KAREN MARIE ROMERO M.D.
NPI 1861502239
Family Medicine in Livingston, CA

Active since August 30, 2006PECOS EnrolledAccepts Medicare Assignment
41.29/100
CMS Quality Rating
1140 MAIN ST, LIVINGSTON, CA 95334(209) 394-7913(209) 394-3021 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Karen Marie Romero M.d. NPPES

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

KAREN MARIE ROMERO M.D. (NPI 1861502239) is an individual family medicine provider in Livingston, California, licensed in California (A77803) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of University Of New Mexico School Of Medicine (1998).

NPPES Registry Identity

NPI1861502239
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKAREN MARIE ROMEROCredential: M.D.
Location Address1140 MAIN STLivingston, CA 95334-1257
Mailing Address1140 Main StLivingston, CA 95334-1257 · (209) 394-7913 · Fax (209) 394-3021
Fax(209) 394-3021
Sole ProprietorNo
Medical School CMSUniversity Of New Mexico School Of MedicineGraduated 1998
Enumeration DateAugust 30, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1861502239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · A77803
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.

1140 MAIN ST, Livingston, CA 95334

Other Identifiers 2

Medicare UPINI01994CA
Medicare ID-Type Unspecified00A778030CA

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

Karen Marie 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 ID9830186543
PECOS Enrollment IDI20040426001696
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 39

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, 20-29 minutes 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.
565 services456 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
224 services224 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
220 services220 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
159 services148 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
124 services96 patients
New patient office or other outpatient visit, 15-29 minutes 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
101 services101 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95334 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

41.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality20
Improvement Activities0
Cost94.31

Referred Medical Equipment & Supplies CMS DME claims 3

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers18 claims37 services$4.26 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers17 claims17 services$0.80 avg. paid by Medicare
Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds K0823
DME-Wheelchairs · category DD009N
1 supplier20 claims24 services$147.73 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.

Registered Nurse (Administrator)
1140 MAIN ST
LIVINGSTON, CA 95334
Clinic/Center (Federally Qualified Health Center (FQHC))
1140 MAIN ST
LIVINGSTON, CA 95334
Nurse Practitioner (Family)
1140 MAIN ST
LIVINGSTON, CA 95334
Registered Nurse
1140 MAIN ST
LIVINGSTON, CA 95334
Licensed Vocational Nurse
1140 MAIN ST
LIVINGSTON, CA 95334
Social Worker (Clinical)
1140 MAIN ST
LIVINGSTON, CA 95334
Family Medicine
1140 MAIN ST
LIVINGSTON, CA 95334
Physician Assistant
1140 MAIN ST
LIVINGSTON, CA 95334

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 Karen Romero's NPI number?

The NPI number for Karen Romero is 1861502239. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Karen Romero located?

Karen Romero practices at 1140 Main St, Livingston, CA 95334. The listed phone number is (209) 394-7913.

What is Karen Romero's specialty?

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

Is Karen Romero enrolled in Medicare?

Yes. Karen 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.

When was this NPI record last updated?

The NPPES record for Karen Romero was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.