Medicare Enrolled
Dr. Silvia Romero, M.D.
Internal Medicine · Fort Myers, FL
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating.
This page presents federal public records about Dr. Romero from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
Are you Dr. Romero?
Request a correction or review of any data shown here. Provider portal →
What this data tells you about Dr. Romero
Dr. Silvia Romero is an internal medicine specialist in Fort Myers, FL, with 20 years of NPI registration. Based on federal Medicare data, Dr. Romero performed 144,750 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Romero received a total of $6,430 from 51 pharmaceutical and/or device companies across 344 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Romero is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 20 years of NPI registration
▲ Top 0% volume in FL
$6,430 industry payments
Florida License Status
FL DOH · MQA1
Active license
None
Board action on record
0
Recent admin complaints
| Profession | License # | Status | Expires | Board Action |
|---|---|---|---|---|
| Medical Doctor | 84257 | Clear | January 31, 2028 | — |
Data from Florida Department of Health Medical Quality Assurance.
License records are public under Chapter 119, Florida Statutes.
Verify directly on FL DOH →
Medicare Practice Summary — 2023
Medicare Utilization ↗144,750
Medicare services
Top 0% in FL for internal medicine
Not available
Unique patients (not deduplicated)
$14
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
Top procedures by volume
Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.
| Procedure | Volume | Avg. paid | Avg. submitted |
|---|---|---|---|
| Pembrolizumab injection (Keytruda) | 22,400 | $43 | $137 |
| Filgrastim injection (Zarxio) for white blood cells An injection of the biosimilar medication filgrastim-sndz (Zarxio) with a dosage of 1 microgram. |
16,440 | $0 | $2 |
| Anti-nausea injection (aprepitant) | 15,210 | $1 | $5 |
| Iron infusion (Feraheme) An injection of ferumoxytol used to treat iron deficiency anemia in patients not on dialysis. |
13,260 | $0 | $4 |
| Denosumab injection (Prolia/Xgeva) | 8,700 | $18 | $51 |
| Filgrastim injection, 1 microgram An injection of filgrastim, a medication that stimulates the production of white blood cells. This code specifically covers the brand-name drug and excludes biosimilar versions. |
8,700 | $1 | $3 |
| Epoetin alfa injection (Procrit) for anemia An injection of epoetin alfa containing 1000 units for use in patients not on end-stage renal disease (ESRD) dialysis. |
7,980 | $6 | $23 |
| Paclitaxel chemotherapy injection | 7,828 | $0 | $2 |
| Daratumumab injection (Darzalex) An injection containing daratumumab and hyaluronidase-fihj administered under the skin. |
7,380 | $37 | $110 |
| Azacitidine chemotherapy injection An injection of the medication azacitidine, measured at 1 mg per unit. |
6,800 | $0 | $4 |
| Iron sucrose injection (Venofer) An injection of iron sucrose used to replenish iron levels in the body. |
5,500 | $0 | $5 |
| Immune globulin infusion (Gammagard) An injection of immune globulin (Gammagard Liquid) to provide antibodies. The dose specified is 500 mg. |
2,970 | $36 | $108 |
| Dexamethasone injection (steroid) An injection of dexamethasone sodium phosphate, a corticosteroid medication, administered in a dose of 1 milligram. |
2,501 | $0 | $3 |
| Eflapegrastim injection, 0.1 mg An injection of eflapegrastim-xnst administered at a dose of 0.1 mg. |
2,244 | $26 | $116 |
| Complete blood count (CBC) with differential An automated laboratory test that measures the levels of red blood cells, white blood cells, and platelets in the blood, including a breakdown of the different types of white blood cells. |
2,090 | $8 | $29 |
| Anti-nausea injection (Aloxi/palonosetron) | 1,960 | $1 | $28 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
1,625 | $8 | $9 |
| Injection, fulvestrant, 25 mg | 1,420 | $8 | $132 |
| Injection, leucovorin calcium, per 50 mg | 1,002 | $3 | $12 |
| Office visit, established patient (30-39 min) A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition. |
952 | $99 | $339 |
| Anti-nausea injection (ondansetron/Zofran) | 772 | $0 | $9 |
| Fluorouracil injection, 500 mg Administration of a 500 mg dose of fluorouracil medication via injection. |
