DR. PETER ROUMANOS D.O.
NPI 1710396783
Physical Medicine & Rehabilitation in Lexington, KY

Active since August 04, 2014PECOS EnrolledAccepts Medicare Assignment
23.85/100
CMS Quality Rating
385 WHITE OAK TRCE, LEXINGTON, KY 40511(813) 784-5443 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Aug 24, 2017 (3 updates tracked since 2017).

About Dr. Peter Roumanos D.o. NPPES

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

DR. PETER ROUMANOS D.O. (NPI 1710396783) is an individual physical medicine & rehabilitation provider in Lexington, Kentucky, licensed in Kentucky (04141) and active in the NPI registry since August 2014. He is enrolled in Medicare PECOS, is affiliated with Saint Joseph Hospital, and maintains a secondary practice location in South Miami.

NPPES Registry Identity

NPI1710396783
Entity TypeIndividualMale
Primary Taxonomy208100000X
Provider Legal NameDR. PETER ROUMANOSCredential: D.O.
Location Address385 WHITE OAK TRCELexington, KY 40511-7002
Mailing Address385 White Oak TrceLexington, KY 40511-7002 · (813) 784-5443
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateAugust 4, 2014
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPI 1710396783 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
License Licensed in KY · 04141
Definition
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
385 WHITE OAK TRCE, Lexington, KY 40511

Secondary Practice Location 1

Location 17031 SW 62nd AveSouth Miami, FL 33143-4701 · Phone (305) 284-7500

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Dr. Peter Roumanos D.o. 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 ID8426336785
PECOS Enrollment IDI20170609001188
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 5

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 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.
2,832 services547 patients
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.
1,903 services585 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
436 services387 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
428 services382 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
87 services75 patients

Hospital Affiliations CMS Care Compare 5

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

Saint Joseph Hospital

Acute Care Hospitals · Lexington, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180010
LocationOne Saint Joseph DriveLexington, KY 40504 · Fayette County
Emergency services

University Of Kentucky Hospital

Acute Care Hospitals · Lexington, KY
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number180067
Location800 Rose StreetLexington, KY 40536 · Fayette County
Emergency services Birthing friendly

Clark Regional Medical Center

Acute Care Hospitals · Winchester, KY
3/5 CMS rating
OwnershipProprietary
CMS Certification Number180092
Location175 Hospital DriveWinchester, KY 40391 · Clark County
Emergency services Birthing friendly

Baptist Health Lexington

Acute Care Hospitals · Lexington, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number180103
Location1740 Nicholasville RoadLexington, KY 40503 · Fayette County
Emergency services Birthing friendly

Saint Joseph East

Acute Care Hospitals · Lexington, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180143
Location150 North Eagle Creek DriveLexington, KY 40509 · Fayette County
Emergency services Birthing friendly

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.

23.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality30
Improvement Activities0
Cost27.47

Referred Medical Equipment & Supplies CMS DME claims 24

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

Intermittent urinary catheter, with insertion supplies A4353
DME-Orthotic Devices · category DF008N
1 supplier11 claims1,294 services$6.59 avg. paid by Medicare
Canister, disposable, used with suction pump, each A7000
DME-Other DME · category DE000N
5 suppliers11 claims68 services$7.66 avg. paid by Medicare
Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
6 suppliers55 claims55 services$56.15 avg. paid by Medicare
Seat attachment, walker E0156
DME-Other DME · category DE000N
2 suppliers12 claims12 services$15.92 avg. paid by Medicare
Commode chair, mobile or stationary, with fixed arms E0163
DME-Other DME · category DE000N
7 suppliers44 claims44 services$63.46 avg. paid by Medicare
Commode chair, mobile or stationary, with fixed arms E0163
DME-Other DME · category DE000N
2 suppliers34 claims34 services$8.96 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 Peter Roumanos's NPI number?

The NPI number for Peter Roumanos is 1710396783. It was assigned to this individual provider in the NPPES registry on August 4, 2014.

Where is Peter Roumanos located?

Peter Roumanos practices at 385 White Oak Trce, Lexington, KY 40511. The listed phone number is (813) 784-5443.

What is Peter Roumanos's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.

Is Peter Roumanos enrolled in Medicare?

Yes. Peter Roumanos 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 Peter Roumanos accept?

Health plans from Molina Healthcare list Peter Roumanos 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 Peter Roumanos affiliated with any hospitals?

According to CMS data, Peter Roumanos is affiliated with Saint Joseph Hospital, University Of Kentucky Hospital, Clark Regional Medical Center, Baptist Health Lexington and Saint Joseph East.

When was this NPI record last updated?

The NPPES record for Peter Roumanos was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.