
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Romulo Vasquez reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Stamford Health Medical Group Inc
3.3 mi
General Practice
ONE OMEGA DRIVE, BUILDING 3, 2ND FLOOR
Stamford, CT 06907
  • Reassigned Medicare billing, Connecticut enrollment
  • 496 clinicians in this Medicare group
NPI 1154633980 (203) 276-7447
Sun River Health Inc
24 mi
Adult Day Care
1543-1545 INWOOD AVENUE, HUDSON RIVER HEALTHCARE ADULT DAY PROGRAM
Bronx, NY 10452
  • Reassigned Medicare billing, New York enrollment
  • 683 clinicians in this Medicare group
NPI 1740763275 (855) 681-8700
United Health Services Hospitals, Inc.
145 mi
Multi-Specialty
33-57 HARRISON ST.
Johnson City, NY 13790
  • Reassigned Medicare billing, New York enrollment
  • 854 clinicians in this Medicare group
NPI 1962463851 (607) 762-3027

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
146 services30 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.
97 services93 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.
33 services33 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.
23 services23 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.
16 services15 patients
X-ray of lower and sacral spine, 2-3 views 72100
An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06902 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

70.76/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.21
Promoting Interoperability85
Improvement Activities40
Cost51.85

Referred Medical Equipment & Supplies CMS DME claims 4

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

Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf L1902
DME-Orthotic Devices · category DF003N
1 supplier14 claims14 services$60.69 avg. paid by Medicare
Lower extremity orthoses, not otherwise specified L2999
DME-Orthotic Devices · category DF000N
1 supplier18 claims19 services$70.44 avg. paid by Medicare
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf L3908
DME-Orthotic Devices · category DF000N
1 supplier18 claims18 services$58.35 avg. paid by Medicare
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf L4361
DME-Orthotic Devices · category DF003N
1 supplier15 claims15 services$274.64 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 3

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

ALLISON SPAULDING APRN, FNP-C
Nurse Practitioner (Family)
170 WASHINGTON BLVD
STAMFORD, CT 06902
Western Connecticut Planning Region (203) 276-8575
DR. SHEREEN MAY ANSAY VILLAMOR D.O.
Obstetrics & Gynecology
170 WASHINGTON BLVD
STAMFORD, CT 06902
Western Connecticut Planning Region (203) 637-3337
SANDRA JACQUELINE LANDIVAR
Nurse Practitioner (Adult Health)
170 WASHINGTON BLVD
STAMFORD, CT 06902
Western Connecticut Planning Region (203) 276-2472

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 Romulo Vasquez's NPI number?

The NPI number for Romulo Vasquez is 1164867347. It was assigned to this individual provider in the NPPES registry on May 1, 2013.

Where is Romulo Vasquez located?

Romulo Vasquez practices at 170 Washington Blvd, Stamford, CT 06902. The listed phone number is (203) 276-2472.

What is Romulo Vasquez's specialty?

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

Is Romulo Vasquez enrolled in Medicare?

Yes. Romulo Vasquez 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.

Which organizations bill Medicare for Romulo Vasquez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Romulo Vasquez reassigns Medicare benefits to 3 organizations: Stamford Health Medical Group Inc (Stamford, CT), Sun River Health Inc (Bronx, NY) and United Health Services Hospitals, Inc. (Johnson City, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Romulo Vasquez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Romulo Vasquez accept?

Health plans from Anthem Blue Cross and Blue Shield list Romulo Vasquez 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.

When was this NPI record last updated?

The NPPES record for Romulo Vasquez was last updated on June 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.