2026 NPPES data Orthopaedic Surgery Physician NPI 1659535409 MD
Verify on CMS →

Spencer Romine, MD

Orthopaedic Surgery Physician in Bowling Green, Kentucky.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 26,109 in Orthopaedic 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
1K
Medicare Part D claims · 446 beneficiaries · Orthopaedic Surgery Physician avg: 344
MIPS score
88.9/100
▲ 5 pts above national avg 83.5 · Above neutral
Industry payments
$391.96
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

Spencer Romine, MD reported a CMS MIPS final score of 88.9/100 - above the 83.5 national average - and filed 1,057 Medicare Part D claims in 2024.

88.9/100
MIPS score · +5 vs avg
1K
Part D claims, 2024
Likely
board-certified (heuristic)
≥54th
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 Spencer 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 1659535409), first enumerated 07/10/2008.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 1,057 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 88.9/100 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.

    Source: NUCC taxonomy + CMS participation heuristic

  • Reported

    Hospital affiliations

    4 CMS Care Compare hospital affiliations on record — practice footprint from the Doctors and Clinicians file.

    Source: CMS Care Compare

  • Reported

    Industry payment transparency

    $391.96 in reported industry payments (1 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 1659535409 · Orthopaedic Surgery Physician

NPI-10 · ENUM-MID · TAX-MID · MIPS-ABOVE · RX-MID · BOOK-THIN · PHOTO-FINISH

  • NPI-10 1659535409
  • ENUM-MID 2008
  • TAX-MID 26K Orthopaedic Surgery
  • MIPS-ABOVE 88.9/100
  • RX-MID 1,057
  • BOOK-THIN 341 in Kentucky
  • PHOTO-FINISH James Burke, M.D. · ±0.0

MIPS final-score neighbourhood

Same-specialty nationwide peers by CMS final score, not geographic proximity

MIPS pts

What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).

Source CMS Quality Payment Program (MIPS) As of 2023

Spencer 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.

89 ≥ 54th percentile 54% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). Below this entry. 30–40: 2,746 measured providers (1%). Below this entry. 40–50: 2,928 measured providers (1%). Below this entry. 50–60: 5,882 measured providers (1%). Below this entry. 60–70: 13,906 measured providers (3%). Below this entry. 70–80: 94,570 measured providers (21%). Below this entry. 80–90: 129,887 measured providers (29%). This entry sits in this band. 90+: 189,403 measured providers (42%). Above this entry. This provider 0 100 every measured MIPS clinician, bucketed by value

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 Spencer Romine, MD sits

This provider among orthopaedic surgery physician peers

Across the 7,229 orthopaedic surgery physician providers who report both Medicare Part D prescribing and a MIPS quality score, Spencer Romine, MD writes more Part D claims than 91% of them and scores higher on MIPS quality than 66% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality02550751000255075100Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 75Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 87Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 97Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 5Point, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 28Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 65Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 97Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 12Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 53Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 97Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 78Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 3Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 13Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 7Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 18Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 77Spencer Romine, MD, Part D claim volume, percentile in specialty: 91 · MIPS quality, percentile: 66
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one orthopaedic surgery physician peer from a representative sample of 60; the gold marker is Spencer Romine, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

Board certification likely (heuristic, not verified)

Spencer Romine, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 4 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 Spencer Romine, MD?

High performer (top quartile)

NPI registry status

Active

Issued 07/10/2008

NPI 1659535409

Primary specialty

Orthopaedic Surgery Physician

Mid-sized

26,109 US NPIs in this specialty

Medicare Part D claims

1,057 207% vs specialty avg

2024 prescription claims

Specialty avg: 344

MIPS final score

88.9/100 5.4 pts vs avg

Above neutral band

vs 83.5 national avg

Specialty distribution in Kentucky

How Orthopaedic Surgery Physician compares to other specialties among Kentucky providers

Kentucky providers
Family Nurse Practitioner5.8%Student in an Organized Heal…5.2%Pharmacist4.8%Mental Health Counselor4.6%Clinical Social Worker4.2%Physical Therapist3.6%Orthopaedic Surgery Physician0.4%
Largest specialties in Kentucky (% of in-state providers)

Medicare quality performance, MIPS

Spencer Romine, MD's 2023 MIPS final score plotted against the Orthopaedic Surgery Physician national average

High performer (top quartile)
MIPS Final Score
88.9/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%88.9%
MIPS final score (Orthopaedic Surgery Physician) - 88.9/100 vs national avg 83.5
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

165 NATCHEZ TRACE AVE STE 100
Bowling Green, KY 42103

Provider Details

NPI 1659535409
Specialty Orthopaedic Surgery Physician
Credentials MD
Gender Male
NPI Issued 07/10/2008

CMS Quality Score (MIPS)

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

88.9354
Final Score
Measured-score avg: 83.5
81.5847
Quality
81.5333
Cost
100
Promoting Interoperability

Reporting: Individual

Hospital and facility affiliations

Facilities where Spencer 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.

