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MICHAEL D. ROMAC M.D.
NPI 1427014869
Family Medicine in Damariscotta, ME

Active since April 25, 2006PECOS EnrolledAccepts Medicare Assignment
98.06/100
CMS Quality Rating
79 SCHOONER STREET, DAMARISCOTTA, ME 04543(207) 563-4777(207) 563-4738 Get Directions Write a Review

NPPES record last updated: October 13, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michael D. Romac M.d. NPPES

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

MICHAEL D. ROMAC M.D. (NPI 1427014869) is an individual family medicine provider in Damariscotta, Maine, licensed in New York (189731-1) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Lincolnhealth, and is a graduate of Other (1987).

NPPES Registry Identity

NPI1427014869
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMICHAEL D. ROMACCredential: M.D.
Location Address79 SCHOONER STREETDamariscotta, ME 04543-4047
Mailing Address79 Schooner StreetDamariscotta, ME 04543-4047 · (207) 563-4777 · Fax (207) 563-4738
Phone(207) 563-4777
Fax(207) 563-4738
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateApril 25, 2006
Last NPPES UpdateOctober 13, 2015
✔ NPI 1427014869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 189731-1
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.
79 SCHOONER STREET, Damariscotta, ME 04543
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Other Identifiers 5

Medicare UPINE70542
Medicaid01374818NY
Medicare ID-Type UnspecifiedBB8759NY
Medicaid1003889VT
Medicare PINVN064701VT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Harvard Pilgrim Health Care.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

Michael D. Romac 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 ID2365532819
PECOS Enrollment IDI20151214001504
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 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.
37 services37 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
22 services20 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.
19 services15 patients

Hospital Affiliations CMS Care Compare

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

Lincolnhealth

Critical Access Hospitals · Damariscotta, ME
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number201302
Location35 Miles StreetDamariscotta, ME 04543 · Lincoln County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04543 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
$82.58 typical visit price
range $53.26 – $162.77
Typical copayment $20.64 (range $13.31 – $40.69)
Most-billed visit code 99203
Established Patient
$94.60 typical visit price
range $16.90 – $132.79
Typical copayment $23.65 (range $4.22 – $33.19)
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.

98.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.13
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

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

Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers12 claims12 services$37.76 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers22 claims22 services$201.23 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Michael Romac's NPI number?

The NPI number for Michael Romac is 1427014869. It was assigned to this individual provider in the NPPES registry on April 25, 2006.

Where is Michael Romac located?

Michael Romac practices at 79 Schooner Street, Damariscotta, ME 04543. The listed phone number is (207) 563-4777.

What is Michael Romac's specialty?

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

Is Michael Romac enrolled in Medicare?

Yes. Michael Romac 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 Michael Romac accept?

Health plans from Harvard Pilgrim Health Care list Michael Romac 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 Michael Romac affiliated with any hospitals?

According to CMS data, Michael Romac is affiliated with Lincolnhealth.

When was this NPI record last updated?

The NPPES record for Michael Romac was last updated on October 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.