687 | $2 | $7 |
| Drug injection, under skin or into muscle A procedure involving the administration of a medication or substance via injection into the subcutaneous tissue or muscle. |
671 | $11 | $69 |
| Intravenous injection of additional new drug or substance Administration of an additional new medication or substance directly into a vein. |
660 | $12 | $61 |
| Office visit, established patient (20-29 min) An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition. |
537 | $66 | $239 |
| Intravenous chemotherapy infusion, 1 hour or less Administration of chemotherapy medication directly into a vein. The procedure takes one hour or less to complete. |
528 | $104 | $378 |
| Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg | 457 | $3 | $205 |
| Pegfilgrastim injection, 0.5 mg An injection of pegfilgrastim, a medication that stimulates the production of white blood cells. This specific code applies to the brand-name drug and excludes biosimilar versions. |
432 | $84 | $642 |
| Carboplatin chemotherapy injection, 50 mg Administration of a 50 mg dose of carboplatin, a chemotherapy medication, via injection. |
400 | $2 | $41 |
| Intravenous infusion, 1 hour or less Administration of medication or fluid directly into a vein for therapeutic, preventive, or diagnostic purposes. The procedure lasts one hour or less. |
203 | $49 | $189 |
| Diphenhydramine injection, up to 50 mg An injection of diphenhydramine hydrochloride, an antihistamine medication, administered in a dose of up to 50 milligrams. |
173 | $1 | $3 |
| Additional hour of intravenous chemotherapy This code represents the administration of chemotherapy medication into a vein for each additional hour beyond the initial period. |
168 | $23 | $79 |
| Intravenous infusion of new drug or substance, 1 hour or less This procedure involves administering a new medication or substance directly into a vein through an existing access site. The infusion is completed within one hour or less. |
164 | $52 | $178 |
| Additional sequential IV infusion, 1 hour or less This code represents an additional intravenous infusion administered sequentially to a primary infusion. It covers the administration time of one hour or less. |
162 | $23 | $84 |
| Vitamin B-12 injection An injection of vitamin B-12 (cyanocobalamin) with a dose of up to 1000 mcg. |
157 | $1 | $6 |
| Zoledronic acid injection, 1 mg An injection of zoledronic acid administered at a dose of 1 mg. |
143 | $6 | $69 |
| Subcutaneous or intramuscular chemotherapy injection This procedure involves administering anti-cancer hormonal medication through an injection into the tissue under the skin or into a muscle. |
140 | $26 | $89 |
| Additional hour of intravenous hydration This code represents each additional hour of intravenous fluid administration beyond the initial hour. It is used to bill for extended hydration therapy. |
132 | $10 | $42 |
| Normal saline infusion, 1000 cc Administration of 1000 cc of normal saline solution into a vein. This procedure involves the intravenous delivery of a sterile saltwater solution. |
119 | $2 | $7 |
| Office visit for established patient An office visit for an existing patient that may not require the healthcare professional to be present. |
112 | $17 | $59 |
| Non-hormonal chemotherapy injection This procedure involves administering non-hormonal anti-neoplastic chemotherapy medication via injection into the skin or muscle tissue. |
103 | $57 | $206 |
| Intravenous push injection of new drug or substance A healthcare provider injects a new medication or substance directly into a vein using a push technique. |
87 | $45 | $170 |
| IV chemotherapy initiation with community continuation Initiation of an intravenous chemotherapy infusion in a clinic using clinic supplies, with continuation of the infusion in a community setting such as home or assisted living. |
83 | $134 | $637 |
| Additional hour of intravenous infusion This code represents each additional hour of intravenous infusion beyond the initial hour for therapy, prevention, or diagnosis. |
81 | $16 | $56 |
| Intravenous hydration infusion, 31-60 minutes Administration of fluids into a vein to maintain hydration. This procedure involves an infusion lasting between 31 and 60 minutes. |
