Medicare Enrolled
Dr. Lucas Romine, MD
Orthopedic Surgery · Smithfield, NC
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
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. Romine 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 →
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What this data tells you about Dr. Romine
Dr. Lucas Romine is an orthopedic surgery specialist in Smithfield, NC, with 18 years of NPI registration. Based on federal Medicare data, Dr. Romine performed 3,486 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Romine received a total of $16,328 from 18 pharmaceutical and/or device companies across 108 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. Romine 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.
✓ 18 years of NPI registration
▲ Top 16% volume in NC
$16,328 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗3,486
Medicare services
Top 16% in NC for orthopedic surgery
Not available
Unique patients (not deduplicated)
$41
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 |
|---|---|---|---|
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
1,268 | $1 | $2 |
| Hymovis intra-articular injection An injection of Hymovis, a hyaluronan derivative, administered directly into a joint space. |
625 | $13 | $42 |
| 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. |
359 | $88 | $312 |
| 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. |
293 | $61 | $221 |
| Joint injection, major joint Removal of fluid from a large joint and/or injection of medication into the joint space. |
263 | $54 | $292 |
| Shoulder X-ray, 2+ views An X-ray imaging test of the shoulder joint using at least two different angles to visualize the bones and surrounding structures. |
113 | $24 | $90 |
| Knee X-ray, 4 or more views An imaging test using X-rays to create multiple pictures of the knee joint from different angles. |
95 | $34 | $144 |
| Knee X-ray, 3 views An X-ray imaging test of the knee joint that captures three different angles to evaluate the bones and surrounding structures. |
87 | $29 | $105 |
| New patient office visit (30-44 min) An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range. |
39 | $71 | $273 |
| MRI of arm joint, without contrast An MRI scan uses magnetic fields and radio waves to create detailed images of the arm joint. This specific procedure is performed without the use of a contrast dye. |
30 | $98 | $656 |
| Hip X-ray, 2-3 views An X-ray imaging test of the hip joint using two to three different angles to visualize the bones and surrounding structures. |
28 | $28 | $101 |
| Betamethasone steroid injection An injection containing a combination of betamethasone acetate and betamethasone sodium phosphate. |
25 | $5 | $14 |
| X-ray of lower and sacral spine, 2-3 views An X-ray imaging test that captures 2 to 3 views of the lower back and sacral spine to visualize the bones and joints in this area. |
24 | $26 | $91 |
| 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. |
24 | $114 | $407 |
| Wrist X-ray, minimum 3 views An imaging test using X-rays to capture at least three different angles of the wrist bones and joints. |
23 | $26 | $99 |
| Hip X-ray, 1 view An X-ray image of the hip joint taken from a single angle to visualize the bones and surrounding structures. |
23 | $21 | $76 |
| Total knee replacement | 21 | $986 | $4,492 |
| Foot X-ray, 3+ views An X-ray imaging test of the foot that captures at least three different views to evaluate the bones and joints. |
20 | $25 | $88 |
| MRI of lower spine, without contrast A magnetic resonance imaging scan of the lower spinal canal that does not use contrast dye to create detailed images of the spine. |
17 | $77 | $563 |
| Elbow X-ray, minimum 3 views An X-ray imaging test of the elbow joint that captures at least three different angles to visualize the bones and surrounding structures. |
16 | $19 | $75 |
| Total shoulder joint prosthetic repair Surgical replacement of the shoulder joint with a prosthetic device. This procedure involves removing damaged joint components and inserting artificial parts to restore function. |
15 | $1,111 | $5,704 |
| Arthroscopic shoulder surgery for bone shaving and ligament repair A minimally invasive procedure using a small camera to shave part of the shoulder bone and repair a ligament. |
15 | $126 | $705 |
| MRI of leg joint, without contrast A magnetic resonance imaging scan of a joint in the leg performed without the use of contrast dye. |
15 | $96 | $636 |
| Initial hospital admission, high complexity Initial hospital inpatient or observation care for a new patient involving high-level medical decision making, with at least 75 minutes total time on the date of the encounter. |
14 | $135 | $481 |
| X-ray of multiple joints An X-ray imaging test that captures images of several joints simultaneously to evaluate their structure and alignment. |
12 | $30 | $114 |
| Endoscopic release of biceps tendon A minimally invasive procedure using an endoscope to release the tendon that connects the biceps muscle to the shoulder. |
11 | $470 | $3,140 |
| X-ray of hand, minimum of 3 views An X-ray imaging test of the hand that captures at least three different angles to visualize the bones and joints. |
11 | $21 | $88 |
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.
1.0% high complexity
64.3% medium
34.6% routine
Industry Payment Transparency
Open Payments through 2024 ↗$16,328
Total received (2018-2024)
Avg $2,333/year across 7 years
Top 24% in NC for orthopedic surgery
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
18
Companies
108
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
$5,061
2023
$1,178
2022
$538
2021
$1,456
2020
$243
2019
$1,972
2018
$5,880
Payments by company (2024)
MEDACTA USA, INC.
$4,473
Stryker Corporation
$297
Anika Therapeutics, Inc.
$146
Smith+Nephew, Inc.
$131
ACUMED LLC
$14
Top 3 companies account for 97.1% of 2024 payments
All-time payments by company (2018-2024) ›
Arthrex, Inc.
$4,998
MEDACTA USA, INC.
$4,473
Stryker Corporation
$3,491
Smith+Nephew, Inc.
$1,166
Medacta USA, Inc.
$393
Smith & Nephew, Inc.
$287
Zimmer Biomet Holdings, Inc.
$269
Linvatec Corporation
$199
Wright Medical Technology, Inc.
$191
ACUMED LLC
$176
Anika Therapeutics, Inc.
$146
TriCoast Surgical Solutions LLC
$127
Skeletal Dynamics Inc
$124
Davol Inc.
$124
Arthrosurface Incorporated
$81
Flexion Therapeutics, Inc.
$43
ERMI LLC
$20
KCI USA, Inc
$19
Top 3 companies account for 79.4% of all-time payments
Associated products mentioned in payments ›
ACUMED · AEQUALIS PERFORM · AETOS Shoulder System · AMIStem · AMIStem H Femoral Stems · ARISTA AH FlexiTip · BIOBRACE 23MM · BLUEPRINT PATIENT SPECIFIC INSTRUMENTATION · BLUEPRINT PSI SYSTEM · GAMMA · Geminus · HemiCAP Shoulder · Integrity · Journey II BCS · MAKO · Navio Surgical System · PREVENA · Primary Shoulder · REAL INTELLIGENCE · REUNION · ROSA · Regeneten · SIMPLICITI · Shoulder System · TRIATHLON · VARIAX · VISIONAIRE Cutting Guides · Zilretta
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
Orthopedic surgeons in nearby ZIP areas
26
County median income
$79,838
Nearest hospital to ZIP centroid (approximate)
JOHNSTON HEALTH
0.0 mi
0.0 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. Romine is a clinical cardiology specialist, with above-average Medicare volume (top 16% in NC), with 18 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. Romine experienced with steroid injection (triamcinolone)?
Based on Medicare claims data, Dr. Romine performed 1,268 steroid injection (triamcinolone) 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. Romine receive payments from pharmaceutical companies?
Yes. Dr. Romine received a total of $16,328 from 18 companies across 108 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. Romine's costs compare to other orthopedic surgeons in Smithfield?
Dr. Romine's average Medicare payment per service is $41. 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. Romine) 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 →
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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.
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