Medicare Enrolled
Dr. Augustine Romano, M.D.
Neurology · Rocky Point, NY
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. Romano 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. Romano
Dr. Augustine Romano is a neurology specialist in Rocky Point, NY, with 19 years of NPI registration. Based on federal Medicare data, Dr. Romano performed 9,047 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Romano received a total of $30,307 from 89 pharmaceutical and/or device companies across 1248 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. Romano 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.
✓ 19 years of NPI registration
▲ Top 9% volume in NY
$30,307 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗9,047
Medicare services
Top 9% in NY for neurology
Not available
Unique patients (not deduplicated)
$18
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 |
|---|---|---|---|
| Botox injection, per unit An injection of onabotulinumtoxinA, a medication used to temporarily relax muscles or reduce gland activity. The dose is measured in units, with this code representing a single unit administered. |
7,700 | $5 | $25 |
| 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. |
335 | $77 | $270 |
| 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. |
314 | $110 | $390 |
| Trigger point injection, 3 or more muscles Injection of medication into three or more specific muscle trigger points to relieve pain. |
236 | $57 | $240 |
| Office visit, established patient (10-19 min) An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition. |
221 | $51 | $155 |
| New patient office visit, complex (60-74 min) | 117 | $194 | $750 |
| Electromyography of arm or leg muscles A test that measures the electrical activity in the muscles of the arm or leg using a needle electrode. It helps evaluate the health of muscles and the nerve cells that control them. |
39 | $92 | $455 |
| 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. |
31 | $153 | $525 |
| Nerve conduction study, 9-10 studies A diagnostic test that measures how well nerves send electrical signals. It involves performing 9 to 10 separate nerve conduction studies to evaluate nerve function. |
26 | $189 | $825 |
| Telephone medical discussion, 11-20 minutes A phone conversation with a physician lasting between 11 and 20 minutes. |
16 | $78 | $250 |
| Nerve conduction studies, 7-8 tests A series of 7 to 8 nerve conduction tests to evaluate how well nerves are sending signals to muscles. |
12 | $166 | $695 |
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.
Industry Payment Transparency
Open Payments through 2024 ↗$30,307
Total received (2018-2024)
Avg $4,330/year across 7 years
Top 15% in NY for neurology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
89
Companies
1,248
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
$3,287
2023
$3,406
2022
$4,317
2021
$3,830
2020
$2,663
2019
$3,069
2018
$9,734
Payments by company (2024)
ABBVIE INC.
$668
PFIZER INC.
$197
Novartis Pharmaceuticals Corporation
$189
Amneal Pharmaceuticals LLC
$189
Lundbeck LLC
$186
Teva Pharmaceuticals USA, Inc.
$181
Lilly USA, LLC
$156
ARGENX US, INC.
$137
Neurelis, Inc.
$118
Biogen, Inc.
$110
UCB, Inc.
$104
Neurocrine Biosciences, Inc.
$100
EMD Serono, Inc.
$95
Merz Pharmaceuticals, LLC
$88
SCILEX PHARMACEUTICALS INC.
$82
ACADIA Pharmaceuticals Inc
$77
Azurity Pharmaceuticals, Inc.
$66
MDD US Operations, LLC
$62
Axsome Therapeutics, Inc.
$58
Eisai Inc.
$53
SK Life Science, Inc.
$52
Kyowa Kirin, Inc.
$48
CSL Behring
$44
Grifols USA, LLC
$40
JAZZ PHARMACEUTICALS INC.
$37
Celgene Corporation
$31
Vanda Pharmaceuticals Inc.
$24
ITF Therapeutics LLC
$24
Alexion Pharmaceuticals, Inc.
$21
Acorda Therapeutics, Inc
$18
Takeda Pharmaceuticals U.S.A., Inc.
$17
Otsuka America Pharmaceutical, Inc.
$16
Top 3 companies account for 32.1% of 2024 payments
All-time payments by company (2018-2024) ›
Supernus Pharmaceuticals, Inc.
$7,554
UCB, Inc.