78 | $26 | $156 |
| Automated urinalysis An automated laboratory test performed on a urine sample to analyze its chemical and physical properties. The procedure uses machinery to detect various substances and cells within the urine. |
77 | $2 | $8 |
| Magnesium sulfate injection, per 500 mg An injection of magnesium sulfate administered in 500 mg increments. |
76 | $1 | $2 |
| New patient office visit, complex (60-74 min) | 61 | $176 | $585 |
| Concurrent intravenous infusion Administration of medication or fluid into a vein for therapy, prevention, or diagnosis while another infusion is being given. |
59 | $16 | $56 |
| Intravenous drug injection A procedure involving the administration of a medication or substance directly into a vein. |
50 | $29 | $156 |
| Methylprednisolone injection, up to 40 mg An injection of methylprednisolone sodium succinate, a corticosteroid medication, administered in a dose of up to 40 mg. |
41 | $3 | $11 |
| Automated red blood cell count with calculations A blood test that automatically counts red blood cells and performs additional calculations to assess blood health. |
37 | $5 | $20 |
| On-body injector for subcutaneous injection A device is applied to the skin to automatically deliver a medication injection under the skin. |
35 | $15 | $56 |
| Intravenous chemotherapy injection Chemotherapy medication is administered directly into a vein using a push technique. This method involves injecting the drug through a needle or catheter already placed in the vein. |
28 | $81 | $303 |
| Office visit, established patient, complex (40-54 min) An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter. |
22 | $139 | $474 |
| Normal saline infusion, 500 ml Administration of sterile normal saline solution through an intravenous line. This procedure involves the infusion of a 500 ml unit of the solution. |
21 | $1 | $7 |
| New patient office visit (45-59 min) An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter. |
19 | $123 | $453 |
| Automated red blood cell count An automated laboratory test that measures the number of red blood cells in a blood sample. |
13 | $4 | $10 |
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. These counts do not measure clinical quality or years of experience.
12.2% high complexity
83.9% medium
3.9% routine
Industry Payment Transparency
Open Payments through 2024 ↗$6,430
Total received (2018-2024)
Avg $919/year across 7 years
Top 11% in FL for internal medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
51
Companies
344
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →
Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,508
2023
$833
2022
$1,013
2021
$513
2020
$722
2019
$933
2018
$906
Payments by company (2024)
Janssen Biotech, Inc.
$309
TAIHO ONCOLOGY, INC.
$185
Daiichi Sankyo Inc.
$119
PFIZER INC.
$111
E.R. Squibb & Sons, L.L.C.
$108
Mirati Therapeutics, Inc.
$94
Takeda Pharmaceuticals U.S.A., Inc.
$94
BeiGene USA, Inc.
$83
Novartis Pharmaceuticals Corporation
$74
Astellas Pharma US Inc
$63
Gilead Sciences, Inc.
$47
Eisai Inc.
$37
Regeneron Healthcare Solutions, Inc.
$31
ARRAY BIOPHARMA INC
$30
Incyte Corporation
$21
ABBVIE INC.
$20
Celgene Corporation
$20
Merck Sharp & Dohme LLC
$16
Genentech USA, Inc.
$16
Exelixis Inc.
$16
AstraZeneca Pharmaceuticals LP
$14
Top 3 companies account for 40.7% of 2024 payments
All-time payments by company (2018-2024) ›
Janssen Biotech, Inc.
$999
E.R. Squibb & Sons, L.L.C.
$876
Merck Sharp & Dohme Corporation
$324
PFIZER INC.
$263
Celgene Corporation
$263
Gilead Sciences, Inc.
$210
BeiGene USA, Inc.
$207
Teva Pharmaceuticals USA, Inc.
$192
Seagen Inc.
$188
TAIHO ONCOLOGY, INC.
$185
Veracyte, Inc.
$172
Daiichi Sankyo Inc.
$166
Bayer HealthCare Pharmaceuticals Inc.
$160
AstraZeneca Pharmaceuticals LP
$155
Incyte Corporation
$148
Genentech USA, Inc.
$144
Novartis Pharmaceuticals Corporation
$139
Astellas Pharma US Inc
$129
Takeda Pharmaceuticals U.S.A., Inc.
$121
NanoString Technologies, Inc.
$114
Janssen Pharmaceuticals, Inc
$110
JAZZ PHARMACEUTICALS INC.
$109
Lilly USA, LLC
$94
Mirati Therapeutics, Inc.
$94
Amgen Inc.
$74
ARRAY BIOPHARMA INC
$71
Exelixis Inc.
$70
Regeneron Healthcare Solutions, Inc.
$63
ABBVIE INC.
$62
Merck Sharp & Dohme LLC
$60
EMD Serono, Inc.
