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RACHEL C ROME MD
NPI 1679795256
Pain Medicine - Interventional Pain Medicine in Hopkinsville, KY

Active since May 03, 2007PECOS EnrolledAccepts Medicare Assignment
1717 HIGH ST STE 3B, HOPKINSVILLE, KY 42240(270) 881-4150(270) 881-4151 Get Directions Write a Review

NPPES record last updated: April 4, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 4, 2019, Feb 8, 2019, Jul 6, 2017 (3 updates tracked since 2017).

About Rachel C Rome Md NPPES

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

RACHEL C ROME MD (NPI 1679795256) is an individual interventional pain medicine provider in Hopkinsville, Kentucky, licensed in Kentucky (49763) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, is affiliated with Ohio County Hospital, and is a graduate of University Of Tennessee, Hsc, College Of Medicine (2006).

NPPES Registry Identity

NPI1679795256
Entity TypeIndividualFemale
Primary Taxonomy208VP0014X
Provider Legal NameRACHEL C ROMECredential: MD
Location Address1717 HIGH ST STE 3BHopkinsville, KY 42240-6300
Mailing Address1717 High St Ste 3bHopkinsville, KY 42240-6300 · (270) 881-4150 · Fax (270) 881-4151
Phone(270) 881-4150
Fax(270) 881-4151
Sole ProprietorNo
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 2006
Enumeration DateMay 3, 2007
Last NPPES UpdateApril 4, 20193 updates tracked since enumeration
✔ NPI 1679795256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
Licenses✔ Licensed in KY · 49763✔ Licensed in TN · 49763✔ Licensed in TN · 47701
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
Also ListedAnesthesiologyTaxonomy 207L00000X · License 0101248404 (VA), MD47701 (TN)
1717 HIGH ST STE 3B, Hopkinsville, KY 42240
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Other Identifiers 3

Medicaid7100233930KY
Other6061219TN · Bcbs
Medicaid1525558TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter Health, Ambetter of Alabama and more.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

Rachel C Rome 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 ID6608065552
PECOS Enrollment IDI20110916000234, I20170202000229
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

4

Medicare enrollment records show Rachel Rome reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lifelinc Anesthesia II, PLLC
43 mi
Anesthesiology
100 NORTHCREST DR
Springfield, TN 37172
  • Reassigned Medicare billing, Tennessee enrollment
  • 204 clinicians in this Medicare group
NPI 1821397233 (901) 844-1590
Center For Spine, Joint & Neuromuscular Rehabilitation
73 mi
Physical Medicine & Rehabilitation
5003 CROSSING CIRCLE, SUITE 200
Mt. Juliet, TN 37122
  • Reassigned Medicare billing, Tennessee enrollment
  • 4 clinicians in this Medicare group
NPI 1639102650 (615) 872-9966
Hmc Physician Services
120 mi
Orthopaedic Surgery
935 WAYNE ROAD
Savannah, TN 38372
  • Reassigned Medicare billing, Tennessee enrollment
  • 29 clinicians in this Medicare group
NPI 1316246705 (731) 925-9909
Pain Management Group LLC
  • Reassigned Medicare billing, Kentucky and Tennessee enrollments
  • 16 clinicians in this Medicare group
No phone listed

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 2

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.
52 services36 patients
Administration of psychological or neuropsychological test by technician, first 30 minutes 96138
This procedure involves a trained technician administering a psychological or neuropsychological test. It's a process that assesses your mental function and behavior. The initial session will last 30 minutes. The aim is to understand your cognitive abilities better.
20 services19 patients

Hospital Affiliations CMS Care Compare 2

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

Ohio County Hospital

Critical Access Hospitals · Hartford, KY
OwnershipProprietary
CMS Certification Number181323
Location1211 Old Main StreetHartford, KY 42347 · Ohio County
Emergency services

Hardin Medical Center

Acute Care Hospitals · Savannah, TN
OwnershipGovernment - Local
CMS Certification Number440109
Location935 Wayne RoadSavannah, TN 38372 · Hardin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42240 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
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
99%139 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%1,371 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
95%501 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
18%188 patients1/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
42%478 patients2/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user
94%335 patients4/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
97%188 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
21%188 patients2/55-star benchmark: 79%
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.

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 Rachel Rome's NPI number?

The NPI number for Rachel Rome is 1679795256. It was assigned to this individual provider in the NPPES registry on May 3, 2007.

Where is Rachel Rome located?

Rachel Rome practices at 1717 High St Ste 3B, Hopkinsville, KY 42240. The listed phone number is (270) 881-4150.

What is Rachel Rome's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Is Rachel Rome enrolled in Medicare?

Yes. Rachel Rome 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 Rachel Rome's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rachel Rome reassigns Medicare benefits to 4 organizations: Lifelinc Anesthesia II, PLLC (Springfield, TN), Center For Spine, Joint & Neuromuscular Rehabilitation (Mt. Juliet, TN), Hmc Physician Services (Savannah, TN) and Pain Management Group LLC (KY). 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 Rachel Rome's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rachel Rome accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 3 other insurers list Rachel Rome 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 Rachel Rome affiliated with any hospitals?

According to CMS data, Rachel Rome is affiliated with Ohio County Hospital and Hardin Medical Center.

When was this NPI record last updated?

The NPPES record for Rachel Rome was last updated on April 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.