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DR. MICHAEL ROMAGUERA M.D.
NPI 1740208867
Family Medicine in Baton Rouge, LA

Active since July 17, 2006PECOS EnrolledAccepts Medicare Assignment
78.66/100
CMS Quality Rating
11055 SHOE CREEK DRIVE, BATON ROUGE, LA 70818(225) 261-9746(225) 261-8416 Get Directions Write a Review

NPPES record last updated: October 11, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Michael Romaguera M.d. NPPES

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

DR. MICHAEL ROMAGUERA M.D. (NPI 1740208867) is an individual family medicine provider in Baton Rouge, Louisiana, licensed in Louisiana (017750) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Ochsner Medical Center - Baton Rouge, and is a graduate of Louisiana State University School Of Medicine In New Orleans (1984).

NPPES Registry Identity

NPI1740208867
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MICHAEL ROMAGUERACredential: M.D.
Location Address11055 SHOE CREEK DRIVEBaton Rouge, LA 70818
Mailing Address11055 Shoe Creek DriveBaton Rouge, LA 70818 · (225) 261-9746 · Fax (225) 261-8416
Phone(225) 261-9746
Fax(225) 261-8416
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 1984
Enumeration DateJuly 17, 2006
Last NPPES UpdateOctober 11, 2007
✔ NPI 1740208867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in LA · 017750
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.
11055 SHOE CREEK DRIVE, Baton Rouge, LA 70818
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Other Identifiers 5

Medicaid1348091LA
Medicare PIN53026LA
Medicare PIN53026C822LA
Medicare UPINB89581LA
Medicaid1942189LA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CHRISTUS Health Plan.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. Michael Romaguera 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 ID6709942824
PECOS Enrollment IDI20090225000451
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 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
171 services163 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
98 services85 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
24 services24 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Ochsner Medical Center - Baton Rouge

Acute Care Hospitals · Baton Rouge, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190202
Location17000 Medical Center DrBaton Rouge, LA 70816 · E. Baton Rouge County
Emergency services Birthing friendly

The General

Acute Care Hospitals · Baton Rouge, LA
OwnershipVoluntary non-profit - Private
CMS Certification Number190316
Location3600 Florida Blvd, Suite 2020Baton Rouge, LA 70806 · E. Baton Rouge County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70818 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
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
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.

78.66/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.62
Improvement Activities40

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 Romaguera's NPI number?

The NPI number for Michael Romaguera is 1740208867. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is Michael Romaguera located?

Michael Romaguera practices at 11055 Shoe Creek Drive, Baton Rouge, LA 70818. The listed phone number is (225) 261-9746.

What is Michael Romaguera's specialty?

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

Is Michael Romaguera enrolled in Medicare?

Yes. Michael Romaguera 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 Romaguera accept?

Health plans from CHRISTUS Health Plan list Michael Romaguera 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 Romaguera affiliated with any hospitals?

According to CMS data, Michael Romaguera is affiliated with Ochsner Medical Center - Baton Rouge and The General.

When was this NPI record last updated?

The NPPES record for Michael Romaguera was last updated on October 11, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.