2026 NPPES data Rheumatology Physician NPI 1023031184 M.D.
Verify on CMS →

Thomas Romano, M.D.

Rheumatology Physician in Los Angeles, California.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 6,200 in Rheumatology 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
2K
Medicare Part D claims · 335 beneficiaries · Rheumatology Physician avg: 2K
Generic prescribing
77%
generic claims · 23% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
41.5/100
▼ 42 pts below national avg 83.1 · Below average
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Thomas Romano, M.D. reported a CMS MIPS final score of 41.5/100 - below the 83.1 national average - and filed 2,204 Medicare Part D claims in 2023.

41.5/100
MIPS score · -42 vs avg
2K
Part D claims, 2023
77%
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.

Thomas Romano, M.D.'s MIPS score vs every scored U.S. clinician

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

42 4th percentile higher than 4% 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%). This entry sits in this band. 50–60: 5,882 scored providers (1%). Above this entry. 60–70: 13,906 scored providers (3%). Above this entry. 70–80: 118,074 scored providers (25%). Above this entry. 80–90: 129,887 scored providers (27%). Above this entry. 90+: 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

Where Thomas Romano, M.D. sits

This provider among rheumatology physician peers

Across the 2,181 rheumatology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Thomas Romano, M.D. writes more Part D claims than 57% of them and scores higher on MIPS quality than 5% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Part D claim volume vs MIPS quality, by specialty percentile

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.949.974.899.8Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 90Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 90Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 28Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 8Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 8Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 8Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 90Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 48Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 37Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 40Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 5Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 8Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 25Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 8Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 83Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 3Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 35Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 8Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 78Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 87Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 72Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 45Thomas Romano, M.D.-Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 5
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one rheumatology physician peer from a representative sample of 60; the gold marker is Thomas Romano, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

Board certification likely (heuristic, not verified)

Thomas Romano, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting - 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 Thomas Romano, M.D.?

Below national average

NPI registry status

Active

Issued 07/26/2006

NPI 1023031184

Primary specialty

Rheumatology Physician

Mid-sized

6,200 US NPIs in this specialty

Medicare Part D claims

2,204 7% vs specialty avg

2023 prescription claims

Specialty avg: 2,054

MIPS final score

41.5/100 41.6 pts vs avg

Below average band

vs 83.1 national avg

Specialty distribution in California

How Rheumatology Physician compares to other specialties among California providers

California providers
Behavior Technician - 17.3%Behavior Technician17.3%Marriage & Family Therapist - 5.5%Marriage & Family Therapist5.5%Student in an Organized Health Care Education/Training Program - 5%Student in an Organized Health Care Education/Training Program5%Mental Health Counselor - 3.9%Mental Health Counselor3.9%Pharmacist - 3.5%Pharmacist3.5%Clinical Social Worker - 3.1%Clinical Social Worker3.1%Rheumatology Physician - 0.1%Rheumatology Physician0.1%
Largest specialties in California (% of in-state providers)

Medicare quality performance, MIPS

Thomas Romano, M.D.'s 2023 MIPS final score plotted against the Rheumatology Physician national average

Below national average
MIPS Final Score
41.5/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Rheumatology Physician) - 41.5/100 vs national avg 83.1

0%100%National avg83%41.5%
MIPS final score (Rheumatology Physician) - 41.5/100 vs national avg 83.1
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).

Thomas Romano, M.D. appears in the CMS NPPES registry as a Rheumatology Physician provider holding M.D. credentials at 1701 E CESAR E CHAVEZ AVE, Los Angeles, CA, 90033, with a listed phone of (323) 987-1362. NPI 1023031184 was issued on 07/26/2006.

Medicare Part D records for calendar year 2023 show 2,204 prescription claims written by this provider, covering 335 Medicare beneficiaries and totaling roughly $2.5 million in drug spend, split 23% brand-name and 77% generic by claim count, with an opioid prescribing rate of 2.2%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 41.5/100 for the 2023 performance year (Quality 14.3, Cost 65.8), compared with the national average of 83.1.

Rheumatology Physician is a mid-sized specialty nationwide, with 6,200 enrolled providers across 52 states and an average of 2,054 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

1701 E CESAR E CHAVEZ AVE
Los Angeles, CA 90033

Provider Details

NPI 1023031184
Specialty Rheumatology Physician
Credentials M.D.
Gender Male
NPI Issued 07/26/2006

CMS Quality Score (MIPS)

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

41.5237
Final Score
Avg: 83.1
14.2857
Quality
65.7933
Cost
0
Promoting Interoperability

Reporting: Group practice

License & disciplinary context - California MBC 2023 annual report

Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~150K California medical licensees in 2023 - they are NOT specific to Thomas Romano, M.D.. To verify Thomas Romano, M.D.'s current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases

MBC publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

Thomas Romano, M.D. - brand share 23.0%
Rheumatology Physician average

23% brand-name claims vs 77% generic, on 2,204 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.

2,204
Total Claims
$2.5M
Total Drug Cost
335
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,541
Total Day Supply
74,943
Brand vs Generic
23% brand / 77% generic
Brand Drug Cost
$2.3M
Generic Drug Cost
$245K
Opioid Claims
48 (2.2% rate)

Patient Demographics

Average Patient Age
72.9 years
Avg HCC Risk Score
1.95
Gender Split
83% female / 17% male
Age Distribution
<65: 56, 65-74: 114, 75-84: 124, 85+: 41

Top Prescribed Drugs (Medicare Part D)

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

What Thomas Romano, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Diclofenac Sodium
377
Lidocaine
252
Methotrexate
Methotrexate Sodium
219
Celecoxib
149
Pregabalin
137
Hydroxychloroquine Sulfate
113
Rinvoq
Upadacitinib
73
Duloxetine Hcl
64
Meloxicam
59
Gabapentin
57

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

Rheumatology Physician Overview

How Thomas Romano, M.D. fits within the Rheumatology Physician landscape nationally.

6,200
Rheumatology Physician Providers in US
52
States with Rheumatology Physician
2,054
Avg Claims per Provider

Thomas Romano, M.D.'s 2,204 claims are above the specialty average of 2,054.

Nearby Rheumatology Physician Providers in California

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

Compare Rheumatology Physician nationally: see state-by-state distribution →

Before you book an appointment

Use this federal record as your verification checklist, not as a recommendation.

  • Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
  • Check the active license and any disciplinary history with the California medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Rheumatology Physician peer on Medicare volume and prescribing patterns. Compare providers

Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.

Frequently Asked Questions

What is Thomas Romano, M.D.'s specialty?
Thomas Romano, M.D. specializes in Rheumatology Physician and practices in Los Angeles, California. Credentials: M.D..
How much does Thomas Romano, M.D. prescribe under Medicare Part D?
In 2023, Thomas Romano, M.D. wrote 2,204 Medicare Part D claims totaling $2.5M in drug costs for 335 beneficiaries.
What is Thomas Romano, M.D.'s Medicare quality score?
Thomas Romano, M.D. has a CMS MIPS Final Score of 41.5/100 (Quality: 14.3, Cost: 65.8). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Thomas Romano, M.D. located?
Thomas Romano, M.D. is located at 1701 E CESAR E CHAVEZ AVE, Los Angeles, CA, 90033. Phone: (323) 987-1362.
What is Thomas Romano, M.D.'s NPI number?
Thomas Romano, M.D.'s National Provider Identifier (NPI) is 1023031184, issued on 07/26/2006.
Does Thomas Romano, M.D. prescribe more brand-name or generic drugs?
Thomas Romano, M.D.'s prescribing is 23% brand-name and 77% generic drugs by claim count, with $2.3M in brand drug costs.
Does Thomas Romano, M.D. prescribe opioids?
Yes, Thomas Romano, M.D. had 48 opioid claims in 2023 with an opioid prescribing rate of 2.2%.
How many Rheumatology Physician providers are there in the US?
There are 6,200 Rheumatology Physician providers across 52 states in the US. The average Rheumatology Physician provider writes 2,054 Medicare Part D claims per year.
What drugs does Thomas Romano, M.D. prescribe most often?
Based on 2023 Medicare Part D data, Thomas Romano, M.D.'s most frequently prescribed drugs include Diclofenac Sodium, Lidocaine, Methotrexate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Thomas Romano, M.D. accept Medicare?
Thomas Romano, M.D. appears in CMS Medicare data with 2,204 Part D claims and 335 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Thomas Romano, M.D.'s credentials?
Thomas Romano, M.D.'s NPI is 1023031184 with credentials M.D.. 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 (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

Compiled from official public sources by the PlainDoctor editorial team.

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 May 2026.