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DR. MARCUS R ROMANOWSKI MD
NPI 1265469126
Orthopaedic Surgery in Buffalo, NY

Active since June 27, 2006PECOS Enrolled
58.36/100
CMS Quality Rating
4510 MAIN ST, BUFFALO, NY 14226(716) 839-0632(716) 839-2012 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Marcus R Romanowski Md NPPES

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

DR. MARCUS R ROMANOWSKI MD (NPI 1265469126) is an individual orthopaedic surgery provider in Buffalo, New York, licensed in New York (206361-1) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265469126
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. MARCUS R ROMANOWSKICredential: MD
Location Address4510 MAIN STBuffalo, NY 14226-3800
Mailing Address4510 Main StBuffalo, NY 14226-3800 · (716) 839-0632 · Fax (716) 839-2012
Phone(716) 839-0632
Fax(716) 839-2012
Sole ProprietorNo
Enumeration DateJune 27, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1265469126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in NY · 206361-1
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.
4510 MAIN ST, Buffalo, NY 14226
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Marcus R Romanowski Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Marcus Romanowski reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

General Physician, PC
44 mi
General Practice
3898 VINEYARD DR
Dunkirk, NY 14048
  • Reassigned Medicare billing, New York enrollment
  • 572 clinicians in this Medicare group
NPI 1093959322 (716) 692-3302

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 11

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.

X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
108 services69 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
89 services70 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.
78 services60 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
60 services44 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.
51 services47 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.
50 services41 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14226 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

58.36/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality52.89
Promoting Interoperability88
Improvement Activities20
Cost43.31

Reported Quality Measures

Adult Major Depressive Disorder (MDD): Suicide Risk Assessment
5%21 patients
Breast Cancer Screening
21%562 patients1/55-star benchmark: 93%
Cervical Cancer Screening
19%236 patients1/55-star benchmark: 98%
Colorectal Cancer Screening
21%1,043 patients1/55-star benchmark: 88%
Controlling High Blood Pressure
51%310 patients3/55-star benchmark: 91%
Diabetes: Eye Exam
16%88 patients1/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
28%1,436 patients1/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
1%956 patients1/55-star benchmark: 100%
HIV Screening
3%554 patients1/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
18%1,175 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
12%990 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
5%1,508 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 35% · 1,091 patients
Patients screened: 36% · 1,091 patients
37%49 patients2/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
76%508 patients4/55-star benchmark: 100%
Risk-standardized complication rate (RSCR) following elective primary total hip arthroplasty (THA) and/or total knee arthroplasty (TKA) for Merit-based Incentive Payment System (MIPS)
Lower rates are better for this measure.
0.02%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
21%509 patients1/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,006 patients
Patients totalRate: 0% · 1,006 patients
0%1,006 patients5/55-star benchmark: 100%
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 8

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

DR. JOHN A REPICCI MD
Orthopaedic Surgery
4510 MAIN ST
BUFFALO, NY 14226
Erie County (716) 839-0632
JEROME D MASTRANDREA RPA-C
Physician Assistant
4510 MAIN ST
BUFFALO, NY 14226
Erie County (716) 839-0632
MICHAEL W SULLIVAN M.D.
Obstetrics & Gynecology (Reproductive Endocrinology)
4510 MAIN ST, FL 2
SNYDER, NY 14226
Erie County (716) 839-3057
DR. ROBERT LOUIS BORK D.D.S.
Dentist (General Practice)
4510 MAIN ST
SNYDER, NY 14226
Erie County (716) 839-4222
DR. CHANTAL BARBARA BARTELS M.D.
Obstetrics & Gynecology
4510 MAIN ST
BUFFALO, NY 14226
Erie County (716) 839-3057
RALPH C SPERRAZZA M.D.
Obstetrics & Gynecology
4510 MAIN ST, FL 2
SNYDER, NY 14226
Erie County (716) 839-3057
REPICCI AND ROMANOWSKI MD LLC
Physical Medicine & Rehabilitation
4510 MAIN ST
BUFFALO, NY 14226
Erie County (716) 839-0632
DR. CINDY ROMANOWSKI MD
Physical Medicine & Rehabilitation
4510 MAIN ST
BUFFALO, NY 14226
Erie County (716) 839-0632

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 Marcus Romanowski's NPI number?

The NPI number for Marcus Romanowski is 1265469126. It was assigned to this individual provider in the NPPES registry on June 27, 2006.

Where is Marcus Romanowski located?

Marcus Romanowski practices at 4510 Main St, Buffalo, NY 14226. The listed phone number is (716) 839-0632.

What is Marcus Romanowski's specialty?

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

Is Marcus Romanowski enrolled in Medicare?

Yes. Marcus Romanowski is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Marcus Romanowski's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marcus Romanowski reassigns Medicare benefits to General Physician, PC (Dunkirk, NY). The 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 Marcus Romanowski's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Marcus Romanowski was last updated on July 8, 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.