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ROBERTO FERNANDEZ-ROMERO M.D.
NPI 1194839639
Psychiatry & Neurology - Neurology in Knoxville, TN

Active since August 19, 2006PECOS EnrolledAccepts Medicare Assignment
95.69/100
CMS Quality Rating
1932 ALCOA HWY STE C150, KNOXVILLE, TN 37920(865) 305-7218 Get Directions Write a Review

NPPES record last updated: June 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Roberto Fernandez-romero M.d. NPPES

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

ROBERTO FERNANDEZ-ROMERO M.D. (NPI 1194839639) is an individual neurology provider in Knoxville, Tennessee, licensed in Virginia (0109542079) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with University Health System, Inc, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1194839639
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameROBERTO FERNANDEZ-ROMEROCredential: M.D.
Location Address1932 ALCOA HWY STE C150Knoxville, TN 37920-1532
Mailing Address1932 Alcoa Hwy Ste C150Knoxville, TN 37920-1532 · (865) 305-7218
Phone(865) 305-7218
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateAugust 19, 2006
Last NPPES UpdateJune 11, 2025
NPPES CertifiedJune 11, 2025
✔ NPI 1194839639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in VA · 0109542079
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
1932 ALCOA HWY STE C150, Knoxville, TN 37920
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, UnitedHealthcare.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

Roberto Fernandez-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 ID1557527173
PECOS Enrollment IDI20170314000206
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 3

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.

Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
181 services60 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.
89 services75 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
32 services32 patients

Hospital Affiliations CMS Care Compare

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

University Health System, Inc

Acute Care Hospitals · Knoxville, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440015
Location1924 Alcoa HighwayKnoxville, TN 37920 · Knox County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37920 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

95.69/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.28
Promoting Interoperability100
Improvement Activities40

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 Roberto Fernandez-romero's NPI number?

The NPI number for Roberto Fernandez-romero is 1194839639. It was assigned to this individual provider in the NPPES registry on August 19, 2006.

Where is Roberto Fernandez-romero located?

Roberto Fernandez-romero practices at 1932 Alcoa Hwy Ste C150, Knoxville, TN 37920. The listed phone number is (865) 305-7218.

What is Roberto Fernandez-romero's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Roberto Fernandez-romero enrolled in Medicare?

Yes. Roberto Fernandez-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 Roberto Fernandez-romero accept?

Health plans from BlueCross BlueShield of Tennessee and UnitedHealthcare list Roberto Fernandez-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 Roberto Fernandez-romero affiliated with any hospitals?

According to CMS data, Roberto Fernandez-romero is affiliated with University Health System, Inc.

When was this NPI record last updated?

The NPPES record for Roberto Fernandez-romero was last updated on June 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.