RAYMUNDO ROMERO M.D.
NPI 1568537314
Internal Medicine - Medical Oncology in Glendale, CA

Active since November 21, 2006PECOS EnrolledAccepts Medicare Assignment
84.46/100
CMS Quality Rating
1505 WILSON TER, SUITE 340, GLENDALE, CA 91206(818) 543-7574(818) 956-7609 Get Directions Write a Review

NPPES record last updated: October 12, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Raymundo Romero M.d. NPPES

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

RAYMUNDO ROMERO M.D. (NPI 1568537314) is an individual medical oncology provider in Glendale, California, licensed in California (A75748) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Loma Linda University School Of Medicine (1999).

NPPES Registry Identity

NPI1568537314
Entity TypeIndividualMale
Primary Taxonomy207RX0202X
Provider Legal NameRAYMUNDO ROMEROCredential: M.D.
Location Address1505 WILSON TER, SUITE 340Glendale, CA 91206-4072
Mailing Address1505 Wilson Ter, Suite 340Glendale, CA 91206-4071 · (818) 543-7574 · Fax (818) 956-7609
Fax(818) 956-7609
Sole ProprietorNo
Medical School CMSLoma Linda University School Of MedicineGraduated 1999
Enumeration DateNovember 21, 2006
Last NPPES UpdateOctober 12, 2012
✔ NPI 1568537314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RX0202X
License✔ Licensed in CA · A75748
Definition
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
1505 WILSON TER, Glendale, CA 91206

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Raymundo 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 ID2668648429
PECOS Enrollment IDI20111228000209, I20251009003139
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 Reassignments

3

Medicare enrollment records show Raymundo Romero reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
510 S ALVARADO ST
Los Angeles, CA 90057
  • Reassigned Medicare billing, California enrollment
  • 15 clinicians in this Medicare group
Hematology & Oncology
1700 E CESAR E CHAVEZ AVE STE 2600
Los Angeles, CA 90033
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Hao Wei Zhang MD Inc
  • 2 clinicians in this Medicare group
Hematology & Oncology
11525 BROOKSHIRE AVE STE 202
Downey, CA 90241
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: The Oncology Institute Ca, A Professional Corporation
  • 110 clinicians in this Medicare group

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 7

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
1,857 services113 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.
316 services123 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
83 services18 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
71 services66 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.
67 services44 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
56 services48 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91206 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
$187.60 typical visit price
range $62.96 – $187.60
Typical copayment $46.90 (range $15.74 – $46.90)
Most-billed visit code 99205
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

84.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality34.01
Promoting Interoperability83
Improvement Activities40
Cost95.04

Reported Quality Measures

Cervical Cancer Screening
0%240 patients1/55-star benchmark: 98%
Colorectal Cancer Screening
38%338 patients2/55-star benchmark: 88%
Documentation of Current Medications in the Medical Record
78%1,996 patients3/55-star benchmark: 100%
e-Prescribing
100%240 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
10%506 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
0%504 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
5%1,996 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 75% · 451 patients
73%451 patients
Provide Patients Electronic Access to Their Health Information
95%390 patients4/55-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.

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.

Capecitabine, oral, 500 mg J8521
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier14 claims1,368 services$0.78 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
2 suppliers16 claims16 services$12.64 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 20

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

Pharmacy (Community/Retail Pharmacy)
1505 WILSON TER, STE 100
GLENDALE, CA 91206
Internal Medicine (Hematology & Oncology)
1505 WILSON TER, SUITE 340
GLENDALE, CA 91206
Otolaryngology
1505 WILSON TER, #270
GLENDALE, CA 91206
Internal Medicine (Nephrology)
1505 WILSON TER, SUITE #155
GLENDALE, CA 91206
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
1505 WILSON TER, SUITE 200
GLENDALE, CA 91206
Internal Medicine
1505 WILSON TER, SUITE 320
GLENDALE, CA 91206
Family Medicine
1505 WILSON TER, SUITE 250
GLENDALE, CA 91206
Dietitian, Registered
1505 WILSON TER, # 155
GLENDALE, CA 91206

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 Raymundo Romero's NPI number?

The NPI number for Raymundo Romero is 1568537314. It was assigned to this individual provider in the NPPES registry on November 21, 2006.

Where is Raymundo Romero located?

Raymundo Romero practices at 1505 Wilson Ter Suite 340, Glendale, CA 91206. The listed phone number is (818) 543-7574.

What is Raymundo Romero's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Is Raymundo Romero enrolled in Medicare?

Yes. Raymundo 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.

Which organizations bill Medicare for Raymundo Romero's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Raymundo Romero reassigns Medicare benefits to 3 organizations: Samaritana Medical Clinic,inc. (Los Angeles, CA), Hao Wei Zhang M.D., Inc. (Los Angeles, CA) and Starling Oncology Ca, A Professional Corporation (Downey, CA). Each 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 Raymundo Romero's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Raymundo Romero accept?

Health plans from UnitedHealthcare list Raymundo 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.

When was this NPI record last updated?

The NPPES record for Raymundo Romero was last updated on October 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.