$57
GENZYME CORPORATION
$48
GE HEALTHCARE
$40
CSL Behring
$38
Eisai Inc.
$37
Pharmacyclics LLC, An AbbVie Company
$25
PUMA BIOTECHNOLOGY, INC.
$20
TerSera Therapeutics LLC
$20
AbbVie, Inc.
$20
GlaxoSmithKline, LLC.
$20
Taiho Oncology, Inc.
$18
SANOFI-AVENTIS U.S. LLC
$18
Array BioPharma Inc.
$16
ADC Therapeutics America, Inc.
$15
Sumitomo Pharma America, Inc.
$14
Dendreon Pharmaceuticals LLC
$14
Puma Biotechnology, Inc.
$13
Sirtex Medical Inc
$12
AbbVie Inc.
$12
Clovis Oncology, Inc.
$5
Heron Therapeutics, Inc.
$4
Top 3 companies account for 34.2% of all-time payments
Associated products mentioned in payments ›
Abraxane · Alecensa · Aliqopa · BLENREP · BRAFTOVI · BRUKINSA · Bavencio · Blincyto · Braftovi · CABOMETYX · CALQUENCE · CERDELGA · CEREZYME · Cabometyx · Cinvanti · DARZALEX · ELAHERE · EMPLICITI · ENHERTU · ERLEADA · Enhertu · Erleada · FRUZAQLA · GAZYVA · HYQVIA · IBRANCE · IMBRUVICA · IMFINZI · INFLECTRA · INLYTA · Idelvion · JAKAFI · KEYTRUDA · KISQALI · KRAZATI · Kyprolis · LIBTAYO · LONSURF · LUTATHERA · LYNPARZA · Lenvima · Lonsurf · MONJUVI · NERLYNX · NINLARO · ONUREG · OPDIVO · ORGOVYX · PADCEV · PLUVICTO · PROSIGNA ASSAY · PROVENGE · Phesgo · Polivy · Pomalyst · REBLOZYL · RYBREVANT · Revlimid · Rubraca · SARCLISA · SIR-Spheres Microspheres · SPRYCEL · Stivarga · TAGRISSO · TECVAYLI · TIVDAK · TUKYSA · Tecentriq · Trodelvy · VENCLEXTA · VERZENIO · VYXEOS · Venclexta · Vyloy · XARELTO · XTANDI · Xospata · ZEPZELCA · ZOLADEX
Should you be concerned? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
Geographic Context
Internal medicine physicians in nearby ZIP areas
382
County median income
$73,099
Nearest hospital to ZIP centroid (approximate)
LEE MEMORIAL HOSPITAL
8.0 mi
8.0 mi
Data Sources
| Provider Registry | ✓ NPPES | NPPES snapshot; verify current record |
| Medicare Enrollment | ✓ PECOS | PECOS snapshot |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not included | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Romero is a mixed practice specialist, with above-average Medicare volume (top 0% in FL), with 20 years of NPI registration.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Romero experienced with pembrolizumab injection (keytruda)?
Based on Medicare claims data, Dr. Romero performed 22,400 pembrolizumab injection (keytruda) services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Dr. Romero receive payments from pharmaceutical companies?
Yes. Dr. Romero received a total of $6,430 from 51 companies across 344 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Romero's costs compare to other internal medicine physicians in Fort Myers?
Dr. Romero's average Medicare payment per service is $14. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Romero) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
Explore related providers
Same specialty & city
Internal Medicine Physicians in Fort Myers
Browse internal medicine physicians in Fort Myers ranked by procedure volume and transparency data.
Highest volume
Top Internal Medicine Physicians in FL
Internal medicine physicians ranked by total Medicare services performed statewide.
Industry payments
Pharma Payments to Internal Medicine Physicians in FL
Which FL internal medicine physicians receive the most from drug and device companies.
By company
Janssen Biotech, Inc. Payments to Doctors
See all physicians who received payments from Janssen Biotech, Inc.
By company
E.R. Squibb & Sons, L.L.C. Payments to Doctors
See all physicians who received payments from E.R. Squibb & Sons, L.L.C.
By company
Merck Sharp & Dohme Corporation Payments to Doctors
See all physicians who received payments from Merck Sharp & Dohme Corporation.
About this page
This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.
This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.
Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology