HEATHER ROMERO MD
NPI 1285680082
Family Medicine in Grand Rapids, MI

Active since May 25, 2006PECOS EnrolledAccepts Medicare Assignment
730 GRANDVILLE AVE SW, GRAND RAPIDS, MI 49503(616) 685-8400(616) 742-1322 Get Directions Write a Review

NPPES record last updated: August 24, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Heather Romero Md NPPES

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

HEATHER ROMERO MD (NPI 1285680082) is an individual family medicine provider in Grand Rapids, Michigan, licensed in Michigan (4301086463) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Mercy Health Saint Mary's, and is a graduate of University Of New Mexico School Of Medicine (1999).

NPPES Registry Identity

NPI1285680082
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameHEATHER ROMEROCredential: MD
Location Address730 GRANDVILLE AVE SWGrand Rapids, MI 49503-4920
Mailing Address245 State St SeGrand Rapids, MI 49503-4328 · (616) 685-1808 · Fax (616) 685-1850
Fax(616) 742-1322
Sole ProprietorNo
Medical School CMSUniversity Of New Mexico School Of MedicineGraduated 1999
Enumeration DateMay 25, 2006
Last NPPES UpdateAugust 24, 2012
NPI 1285680082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MI · 4301086463
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.
730 GRANDVILLE AVE SW, Grand Rapids, MI 49503

Other Identifiers 6

Medicare ID-Type UnspecifiedM69390247MI
Medicaid4891722MI
Medicaid4878140MI
Medicare ID-Type UnspecifiedP32930015MI
Medicaid4809563MI
Medicare ID-Type UnspecifiedM02830152MI

Accepted 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

Heather Romero 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 ID9830112978
PECOS Enrollment IDI20060104000582
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.

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.
120 services70 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.
27 services17 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.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Mercy Health Saint Mary's

Acute Care Hospitals · Grand Rapids, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230059
Location200 Jefferson Avenue SEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49503 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Referred Medical Equipment & Supplies CMS DME claims

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers21 claims50 services$6.24 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 15

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

Physician Assistant (Medical)
730 GRANDVILLE AVE SW
GRAND RAPIDS, MI 49503
Family Medicine
730 GRANDVILLE AVE SW
GRAND RAPIDS, MI 49503
Nurse Practitioner (Pediatrics)
730 GRANDVILLE AVE SW
GRAND RAPIDS, MI 49503
Physician Assistant
730 GRANDVILLE AVE SW
GRAND RAPIDS, MI 49503
Clinic/Center (Federally Qualified Health Center (FQHC))
730 GRANDVILLE AVE SW
GRAND RAPIDS, MI 49503
Dietitian, Registered
730 GRANDVILLE AVE SW
GRAND RAPIDS, MI 49503
Physician Assistant
730 GRANDVILLE AVE SW
GRAND RAPIDS, MI 49503
Family Medicine
730 GRANDVILLE AVE SW
GRAND RAPIDS, MI 49503

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 Heather Romero's NPI number?

The NPI number for Heather Romero is 1285680082. It was assigned to this individual provider in the NPPES registry on May 25, 2006.

Where is Heather Romero located?

Heather Romero practices at 730 Grandville Ave SW, Grand Rapids, MI 49503. The listed phone number is (616) 685-8400.

What is Heather Romero's specialty?

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

Is Heather Romero enrolled in Medicare?

Yes. Heather 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 Heather Romero accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company and Priority Health list Heather 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 Heather Romero affiliated with any hospitals?

According to CMS data, Heather Romero is affiliated with Mercy Health Saint Mary's.

When was this NPI record last updated?

The NPPES record for Heather Romero was last updated on August 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.