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DENISE M. ROMERO M.D.
NPI 1194922542
Orthopaedic Surgery in Antioch, CA

Active since June 29, 2007PECOS EnrolledAccepts Medicare Assignment
95.32/100
CMS Quality Rating
2350 COUNTRY HILLS DR STE A, ANTIOCH, CA 94509(925) 757-0800(925) 757-2160 Get Directions Write a Review

NPPES record last updated: February 27, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 27, 2025, Feb 12, 2021, Aug 24, 2017 (3 updates tracked since 2017).

About Denise M. Romero M.d. NPPES

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

DENISE M. ROMERO M.D. (NPI 1194922542) is an individual orthopaedic surgery provider in Antioch, California, licensed in California (A95275) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Walnut Creek, and is a graduate of University Of California, San Francisco School Of Medicine (2003).

NPPES Registry Identity

NPI1194922542
Entity TypeIndividualFemale
Primary Taxonomy207X00000X
Provider Legal NameDENISE M. ROMEROCredential: M.D.
Location Address2350 COUNTRY HILLS DR STE AAntioch, CA 94509-7436
Mailing Address2350 Country Hills Dr Ste AAntioch, CA 94509-7436 · (925) 757-0800 · Fax (925) 757-2160
Phone(925) 757-0800
Fax(925) 757-2160
Sole ProprietorNo
Medical School CMSUniversity Of California, San Francisco School Of MedicineGraduated 2003
Enumeration DateJune 29, 2007
Last NPPES UpdateFebruary 27, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 27, 2025
✔ NPI 1194922542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in CA · A95275
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
2350 COUNTRY HILLS DR STE A, Antioch, CA 94509
Open in Google Maps ↗

Secondary Practice Location 1

Location 12637 SHADELANDS DRWALNUT CREEK, CA 94598-2512 · Phone (925) 930-9978 · Fax (925) 930-9663

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

Denise M. 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 ID4486779022
PECOS Enrollment IDI20100920000350
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.

Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
140 services50 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.
126 services52 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.
115 services72 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
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.
30 services13 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.
30 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94509 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
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.

95.32/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality79.94
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Appropriate Use of DXA Scans in Women Under 65 Years Who Do Not Meet the Risk Factor Profile for Osteoporotic Fracture
Lower rates are better for this measure.
4%51 patients
Breast Cancer Screening
71%160 patients4/55-star benchmark: 93%
Cervical Cancer Screening
58%135 patients3/55-star benchmark: 98%
Colorectal Cancer Screening
38%298 patients2/55-star benchmark: 88%
Controlling High Blood Pressure
65%181 patients3/55-star benchmark: 91%
Diabetes: Eye Exam
6%62 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
61%62 patients2/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
55%926 patients2/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
39%249 patients2/55-star benchmark: 100%
HIV Screening
24%278 patients2/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
37%499 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
26%371 patients2/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 74% · 204 patients
Patients screened: 79% · 204 patients
40%20 patients2/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
100%165 patients5/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
80%176 patients4/55-star benchmark: 91%
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.

HAMID R. RASSAI
Surgery
2350 COUNTRY HILLS DR STE A
ANTIOCH, CA 94509
Contra Costa County (925) 757-0800
PHILLIP WILLIE TAN POLIDO M.D
Surgery
2350 COUNTRY HILLS DR STE A
ANTIOCH, CA 94509
Contra Costa County (925) 757-0800
JONATHAN LUM CHIN MD
Urology
2350 COUNTRY HILLS DR STE A
ANTIOCH, CA 94509
Contra Costa County (925) 779-9097

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 Denise Romero's NPI number?

The NPI number for Denise Romero is 1194922542. It was assigned to this individual provider in the NPPES registry on June 29, 2007.

Where is Denise Romero located?

Denise Romero practices at 2350 Country Hills Dr Ste A, Antioch, CA 94509. The listed phone number is (925) 757-0800.

What is Denise Romero's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Denise Romero enrolled in Medicare?

Yes. Denise 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.

When was this NPI record last updated?

The NPPES record for Denise Romero was last updated on February 27, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.