Alfredo S. Romero, M.D.
NPI 1003914953ActiveIndividual· Physical Medicine & Rehabilitation, Pain Medicine· San Antonio, TX
Physical Medicine & Rehabilitation, Pain Medicine (M.D.) with Premier Spine and Pain Center PA, practicing in San Antonio, Texas. Their prescriptions cost Medicare Part D more than their services did: $909,183 for 24,968 claims, against $173,732 paid for services in 2024. Globus Medical, Inc. was the largest of 11 companies reporting payments in 2025, $444.15 in all, mostly food and beverage. Lists Ed Fraser Memorial Hospital as a hospital affiliation.
Overview
| NPI | 1003914953 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Sep 21, 2006 |
| Last updated in NPPES | Dec 4, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Medicine & Rehabilitation, Pain Medicine Primary | 2081P2900X | R3417 | TX |
| Physical Medicine & Rehabilitation | 208100000X | R3417 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Pain Management (FL); Practitioner - Physical Medicine and Rehabilitation (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 484 |
|---|---|
| Services billed | 3,287 across 35 procedure codes |
| Paid by Medicare | $173,732 |
Part D prescriptions in 2024
| Prescriptions (claims) | 24,968 · 25,574 30-day fills |
|---|---|
| Patients | 2,112 |
| Total drug cost | $909,183 |
| Generic share | 96% of claims |
Education and affiliations
| Graduation year | 1993 |
|---|---|
| Medicare specialty | Pain Management |
Medical group
- Premier Spine and Pain Center PAJacksonville, FL · 6 clinicians
Hospital affiliation
- Ed Fraser Memorial HospitalMacclenny, FL
Industry payments (Open Payments)
- 2025$444.15 · 13 payments from 11 companies
- 2024$372.15 · 10 payments from 7 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Globus Medical, Inc. | $135.44 | 1 |
| Protega Pharmaceutials Inc | $84.15 | 1 |
| Collegium Pharmaceutical, Inc. | $62.82 | 3 |
| Axsome Therapeutics, Inc. | $27.03 | 1 |
| Azurity Pharmaceuticals, Inc. | $25.63 | 1 |
What the 2025 payments were for
- Food and Beverage$444.15 · 13 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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