Medicare Enrolled

Dr. Paul Casanova-Romero, M.D., M.P.H.

Endocrinology · Port St Lucie, FL
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
1095 NW SAINT LUCIE WEST BLVD, Port St Lucie, FL 34986
7727855581
In practice since 2006 (19 years)
NPI: 1316963168 verify on NPPES ↗
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. Casanova-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. Casanova-Romero? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Casanova-Romero

Dr. Paul Casanova-Romero is an endocrinology specialist in Port St Lucie, FL, with 19 years of NPI registration. Based on federal Medicare data, Dr. Casanova-Romero performed 1,419 Medicare services across 907 unique beneficiaries.

Between the years covered by Open Payments, Dr. Casanova-Romero received a total of $17,261 from 48 pharmaceutical and/or device companies across 464 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in endocrinology. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Casanova-Romero is Very High — reflecting how much public federal data is available about this provider. This is not a quality rating. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 19 years in practice ▲ Top 35% volume in FL $17,261 industry payments

Medicare Practice Summary

Medicare Utilization ↗
1,419
Medicare services
Top 35% in FL for endocrinology
907
Unique beneficiaries
$76
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~75 Medicare services per year of practice

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
Office visit, established patient (30-39 min) 770 $91 $295
Blood glucose (sugar) test performed by hand-held instrument 238 $3 $21
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 153 $27 $88
Office visit, established patient, complex (40-54 min) 148 $138 $451
New patient office visit, complex (60-74 min) 81 $156 $562
Smoking and tobacco use intensive counseling, 4-10 minutes 29 $15 $36
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. A higher procedure volume generally indicates more experience with that procedure.

Industry Payment Transparency

Open Payments through 2024 ↗
$17,261
Total received (2018-2024)
Avg $2,466/year across 7 years
Top 20% in FL for endocrinology
48
Companies
464
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →

Payment profile

Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.

Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$12,704 (73.6%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$3,660 (21.2%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$898 (5.2%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$873
2023
$772
2022
$375
2021
$644
2020
$367
2019
$9,534
2018
$4,696

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Shire North American Group Inc
$3,672
Novo Nordisk Inc
$1,510
SANOFI-AVENTIS U.S. LLC
$1,440
Tosoh Bioscience, Inc.
$1,078
AstraZeneca Pharmaceuticals LP
$959
PFIZER INC.
$923
Lilly USA, LLC
$813
Boehringer Ingelheim Pharmaceuticals, Inc.
$811
Amgen Inc.
$767
Insulet Corporation
$718
Valeritas, Inc.
$606
Merck Sharp & Dohme Corporation
$453
Amarin Pharma Inc.
$444
Medtronic MiniMed, Inc.
$373
MannKind Corporation
$223
Bayer Healthcare Pharmaceuticals Inc.
$187
Ipsen Biopharmaceuticals, Inc
$173
Radius Health, Inc.
$163
Janssen Pharmaceuticals, Inc
$138
Corcept Therapeutics
$121
Tandem Diabetes Care, Inc.
$120
Abbott Laboratories
$118
Mannkind Corporation
$116
AbbVie, Inc.
$113
Dexcom, Inc.
$105
Bayer HealthCare Pharmaceuticals Inc.
$101
Endo Pharmaceuticals Inc.
$87
Exelixis Inc.
$87
Xeris Pharmaceuticals, Inc.
$79
Eisai Inc.
$74
Kowa Pharmaceuticals America, Inc.
$63
Antares Pharma, Inc.
$62
Horizon Therapeutics plc
$56
Medtronic, Inc.
$55
Gemini Laboratories, LLC
$54
Amneal Pharmaceuticals LLC
$52
Acella Pharmaceuticals, LLC
$51
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$50
Strongbridge US INC.
$36
Roche Diabetes Care, Inc.
$36
Quidel Corporation
$32
Senseonics, Incorporated
$30
Becton, Dickinson and Company
$22
VIVUS LLC
$22
Ascendis Pharma Inc
$20
IBSA Pharma Inc.
$17
Nalpropion Pharmaceuticals LLC
$16
Orexigen Therapeutics, Inc.
$11
Top 3 companies account for 38.4% of total payments
Associated products mentioned in payments ›
25-OH Vitamin D ST AIA-Pack · AFREZZA · AIA-PACK Calibrator Set · Androgel · BD Nano · CABOMETYX · CONTRAVE · CYCLOSET · Dexcom G6 Transmitter · EVENITY · Eversense · FARXIGA · FREESTYLE LIBRE 3 · FreeStyle Libre · FreeStyle Libre 2 · FreeStyle Libre Pro · FreeStyle Libre blood glucose Flash Monitoring System · GVOKE HYPOPEN · GVOKE PFS · HUMULIN · INVOKANA · JANUVIA · JARDIANCE · Kerendia · Korlym · Lenvima · Livalo · MACRILEN · MINIMED 780G · MOUNJARO · Minimed 670G System · NASCOBAL · NATPARA · NATPARA (PARATHYROID HORMONE) · NP Thyroid · NP Thyroid 60 · Omnipod · Ozempic · PRALUENT · Prolia · Qsymia · RECORLEV · RYBELSUS · Repatha · Rybelsus · SKYTROFA · SOLIQUA · SOLIQUA 100/33 · SOMATULINE DEPOT · SOMAVERT · STEGLATRO · Saxenda · Somatuline Depot · Synthroid · TEPEZZA · TOUJEO · TRULICITY · TU · TZIELD · Tirosint · Tresiba · Triage · Tymlos · UNITHROID · V-GO · Vascepa · Victoza · XYOSTED · Xultophy 100/3.6 · t-slim insulin pump
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. 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 →

Most payments (74%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Equivalent to $1,216 per 100 Medicare services performed
Looking for an endocrinology specialist in Port St Lucie?
Compare endocrinologists in the Port St Lucie area by procedure volume, costs, and industry payment transparency.
Browse endocrinologists nearby

Geographic Context

Endocrinologists within 10 mi
9
Per 100K population
2.6
County median income
$69,027
Nearest hospital
ST LUCIE MEDICAL CENTER
6.7 mi

Data Sources

Provider Registry NPPES Weekly updates
Medicare Enrollment PECOS Monthly updates
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not public N/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This measures how much public data is available about a provider — not how good they are. How we calculate this →

Summary

Dr. Casanova-Romero is a clinical cardiology specialist, with moderate Medicare volume, with low-engagement industry engagement in the top 20% of FL peers, with 19 years of NPI registration.

This summary is auto-generated from federal data. It describes data availability and patterns — not clinical quality. Read our methodology →

Frequently Asked Questions

Is Dr. Casanova-Romero experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Casanova-Romero performed 770 office visit, established patient (30-39 min) services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Casanova-Romero receive payments from pharmaceutical companies?
Yes. Dr. Casanova-Romero received a total of $17,261 from 48 companies across 464 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. 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. Casanova-Romero's costs compare to other endocrinologists in Port St Lucie?
Dr. Casanova-Romero's average Medicare payment per service is $76. 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. Casanova-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 a long track record of practice, Medicare participation, and industry disclosure. 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?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
About this page

All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): 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. The Transparency Score measures 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

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →