Dr. Raul Romea, MD

  • Walnut Creek, CA
  • Rheumatologist
NPI1962408112PAC ID9638230444
Medicare services, 2024
1,578
Medicare patients, 2024
426
Part D claims, 2024
3,089
MIPS score, 2024
90
Hospital affiliations
2
Practice address
1450 Treat Blvd, Walnut Creek, CA 94597
Professional email
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Mobile number
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Primary practice

John Muir Medical Center - Walnut C - Imaging - HOPD

Acute Care Hospital outpatient department · Walnut Creek, California

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Dr. Raul Romea is a rheumatologist in Walnut Creek, California

Dr. Romea practices at John Muir Medical Center - Walnut C - Imaging - HOPD in Walnut Creek, California.

Dr. Romea's NPI, 1962408112, was assigned on June 22, 2005. Dr. Romea graduated from University of the Philippines College of Medicine in 1992. Dr. Romea's California license number on file is C53197.

NPI and contact details
Medicare PAC ID
9638230444
NPI enumeration date
June 22, 2005
NPI status
Active
Accepts Medicare assignment
Yes
Offers telehealth
Yes
Professional email
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Personal email
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Mobile number
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Sex
Male
Estimated age
60
Medical school graduation
1992

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)

Dr. Raul Romea practices at John Muir Medical Center - Walnut C - Imaging - HOPD in Walnut Creek, California

Dr. Romea's primary practice is John Muir Medical Center - Walnut C - Imaging - HOPD, at 1450 Treat Blvd, Walnut Creek, CA 94597.

  • John Muir Medical Center - Walnut C - Imaging - HOPD
    1450 Treat Blvd, Walnut Creek, CA 94597

Source: Dmand AI Affiliation Data

Dr. Raul Romea is affiliated with 4 sites of care and 1 medical group

Dr. Romea's primary practice is John Muir Medical Center - Walnut C - Imaging - HOPD in Walnut Creek, California. Dr. Romea is also affiliated with John Muir Medical Center, Walnut Creek. The medical group on file is John Muir Medical Group. Dmand AI also links Dr. Romea to 1 more hospital and 1 group practice or clinic, each named with a free account. Dr. Romea's employer is on file too: a hospital.

See all 5 affiliations for Dr. Romea

Source: Dmand AI Affiliation Data

Dmand AI tracks the EHR system at Dr. Raul Romea's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Romea practices, 4 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
John Muir Medical Center - Walnut C - Imaging - HOPDAvailable with a free account
+3 more affiliated sitesAvailable with a free account

Source: Dmand AI Technology Install Data

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Dr. Raul Romea is one of 821 rheumatologists in California

Rheumatology is Dr. Romea's primary specialty in the NPI Registry, under taxonomy code 207RR0500X. Dr. Romea is board certified in rheumatology by the American Board of Internal Medicine. Dmand AI has Dr. Romea's licenses on file in 2 states: California and Oklahoma.

Specialties and state licenses

  • Rheumatology, CaliforniaPrimaryLicense C53197 · 2008 to 2025 · taxonomy 207RR0500X
  • Oklahoma license2001 to 2008

Clinical focus

Dmand AI lists arteritis, arthritis, fibromyalgia and chronic pain, gout, joint arthropathy, joint pain, lupus and muscle disease among the conditions Dr. Romea treats.

Rheumatologists near Dr. Romea

Counts of rheumatologists with a Dmand AI profile, by place and practice. Each opens the list.

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Dr. Raul Romea billed Medicare for 1,578 services in 2024

CMS data shows 1,578 Medicare services from Dr. Romea across 9 procedure codes in 2024, for 426 Medicare patients. Medicare paid $115,225 for them. Every service was in an office.

Medicare services, 20241,578
Medicare patients426
Paid by Medicare$115,225
Procedure codes9

Dr. Romea's Medicare services by type, 2023 to 2024

  • 2023
  • 2024
Office and hospital visits
2023: 8902024: 98611%
Other services
2023: 02024: 317
Drugs given in the office
2023: 2932024: 21726%
Surgery
2023: 562024: 4421%
Tests and treatments
2023: 142024: 14No change

Dr. Romea compared with the California median for rheumatologists, 2024

  • Dr. Romea
  • California median
Medicare services
1,578vs 90075% above
Medicare patients
426vs 21697% above
Part D claims
2,836vs 9622.9 times

Medians across 773 rheumatologists in California with Dmand AI profiles that report each measure.

