NPI registry status
Active
2026 NPPES data Surgery Physician NPI 1245640218 MD
Verify on CMS → Matthew Romine, MD
Surgery Physician in Birmingham, Alabama.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 36,778 in Surgery Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
228
Medicare Part D claims · 120 beneficiaries · Surgery Physician avg: 174
MIPS score
98.3/100
▲ 15 pts above national avg 83.5 · Exceptional
Industry payments
$241.63
5 payments · CMS Open Payments (Sunshine Act)
What the federal data shows
Matthew Romine, MD reported a CMS MIPS final score of 98.3/100 - above the 83.5 national average - and filed 228 Medicare Part D claims in 2024.
- 98.3/100
- MIPS score · +15 vs avg
- 228
- Part D claims, 2024
- Likely
- board-certified (heuristic)
- ≥89th
- pct among measured MIPS (lower-bound band)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Federal trust snapshot
What official records show about Matthew Romine, MD
Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1245640218), first enumerated 04/30/2014.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 228 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
Reported a CMS MIPS final score of 98.3/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Reported
Industry payment transparency
$241.63 in reported industry payments (5 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1245640218 · Surgery Physician
NPI-10 · ENUM-MID · TAX-MID · MIPS-ELITE · RX-LIGHT · BOOK-THIN · PHOTO-FINISH
- NPI-10 1245640218
- ENUM-MID 2014
- TAX-MID 37K Surgery Physician
- MIPS-ELITE 98.3/100
- RX-LIGHT 228
- BOOK-THIN 450 in Alabama
- PHOTO-FINISH Carlos Anciano Grana… · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Romine · this pr…
Romine · this provider
98.3 MIPS pts
- Eric Demaria · h…
Eric Demaria
98.3 MIPS pts
- Carlos Anciano G…
Carlos Anciano Granadillo
98.3 MIPS pts
- Philip Bates · n…
Philip Bates
98.3 MIPS pts
- Bradford Bilicki…
Bradford Bilicki
98.3 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Matthew Romine, MD's MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
98 ≥ 89th percentile 89% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Matthew Romine, MD sits
This provider among surgery physician peers
Across the 7,271 surgery physician providers who report both Medicare Part D prescribing and a MIPS quality score, Matthew Romine, MD writes more Part D claims than 82% of them and scores higher on MIPS quality than 89% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one surgery physician peer from a representative sample of 60; the gold marker is Matthew Romine, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Matthew Romine, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Matthew Romine, MD?
High performer (top quartile)Primary specialty
Surgery Physician
Medicare Part D claims
228 31% vs specialty avg
MIPS final score
98.3/100 14.8 pts vs avg
Specialty distribution in Alabama
How Surgery Physician compares to other specialties among Alabama providers
Medicare quality performance, MIPS
Matthew Romine, MD's 2023 MIPS final score plotted against the Surgery Physician national average
- MIPS Final Score
- 98.3/100
- vs 83.5 national avg · 2023 performance year
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Practice Address
Provider Details
| NPI | 1245640218 |
|---|---|
| Specialty | Surgery Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 04/30/2014 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
98.333
Final Score
Measured-score avg: 83.5
82.9398
Quality
100
Promoting Interoperability
Reporting: Alternative Payment Model
Hospital and facility affiliations
Facilities where Matthew Romine, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.
University OF Alabama Health Services Foundation, PC
Birmingham, AL
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Industry payments received (2024) - CMS Open Payments transparency data
The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Matthew Romine, MD. Source: openpaymentsdata.cms.gov.
Total received
$242
Largest payer
Davol Inc.
Most common payment type
Food and Beverage
Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2024.
228
Total Claims
$6K
Total Drug Cost
120
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 250.333
- Total Day Supply
- 3,112
- Generic Drug Cost
- $3K
- Opioid Claims
- 103 (45.2% rate)
- Antibiotic Claims
- 42
Patient Demographics
- Average Patient Age
- 71.3 years
- Avg HCC Risk Score
- 1.67
- Gender Split
- 38% female / 62% male
- Age Distribution
- <65: 18, 65-74: 57, 75-84: N/A, 85+: N/A
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Matthew Romine, MD prescribes most
Top Medicare Part D drugs by claim count, 2024
- Hydrocodone-Acetam…
Hydrocodone-Acetaminophen
66 claims
- Tramadol Hcl 21
Tramadol Hcl
21 claims
- Pantoprazole Sodium 20
Pantoprazole Sodium
20 claims
- Amoxicillin-Clavul… 18
Amoxicillin-Clavulanate Potass
18 claims
- Oxycodone Hcl 12
Oxycodone Hcl
12 claims
- Gabapentin 11
Gabapentin
11 claims
| Drug | Claims |
|---|---|
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 66 |
| Tramadol Hcl | 21 |
| Pantoprazole Sodium | 20 |
| Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav | 18 |
| Oxycodone Hcl | 12 |
| Gabapentin | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Surgery Physician Overview
How Matthew Romine, MD fits within the Surgery Physician landscape nationally.
36,778
Surgery Physician Providers in US
56
States with Surgery Physician
174
Avg Claims per Provider
Matthew Romine, MD's 228 claims are above the specialty average of 174.
Nationwide Surgery Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Romine, both outside Alabama so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (98.3 here).
Same NPPES enumeration year (2014)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Surgery Physician Providers in Alabama
Other clinicians with the same primary specialty enrolled in Alabama, drawn from the same CMS NPPES roster as Romine.
One of 450 Surgery Physician providers enrolled in Alabama, 5 are shown here.
Dr. Richard Abernathy
M.D.
Foley, AL
Mackenzie Abraham
Birmingham, AL
Peter Abraham
Birmingham, AL
Dr. Carol Adams
MD
Jasper, AL
Dr. William Adkins
MD
Opelika, AL
Compare Surgery Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Matthew Romine, MD's specialty? ▼
Matthew Romine, MD specializes in Surgery Physician and practices in Birmingham, Alabama. Credentials: MD.
How much does Matthew Romine, MD prescribe under Medicare Part D? ▼
In 2024, Matthew Romine, MD wrote 228 Medicare Part D claims totaling $6K in drug costs for 120 beneficiaries.
What is Matthew Romine, MD's Medicare quality score? ▼
Matthew Romine, MD has a CMS MIPS Final Score of 98.3/100 (Quality: 82.9). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Matthew Romine, MD located? ▼
Matthew Romine, MD is located at 619 19TH ST S, Birmingham, AL, 35249. Phone: (205) 934-4011.
What is Matthew Romine, MD's NPI number? ▼
Matthew Romine, MD's National Provider Identifier (NPI) is 1245640218, issued on 04/30/2014.
Does Matthew Romine, MD prescribe opioids? ▼
Yes, Matthew Romine, MD had 103 opioid claims in 2024 with an opioid prescribing rate of 45.2%.
How many Surgery Physician providers are there in the US? ▼
There are 36,778 Surgery Physician providers across 56 states in the US. The average Surgery Physician provider writes 174 Medicare Part D claims per year.
What drugs does Matthew Romine, MD prescribe most often? ▼
Based on 2024 Medicare Part D data, Matthew Romine, MD's most frequently prescribed drugs include Hydrocodone-Acetaminophen, Tramadol Hcl, Pantoprazole Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Matthew Romine, MD accept Medicare? ▼
Matthew Romine, MD appears in CMS Medicare data with 228 Part D claims and 120 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Matthew Romine, MD's credentials? ▼
Matthew Romine, MD's NPI is 1245640218 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.
Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2024). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Quality Performance
- CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of August 2026 (NPPES) / 2024 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.