2026 NPPES data Addiction Psychiatry Physician NPI 1306089313 MD
Verify on CMS →

PAUL ROMO, MD

Addiction Psychiatry Physician in ALBUQUERQUE, New Mexico. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
971
Medicare Part D claims · 72 beneficiaries · Addiction Psychiatry Physician avg: 792
Generic prescribing
94%
generic claims · 6% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
85.1802/100
▲ 2 pts above national avg 83.1 · [object Object]
Industry payments
$304.06
9 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

PAUL ROMO, MD reported a CMS MIPS final score of 85.1802/100 — above the 83.1 national average — and filed 971 Medicare Part D claims in 2023.

85.1802/100
MIPS score · +2 vs avg
971
Part D claims, 2023
94%
generic prescribing
Likely
board-certified (heuristic)

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.

PAUL ROMO, MD's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

85 49th percentile higher than 49% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). This entry sits in this band. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored 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.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Board certification likely (heuristic — not verified)

PAUL ROMO, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations — 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 PAUL ROMO, MD?

High performer (top quartile)

NPI registry status

Active

Issued 04/07/2009

NPI 1306089313

Primary specialty

Addiction Psychiatry Physician

Niche

667 US NPIs in this specialty

Medicare Part D claims

971 23% vs specialty avg

2023 prescription claims

Specialty avg: 792

MIPS final score

85.1802/100 2.080200000000005% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in New Mexico

How Addiction Psychiatry Physician compares to other specialties among New Mexico providers

New Mexico providers

Addiction Psychiatry Physician share within New Mexico

1. Addiction Psychiatry Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Addiction Psychiatry Physician share within New Mexico

Medicare quality performance — MIPS

PAUL ROMO, MD's 2023 MIPS final score plotted against the Addiction Psychiatry Physician national average

High performer (top quartile)
MIPS Final Score
85.1802/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Addiction Psychiatry Physician) — 85.1802/100 vs national avg 83.1

0%100%National avg83%85.2%
MIPS final score (Addiction Psychiatry Physician) — 85.1802/100 vs national avg 83.1

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).

PAUL ROMO, MD is a Addiction Psychiatry Physician provider practicing in ALBUQUERQUE, New Mexico, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1306089313. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

PAUL ROMO, MD appears in the CMS NPPES registry as a Addiction Psychiatry Physician provider holding MD credentials at MSC 09 5030, ALBUQUERQUE, NM, 87131, with a listed phone of (505) 272-2223. NPI 1306089313 was issued on 04/07/2009. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ROMO most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 971 prescription claims written by this provider, covering 72 Medicare beneficiaries and totaling roughly $144K in drug spend, split 6% brand-name and 94% generic by claim count. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 85.1802/100 for the 2023 performance year (Quality 81.0056, Cost 57.0846), compared with the national average of 83.1.

Addiction Psychiatry Physician is a narrow specialty nationwide, with 667 enrolled providers across 49 states and an average of 792 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

MSC 09 5030
ALBUQUERQUE, NM 87131

Provider Details

NPI 1306089313
Specialty Addiction Psychiatry Physician
Credentials MD
Gender Male
NPI Issued 04/07/2009

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

85.1802
Final Score
Avg: 83.1
81.0056
Quality
57.0846
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where PAUL ROMO, 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.

CROSSROADS TREATMENT CENTERS LLC
ALBUQUERQUE, NM
JOHN R VIGIL MD LLC
ALBUQUERQUE, NM

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 PAUL ROMO, MD. Source: openpaymentsdata.cms.gov.

Total received

$304

Largest payer

Gilead Sciences, 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.

Brand vs generic prescribing mix · Generic-heavy

PAUL ROMO, MD — brand share 6.0%
Specialty average (est.)

6% brand-name claims vs 94% generic, on 971 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

971
Total Claims
$144K
Total Drug Cost
72
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,104
Total Day Supply
30,936
Brand vs Generic
6% brand / 94% generic
Brand Drug Cost
$88K
Generic Drug Cost
$56K

Patient Demographics

Average Patient Age
55.5 years
Avg HCC Risk Score
1.74
Gender Split
67% female / 33% male
Age Distribution
<65: 55, 65-74: 15, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Buprenorphine-Naloxone
Buprenorphine Hcl/Naloxone Hcl
117
Gabapentin
91
Mirtazapine
48
Venlafaxine Hcl Er
Venlafaxine Hcl
48
Trazodone Hcl
38
Fluoxetine Hcl
34
Bupropion Hcl Sr
Bupropion Hcl
32
Bupropion Xl
Bupropion Hcl
30
Clonazepam
30
Lorazepam
29

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Addiction Psychiatry Physician Overview

How PAUL ROMO, MD fits within the Addiction Psychiatry Physician landscape nationally.

667
Addiction Psychiatry Physician Providers in US
49
States with Addiction Psychiatry Physician
792
Avg Claims per Provider

PAUL ROMO, MD's 971 claims are above the specialty average of 792.

Nearby Addiction Psychiatry Physician Providers in New Mexico

Other clinicians with the same primary specialty enrolled in New Mexico, drawn from the same CMS NPPES roster as ROMO.

Compare Addiction Psychiatry Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is PAUL ROMO, MD's specialty?
PAUL ROMO, MD specializes in Addiction Psychiatry Physician and practices in ALBUQUERQUE, New Mexico. Credentials: MD.
How much does PAUL ROMO, MD prescribe under Medicare Part D?
In 2023, PAUL ROMO, MD wrote 971 Medicare Part D claims totaling $144K in drug costs for 72 beneficiaries.
What is PAUL ROMO, MD's Medicare quality score?
PAUL ROMO, MD has a CMS MIPS Final Score of 85.1802/100 (Quality: 81.0056, Cost: 57.0846). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is PAUL ROMO, MD located?
PAUL ROMO, MD is located at MSC 09 5030, ALBUQUERQUE, NM, 87131. Phone: (505) 272-2223.
What is PAUL ROMO, MD's NPI number?
PAUL ROMO, MD's National Provider Identifier (NPI) is 1306089313, issued on 04/07/2009.
Does PAUL ROMO, MD prescribe more brand-name or generic drugs?
PAUL ROMO, MD's prescribing is 6% brand-name and 94% generic drugs by claim count, with $88K in brand drug costs.
How many Addiction Psychiatry Physician providers are there in the US?
There are 667 Addiction Psychiatry Physician providers across 49 states in the US. The average Addiction Psychiatry Physician provider writes 792 Medicare Part D claims per year.
What drugs does PAUL ROMO, MD prescribe most often?
Based on 2023 Medicare Part D data, PAUL ROMO, MD's most frequently prescribed drugs include Buprenorphine-Naloxone, Gabapentin, Mirtazapine. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does PAUL ROMO, MD accept Medicare?
PAUL ROMO, MD appears in CMS Medicare data with 971 Part D claims and 72 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify PAUL ROMO, MD's credentials?
PAUL ROMO, MD's NPI is 1306089313 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

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 (2023). 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 April 2026 (NPPES) / 2023 (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