Dr. Romea's most billed Medicare procedure codes, 2024

CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.

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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks

Dr. Raul Romea treated 426 Medicare patients in 2024, average age 75

CMS counts 426 Medicare patients who saw Dr. Romea in 2024. The largest group is 65 to 74, with 188 patients. 75% of them have arthritis, and 75% have high cholesterol. 15% are also on Medicaid. Their average risk score is 1.43, where 1.00 is the Medicare average.

Across all payers, Dmand AI patient panel data puts Dr. Romea's median patient age at 67, with 70% women.

Medicare patients, 2024426
Average age75
Average risk score1.43
Also on Medicaid15%

Dr. Romea's Medicare patients by age, 2024

Dr. Romea's Medicare patients by sex, 2024

  • Women30171%
  • Men12529%

Chronic conditions among Dr. Romea's Medicare patients, 2024

  1. Arthritis75%
  2. High cholesterol75%
  3. High blood pressure69%
  4. Osteoporosis32%
  5. Diabetes26%
  6. Chronic kidney disease25%
  7. Mood disorders25%
  8. Depression23%

Share of Medicare patients with each condition. A patient can have several.

Dr. Romea's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 67

Patient panel by sex, all payers

  • Women70%
  • Men29%

Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data

Dr. Raul Romea wrote 3,089 Medicare Part D claims in 2024

In 2024, Dr. Romea wrote 3,089 Medicare Part D claims for 522 patients. 89% of them were for generic drugs. CMS names the drug for 2,836 of them, across 40 drugs with 11 or more claims each, at $1,618,022 in total drug cost. In 2023, CMS named 2,992 claims across 39 drugs.

Part D claims, 20243,089
Drugs named by CMS40
Total drug cost$1.6M
Part D patients522

Dr. Romea's Part D claims by kind of drug, 2024

  • Generic2,757 claims89%
  • Brand-name319 claims10%
  • Other13 claims0%

Dr. Romea's most prescribed drugs by claims, 2024

CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.

Drug classes CMS tracks in Dr. Romea's Part D claims, 2024

  • Opioids5%155 of 3,089 claims
  • Antibiotics1%18 of 3,089 claims

Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.

Part D claims for drugs CMS names, 2023 to 2024

  • 2023
  • 2024
Claims for drugs CMS names
2023: 2,9922024: 2,8365%

Drugs named by CMS: 40 in 2024, 39 in 2023.

See all prescribing by Dr. Romea

Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data

Dr. Raul Romea scored 90 out of 100 in Medicare's MIPS program for 2024

CMS publishes a Merit-based Incentive Payment System (MIPS) score of 90 out of 100 for Dr. Romea for performance year 2024, reported as part of a group. Dr. Romea accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS lists Dr. Romea as offering telehealth.

Accepts Medicare assignment
Yes
Offers telehealth
Yes

Dr. Romea's MIPS scores, performance year 2024

  • 90of 100Final score
  • 89.5of 100Quality
  • 100of 100Promoting Interoperability
  • 40of 100Improvement Activities
  • 74of 100Cost

Each score is out of 100. The final score weighs the categories CMS scored for this clinician.

Sources: Doctors and Clinicians National Downloadable File (CMS); and Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026

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Dr. Raul Romea received $8,700 in industry payments from 2016 to 2025

CMS Open Payments shows 458 general payments to Dr. Romea from 38 drug and device companies from 2016 to 2025. Food and beverage make up the largest share, 98% of the total. Amgen Inc. paid the most, $2,292.

General payments to Dr. Romea by program year, 2016 to 2025

General payments to Dr. Romea by kind, 2016 to 2025

$8.7Kin total
  • Food and beverage$8,55698%
  • Education$1442%

Companies that paid Dr. Romea the most, 2016 to 2025

Share is of all general payments to this clinician.

See all payments to Dr. Romea

Source: Open Payments (CMS), 2025 data, released July 7, 2026

Dr. Raul Romea graduated from University of the Philippines College of Medicine

Dr. Romea graduated from University of the Philippines College of Medicine in 1992.

  1. Medical schoolUniversity of the Philippines College of Medicine
  2. Board certified in rheumatologyAmerican Board of Internal Medicine

Source: Dmand AI Professional Profile Data

Dr. Raul Romea accepts plans from 13 insurance carriers

Dr. Romea is in network with 13 carriers, including Aetna, Blue Cross Blue Shield of Michigan and Elevance. Medicare plans come from the most carriers, 8. Check the plan with the practice before a visit.

