DR. RAUL ROMEA MD
NPI 1962408112
Internal Medicine - Rheumatology in Walnut Creek, CA

Q: What is Raul Romea's NPI number?

The NPI number for Raul Romea is 1962408112. It was assigned to this individual provider in the NPPES registry on June 22, 2005.

Q: What is Raul Romea's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Q: When was this NPI record last updated?

The NPPES record for Raul Romea was last updated on August 15, 2018. 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.

Active since June 22, 2005PECOS EnrolledAccepts Medicare Assignment

97.69/100

CMS Quality Rating

1450 TREAT BLVD # 200, WALNUT CREEK, CA 94597(925) 296-9060 Get Directions Write a Review

NPPES record last updated: August 15, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 15, 2018, May 14, 2018 (2 updates tracked since 2018).

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About Dr. Raul Romea Md NPPES

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

DR. RAUL ROMEA MD (NPI 1962408112) is an individual rheumatology provider in Walnut Creek, California, licensed in California (C53197) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1962408112

Entity TypeIndividualMale

Primary Taxonomy207RR0500X

Provider Legal NameDR. RAUL ROMEACredential: MD

Location Address1450 TREAT BLVD # 200Walnut Creek, CA 94597

Mailing Address1450 Treat Blvd # 300Walnut Creek, CA 94597-2168 · (925) 952-2888

Phone(925) 296-9060

Sole ProprietorYes

Medical School CMSOtherGraduated 1992

Enumeration DateJune 22, 2005

Last NPPES UpdateAugust 15, 20182 updates tracked since enumeration

✔ NPI 1962408112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians

Taxonomy Code207RR0500X

License✔ Licensed in CA · C53197

Definition

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

1450 TREAT BLVD # 200, Walnut Creek, CA 94597

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Secondary Practice Locations 2

Location 19281 Office Park Cir, Suite 120 - CElk Grove, CA 95758-8068 · Phone (916) 682-1800 · Fax (916) 682-8801

Location 29300 W Stockton Blvd Ste 112Elk Grove, CA 95758-8070 · Phone (916) 682-1800 · Fax (916) 682-8801

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. Raul Romea 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 ID9638230444

PECOS Enrollment IDI20081211000173

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 8

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.

708 services306 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

217 services45 patients

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.

161 services133 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.

92 services92 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

27 services18 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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94597 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

$153.83 typical visit price

range $69.00 – $202.35

Typical copayment $38.45 (range $17.25 – $50.58)

Most-billed visit code 99204

Established Patient

$119.48 typical visit price

range $23.44 – $166.46

Typical copayment $29.87 (range $5.86 – $41.61)

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.

97.69/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

92.32

Promoting Interoperability

100

Improvement Activities

Cost

100

Reported Quality Measures

Appropriate Use of DXA Scans in Women Under 65 Years Who Do Not Meet the Risk Factor Profile for Osteoporotic Fracture

Lower rates are better for this measure.

7%59 patients

Breast Cancer Screening

78%462 patients4/55-star benchmark: 93%

Cervical Cancer Screening

57%468 patients3/55-star benchmark: 98%

Colorectal Cancer Screening

62%806 patients3/55-star benchmark: 88%

Controlling High Blood Pressure

76%473 patients4/55-star benchmark: 91%

Diabetes: Eye Exam

33%143 patients2/55-star benchmark: 100%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

22%143 patients4/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

98%2,831 patients4/55-star benchmark: 100%

e-Prescribing

100%1,137 patients5/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

57%672 patients3/55-star benchmark: 100%

HIV Screening

33%753 patients3/55-star benchmark: 60%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

46%1,284 patients2/55-star benchmark: 98%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

42%895 patients2/55-star benchmark: 97%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 85% · 825 patients

Patients screened: 88% · 825 patients

35%40 patients2/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

100%662 patients5/55-star benchmark: 100%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

78%479 patients4/55-star benchmark: 91%

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.

Other Providers at the Same Location NPPES 6

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

DR. JOHN A DANA JR. M.D.

Physical Medicine & Rehabilitation