NICOLE M ROMAN (PA) – Emergency Medical Services (Emergency Medicine) Physician, NPI 1669037131
Emergency Medical Services (Emergency Medicine) Physician
Main info
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Profile Insights
NPPES metrics only — not quality of care.
5,035 PHYSICIAN ASSISTANT in IL
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Provider Addresses for NICOLE M ROMAN (PA)
Centegra Medical Center, 4201, West Medical Center Drive, McHenry, McHenry County, Illinois, 60050, United States
MCHENRY, IL 600508409
Phone: (815) 759-3100
Type: Mailing
10400 Haligus Rd
Huntley, IL 601429553
Phone: (244) 654-0000
Type: Location
27790 W HIGHWAY 22
BARRINGTON, IL 600102340
Phone: (478) 649-6000
Type: Location
27790 WEST HIGHWAY 22
MOC 1, SUITE 27
BARRINGTON, IL 60010
Phone: (847) 649-6000
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 47 Open Payments records for all available years, with a total value of $1,126.
Total Amount is formed as General ($1,126) + Research ($0) + Ownership ($0) = $1,126.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ALK-Abello, Inc ($162).
Total Amount
$1,126
General + Research + Ownership
Payments
47
Total payment records
General Amount
$1,126
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ALK-Abello, Inc | $162 |
| GENZYME CORPORATION | $155 |
| Optinose US, Inc. | $142 |
| GlaxoSmithKline, LLC. | $113 |
| Regeneron Healthcare Solutions, Inc. | $112 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2019-09-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190913002072 | I | Physician Assistant | IL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 69210 | Removal of impacted ear wax | 182 | 163 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 153 | 120 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 95 | 95 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 54 | 32 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 36 | 36 | $0 |
Insurance plans in this area (ZIP 60050)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | IL | |
| O T O L A R Y N G O L O G Y | IL | |
| O T O L A R Y N G O L O G Y | IL | |
| Qualified Audiologist | IL | |
| O T O L A R Y N G O L O G Y | IL | |
| Qualified Audiologist | WA | |
| Nurse Practitioner | IL | |
| Qualified Audiologist | IL | |
| Qualified Audiologist | IL | |
| Qualified Audiologist | IL |
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