  • Aetna
  • Blue Cross Blue Shield of Michigan
  • Elevance
  • United Healthcare
  • HCSC
  • Blue Cross Blue Shield of Massachusetts
  • Regence Health Plans
  • Alliant Health Plans
  • +5 more carriersWith a free account

Plan types Dr. Romea accepts, by number of carriers

  1. Medicare8
  2. PPO8
  3. HMO6
  4. EPO4
  5. POS4

Source: Dmand AI Insurance Network Data

Sources for Dr. Raul Romea's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneDmand AI Affiliation Data
Primary practice, affiliations and health systemDmand AI Affiliation Data
Medicare services and procedure codesMedicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab)
State medians for the same specialtyDmand AI Peer Benchmarks
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
Part D prescribingMedicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab)
MIPS scores, telehealth, assignment and procedure percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab)
Industry paymentsOpen Payments (CMS) (opens in a new tab)
Training, board certification and membershipsDmand AI Professional Profile Data
Insurance carriers and plan typesDmand AI Insurance Network Data
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Dr. Raul Romea

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Dr. Raul Romea's NPI number?

Dr. Raul Romea's NPI number is 1962408112. It was assigned on June 22, 2005, and it is active in the NPI Registry.

What kind of doctor is Dr. Raul Romea?

Dr. Raul Romea is a rheumatologist in Walnut Creek, California. The primary specialty in the NPI Registry is Rheumatology Physician (taxonomy code 207RR0500X).

Where does Dr. Raul Romea practice?

Dr. Romea practices at 1450 Treat Blvd, Walnut Creek, CA 94597. Dr. Romea's primary practice is John Muir Medical Center - Walnut C - Imaging - HOPD in Walnut Creek, California. Dmand AI also links Dr. Romea to 1 hospital and 1 group practice or clinic.

What is Dr. Raul Romea's medical license number?

Dr. Romea's California license number on file is C53197, one of the licenses on file in 2 states.

Which states has Dr. Raul Romea been licensed in?

Dmand AI has state licenses on file for Dr. Romea in California (2008 to 2025) and Oklahoma (2001 to 2008).

Which hospitals is Dr. Raul Romea affiliated with?

Dr. Romea is affiliated with John Muir Medical Center, Walnut Creek. Dmand AI links Dr. Romea to 1 more hospital.

What medical group is Dr. Raul Romea part of?

Dr. Romea is linked to John Muir Medical Group.

Does Dr. Raul Romea accept Medicare?

Yes. CMS data shows Dr. Romea billed Medicare for 1,578 services in 2024, and Dr. Romea accepts Medicare assignment.

Does Dr. Raul Romea offer telehealth?

Yes. The CMS Doctors and Clinicians file lists Dr. Romea as offering telehealth services.

What is Dr. Raul Romea's MIPS score?

Dr. Romea's MIPS final score for performance year 2024 is 90 out of 100, reported as part of a group.

Show 8 more questionsShow fewer questions

How many Medicare patients does Dr. Raul Romea see?

CMS counts 426 Medicare patients who saw Dr. Romea in 2024, with an average age of 75.

Is Dr. Raul Romea board certified?

Yes. Dr. Romea is board certified in rheumatology by the American Board of Internal Medicine.

What services does Dr. Raul Romea bill to Medicare?

In 2024, Dr. Romea's most billed Medicare services were office visit, established patient (99214), medicare service (G2211) and injected or infused drug (J3301).

Where did Dr. Raul Romea go to medical school?

Dr. Romea graduated from University of the Philippines College of Medicine in 1992.

What drugs does Dr. Raul Romea prescribe most?

In 2024 Medicare Part D data, Dr. Romea's most prescribed drugs by claims were Hydroxychloroquine Sulfate, Prednisone and Methotrexate.

Has Dr. Raul Romea received payments from drug or device companies?

CMS Open Payments shows $8,700 in general payments to Dr. Romea from 38 companies from 2016 to 2025. The largest total came from Amgen Inc.

How long has Dr. Raul Romea been practicing?

Dr. Romea graduated from medical school in 1992, 34 years ago.

What insurance does Dr. Raul Romea accept?

Dr. Romea is in network with 13 carriers, including Aetna, Blue Cross Blue Shield of Michigan and Elevance. Medicare plans come from the most carriers, 8. Check the plan with the practice before a visit.

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