According to CMS billing records, Spencer Romine, MD is affiliated with 4 Medicare-billing facilities.

Commonwealth Health Corporation, Inc.
Russellville, KY
Graves Gilbert Clinic PLLC
Bowling Green, KY
Kentucky Orthopedic Rehabilitation LLC
Columbia, KY
PT Pros, Inc
Greensburg, KY

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 Spencer Romine, MD. Source: openpaymentsdata.cms.gov.

Total received

$392

Largest payer

Arthrex, Inc.

Most common payment type

Travel and Lodging

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.

1,057
Total Claims
$5K
Total Drug Cost
446
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,073
Total Day Supply
9,432
Brand Drug Cost
$0
Generic Drug Cost
$5K
Opioid Claims
600 (56.8% rate)

Patient Demographics

Average Patient Age
70.1 years
Avg HCC Risk Score
1.18
Gender Split
59% female / 41% male
Age Distribution
<65: 69, 65-74: 248, 75-84: 118, 85+: 11

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.

What Spencer Romine, MD prescribes most

Top Medicare Part D drugs by claim count, 2024

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2024
Drug Claims
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
272
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
270
Ondansetron Hcl
239
Meloxicam
123
Tramadol Hcl
53
Methylprednisolone
33
Diazepam
18
Diclofenac Sodium
12
Mupirocin
11

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

Orthopaedic Surgery Physician Overview

How Spencer Romine, MD fits within the Orthopaedic Surgery Physician landscape nationally.

26,109
Orthopaedic Surgery Physician Providers in US
56
States with Orthopaedic Surgery Physician
344
Avg Claims per Provider

Spencer Romine, MD's 1,057 claims are above the specialty average of 344.

Nationwide Orthopaedic Surgery Physician peers with similar MIPS or enrollment year

Two federal-record peer sets for Romine, both outside Kentucky so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (88.9 here).

Same NPPES enumeration year (2008)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Nearby Orthopaedic Surgery Physician Providers in Kentucky

Other clinicians with the same primary specialty enrolled in Kentucky, drawn from the same CMS NPPES roster as Romine.

One of 341 Orthopaedic Surgery Physician providers enrolled in Kentucky, 5 are shown here.

Compare Orthopaedic Surgery Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is Spencer Romine, MD's specialty?
Spencer Romine, MD specializes in Orthopaedic Surgery Physician and practices in Bowling Green, Kentucky. Credentials: MD.
How much does Spencer Romine, MD prescribe under Medicare Part D?
In 2024, Spencer Romine, MD wrote 1,057 Medicare Part D claims totaling $5K in drug costs for 446 beneficiaries.
What is Spencer Romine, MD's Medicare quality score?
Spencer Romine, MD has a CMS MIPS Final Score of 88.9/100 (Quality: 81.6, Cost: 81.5). 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 Spencer Romine, MD located?
Spencer Romine, MD is located at 165 NATCHEZ TRACE AVE STE 100, Bowling Green, KY, 42103. Phone: (270) 782-7800.
What is Spencer Romine, MD's NPI number?
Spencer Romine, MD's National Provider Identifier (NPI) is 1659535409, issued on 07/10/2008.
Does Spencer Romine, MD prescribe opioids?
Yes, Spencer Romine, MD had 600 opioid claims in 2024 with an opioid prescribing rate of 56.8%.
How many Orthopaedic Surgery Physician providers are there in the US?
There are 26,109 Orthopaedic Surgery Physician providers across 56 states in the US. The average Orthopaedic Surgery Physician provider writes 344 Medicare Part D claims per year.
What drugs does Spencer Romine, MD prescribe most often?
Based on 2024 Medicare Part D data, Spencer Romine, MD's most frequently prescribed drugs include Oxycodone-Acetaminophen, Hydrocodone-Acetaminophen, Ondansetron Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Spencer Romine, MD accept Medicare?
Spencer Romine, MD appears in CMS Medicare data with 1,057 Part D claims and 446 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Spencer Romine, MD's credentials?
Spencer Romine, MD's NPI is 1659535409 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.