FRANKIE R ROMAN MD
NPI 1639132871
Internal Medicine - Sleep Medicine in Everett, WA

Active since April 10, 2006PECOS EnrolledAccepts Medicare Assignment
82.84/100
CMS Quality Rating
13020 MERIDIAN AVE S, EVERETT, WA 98208(206) 386-4744(206) 215-1135 Get Directions Write a Review

NPPES record last updated: May 21, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 21, 2021, Jun 28, 2018, Mar 17, 2018 and 1 more (4 updates tracked since 2016).

About Frankie R Roman Md NPPES

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

FRANKIE R ROMAN MD (NPI 1639132871) is an individual sleep medicine provider in Everett, Washington, licensed in Washington (MD60806364) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Swedish Medical Center / Cherry Hill, and maintains a secondary practice location in Seattle.

NPPES Registry Identity

NPI1639132871
Entity TypeIndividualMale
Primary Taxonomy207RS0012X
Provider Legal NameFRANKIE R ROMANCredential: MD
Location Address13020 MERIDIAN AVE SEverett, WA 98208
Mailing AddressPo Box 25608Salt Lake City, UT 84125-0608 · (206) 320-4476 · Fax (206) 568-7043
Fax(206) 215-1135
Sole ProprietorNo
Medical School CMSOtherGraduated 1984
Enumeration DateApril 10, 2006
Last NPPES UpdateMay 21, 20214 updates tracked since enumeration
NPPES CertifiedMay 21, 2021
NPI 1639132871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Sleep MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RS0012X
Licenses Licensed in WA · MD60806364 Licensed in OH · 35064187
Definition
An Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.
13020 MERIDIAN AVE S, Everett, WA 98208

Secondary Practice Location 1

Location 1550 17th AveSeattle, WA 98122-5788 · Phone (206) 386-4744 · Fax (206) 215-1135

Other Identifiers 1

Medicaid0906916OH

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

Frankie R Roman 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 ID7315976297
PECOS Enrollment IDI20180125000178
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 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.

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.
173 services158 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.
133 services105 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
74 services74 patients
Sleep study in sleep lab (6 years or older) 95810
A sleep study in a sleep lab is a non-invasive overnight test that monitors your body while you sleep. It helps doctors understand your sleep patterns and identify any issues like sleep apnea or insomnia. You'll be connected to equipment that tracks your heart rate, brain waves, breathing, and movements.
68 services67 patients
Home sleep test (hst) with type iv portable monitor, unattended; minimum of 3 channels G0400
A Home Sleep Test (HST) with a Type IV Portable Monitor is a non-invasive test done at home. It records your sleep patterns, breathing, oxygen levels, and heart rate to help diagnose sleep disorders like sleep apnea. It's unattended and uses minimum of 3 channels for data collection.
33 services31 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
25 services25 patients

Hospital Affiliations CMS Care Compare 4

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

Swedish Medical Center / Cherry Hill

Acute Care Hospitals · Seattle, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number500025
Location500 17th AvenueSeattle, WA 98122 · King County
Emergency services

Swedish Edmonds Hospital

Acute Care Hospitals · Edmonds, WA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500026
Location21601 76th Avenue WestEdmonds, WA 98026 · Snohomish County
Emergency services Birthing friendly

Swedish Medical Center

Acute Care Hospitals · Seattle, WA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500027
Location747 BroadwaySeattle, WA 98122 · King County
Emergency services Birthing friendly

Swedish Issaquah

Acute Care Hospitals · Issaquah, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500152
Location751 NE Blakely DrIssaquah, WA 98029 · King County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98208 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
$130.99 typical visit price
range $57.27 – $172.80
Typical copayment $32.74 (range $14.31 – $43.20)
Most-billed visit code 99204
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

82.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.14
Promoting Interoperability100
Improvement Activities40
Cost60.65

Referred Medical Equipment & Supplies CMS DME claims 19

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
33 suppliers668 claims668 services$33.92 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
24 suppliers227 claims227 services$77.49 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
25 suppliers247 claims536 services$28.47 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
22 suppliers318 claims1,651 services$16.49 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
18 suppliers216 claims1,090 services$12.62 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
28 suppliers573 claims573 services$48.00 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 13

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

Physician Assistant (Medical)
13020 MERIDIAN AVE S
EVERETT, WA 98208
Family Medicine
13020 MERIDIAN AVE S
EVERETT, WA 98208
Radiology (Body Imaging)
13020 MERIDIAN AVE S
EVERETT, WA 98208
Specialist
13020 MERIDIAN AVE S, (SWEDISH HEALTH SERVICES)
EVERETT, WA 98208
Pharmacist
13020 MERIDIAN AVE S
EVERETT, WA 98208
Family Medicine
13020 MERIDIAN AVE S
EVERETT, WA 98208
Family Medicine
13020 MERIDIAN AVE S
EVERETT, WA 98208
Psychiatry & Neurology (Sleep Medicine)
13020 MERIDIAN AVE S
EVERETT, WA 98208

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 Frankie Roman's NPI number?

The NPI number for Frankie Roman is 1639132871. It was assigned to this individual provider in the NPPES registry on April 10, 2006.

Where is Frankie Roman located?

Frankie Roman practices at 13020 Meridian Ave S, Everett, WA 98208. The listed phone number is (206) 386-4744.

What is Frankie Roman's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Sleep Medicine, with taxonomy code 207RS0012X.

Is Frankie Roman enrolled in Medicare?

Yes. Frankie Roman 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 Frankie Roman accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Frankie Roman 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 Frankie Roman affiliated with any hospitals?

According to CMS data, Frankie Roman is affiliated with Swedish Medical Center / Cherry Hill, Swedish Edmonds Hospital, Swedish Medical Center and Swedish Issaquah.

When was this NPI record last updated?

The NPPES record for Frankie Roman was last updated on May 21, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.