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DR. ROMULO JC ALBUQUERQUE MD
NPI 1265726905
Ophthalmology - Retina Specialist in Lexington, KY

Active since May 29, 2011PECOS EnrolledAccepts Medicare Assignment
72.34/100
CMS Quality Rating
UNIVERSITY OF KENTUCKY & AFFILIATES, 800 ROSE ST., LEXINGTON, KY 40536(859) 257-1363 Get Directions Write a Review

NPPES record last updated: November 28, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Romulo Jc Albuquerque Md NPPES

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

DR. ROMULO JC ALBUQUERQUE MD (NPI 1265726905) is an individual retina specialist in Lexington, Kentucky, licensed in Kentucky (48208) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS and is a graduate of University Of Kentucky College Of Medicine (2011).

NPPES Registry Identity

NPI1265726905
Entity TypeIndividualMale
Primary Taxonomy207WX0107X
Provider Legal NameDR. ROMULO JC ALBUQUERQUECredential: MD
Location AddressUNIVERSITY OF KENTUCKY & AFFILIATES, 800 ROSE ST.Lexington, KY 40536-0001
Mailing Address110 Conn Ter Ste 550Lexington, KY 40508-3206 · (859) 323-5867 · Fax (859) 323-1122
Phone(859) 257-1363
Sole ProprietorNo
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 2011
Enumeration DateMay 29, 2011
Last NPPES UpdateNovember 28, 2017
✔ NPI 1265726905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0107X
License✔ Licensed in KY · 48208
Definition
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
Also ListedOphthalmologyTaxonomy 207W00000X · License R2686 (KY)
Also ListedOphthalmology · Uveitis and Ocular Inflammatory DiseaseTaxonomy 207WX0108X · License 48208 (KY)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
UNIVERSITY OF KENTUCKY & AFFILIATES, Lexington, KY 40536
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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. Romulo Jc Albuquerque 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 ID5890002182
PECOS Enrollment IDI20190622000055
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 13

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, faricimab-svoa, 0.1 mg J2777
Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.
93,060 services305 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
2,820 services995 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
1,777 services455 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
1,599 services873 patients
Injection, aflibercept, 1 mg J0178
Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.
1,060 services140 patients
Injection, dexamethasone, intravitreal implant, 0.1 mg J7312
This procedure involves placing a tiny implant into your eye. This implant slowly releases a medication called dexamethasone, which helps to reduce inflammation and swelling in the eye, improving vision and comfort.
364 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40536 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

72.34/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality95.33
Promoting Interoperability92
Improvement Activities40
Cost19.14

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.

RYAN NAZAR
Student in an Organized Health Care Education/Training Program
UNIVERSITY OF KENTUCKY & AFFILIATES, 800 ROSE STREET
LEXINGTON, KY 40536
Fayette County (502) 338-8163
DR. JONATHAN DONSON MD
Student in an Organized Health Care Education/Training Program
UNIVERSITY OF KENTUCKY & AFFILIATES, 800 ROSE ST.
LEXINGTON, KY 40536
Fayette County (818) 836-1678
NASTARAN SHARIFIAN M.D.
Student in an Organized Health Care Education/Training Program
UNIVERSITY OF KENTUCKY & AFFILIATES, 800 ROSE STREET
LEXINGTON, KY 40536
Fayette County (859) 257-1363
SEAN DEFRATES PHARM.D.
Student in an Organized Health Care Education/Training Program
UNIVERSITY OF KENTUCKY & AFFILIATES, 800 ROSE ST.
LEXINGTON, KY 40536
Fayette County (859) 257-1000
AHPA PLYPOO
Student in an Organized Health Care Education/Training Program
UNIVERSITY OF KENTUCKY & AFFILIATES, 800 ROSE ST.
LEXINGTON, KY 40536
Fayette County (859) 323-1100
DR. BENJAMIN ERESHEFSKY PHARM.D.
Pharmacist
UNIVERSITY OF KENTUCKY & AFFILIATES, 800 ROSE ST
LEXINGTON, KY 40536
Fayette County (859) 323-5000
DR. CARRIE ELIZABETH GABY M.D.
Internal Medicine
UNIVERSITY OF KENTUCKY & AFFILIATES, 800 ROSE STREET
LEXINGTON, KY 40536
Fayette County (859) 323-5000
RACHEL L JOHNSON PHARMD
Student in an Organized Health Care Education/Training Program
UNIVERSITY OF KENTUCKY & AFFILIATES, 800 ROSE ST
LEXINGTON, KY 40536
Fayette County (859) 323-5872

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 Albuquerque's NPI number?

The NPI number for Romulo Albuquerque is 1265726905. It was assigned to this individual provider in the NPPES registry on May 29, 2011.

Where is Romulo Albuquerque located?

Romulo Albuquerque practices at University Of Kentucky & Affiliates 800 Rose St., Lexington, KY 40536. The listed phone number is (859) 257-1363.

What is Romulo Albuquerque's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Is Romulo Albuquerque enrolled in Medicare?

Yes. Romulo Albuquerque 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 Romulo Albuquerque was last updated on November 28, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.