$1,606
ABBVIE INC.
$1,461
Biogen, Inc.
$1,438
Teva Pharmaceuticals USA, Inc.
$1,238
Amgen Inc.
$1,126
AbbVie Inc.
$1,116
Sunovion Pharmaceuticals Inc.
$1,069
Allergan, Inc.
$942
Lundbeck LLC
$905
Novartis Pharmaceuticals Corporation
$842
SK Life Science, Inc.
$832
Lilly USA, LLC
$647
Acorda Therapeutics, Inc
$583
Amneal Pharmaceuticals LLC
$555
PFIZER INC.
$497
Neurocrine Biosciences, Inc.
$411
EMD Serono, Inc.
$368
ACADIA Pharmaceuticals Inc
$352
Adamas Pharmaceuticals, Inc.
$328
Neurelis, Inc.
$325
Kyowa Kirin, Inc.
$307
ARBOR PHARMACEUTICALS, INC.
$303
Grifols USA, LLC
$294
UPSHER-SMITH LABORATORIES LLC
$260
Alexion Pharmaceuticals, Inc.
$253
Biohaven Pharmaceutical Holding Company Ltd.
$236
Biohaven Pharmaceuticals, Inc.
$204
ARGENX US, INC.
$190
GENZYME CORPORATION
$182
Eisai Inc.
$174
Allergan Inc.
$165
Almatica Pharma LLC
$162
Takeda Pharmaceuticals U.S.A., Inc.
$160
IDORSIA PHARMACEUTICALS US INC
$152
GE HEALTHCARE
$141
Assertio Therapeutics, Inc.
$139
Azurity Pharmaceuticals, Inc.
$129
Sumitomo Pharma America, Inc.
$128
Axsome Therapeutics, Inc.
$127
Medtronic, Inc.
$119
Avanir Pharmaceuticals, Inc.
$116
JAZZ PHARMACEUTICALS INC.
$110
SCILEX PHARMACEUTICALS INC.
$105
Upsher-Smith Laboratories LLC
$99
Genentech USA, Inc.
$88
Merz Pharmaceuticals, LLC
$88
CSL Behring
$83
EISAI INC.
$81
LivaNova USA, Inc.
$77
MDD US Operations, LLC
$77
Merz North America, Inc.
$74
Avion Pharmaceuticals
$73
Otsuka America Pharmaceutical, Inc.
$69
Celgene Corporation
$68
Abbott Laboratories
$66
Philips Electronics North America Corporation
$61
Greenwich Biosciences, Inc.
$60
Promius Pharma LLC
$60
E.R. Squibb & Sons, L.L.C.
$58
Bausch Health US, LLC
$52
Arbor Pharmaceuticals, Inc.
$49
Endo Pharmaceuticals Inc.
$48
Impax Laboratories, Inc.
$48
MITSUBISHI TANABE PHARMA AMERICA, INC.
$44
ASSERTIO THERAPEUTICS, Inc.
$44
BioDelivery Sciences International, Inc.
$43
Akcea Therapeutics, Inc.
$40
IMPEL PHARMACEUTICALS INC.
$32
Octapharma USA, Inc.
$32
MERZ NORTH AMERICA, INC.
$29
Mallinckrodt Hospital Products Inc.
$26
Vanda Pharmaceuticals Inc.
$24
ITF Therapeutics LLC
$24
Daiichi Sankyo Inc.
$22
Medtronic USA, Inc.
$20
US WorldMeds, LLC
$19
BANNER LIFE SCIENCES, LLC
$18
Currax Pharmaceuticals LLC
$18
Kowa Pharmaceuticals America, Inc.
$17
HARMONY BIOSCIENCES LLC
$17
Bayer HealthCare Pharmaceuticals Inc.
$17
Scilex Pharmaceuticals Inc.
$17
Corium, LLC
$16
Horizon Therapeutics plc
$14
Egalet US Inc
$13
Vertical Pharmaceuticals, LLC
$12
Collegium Pharmaceutical, Inc.
$10
Neuronetics, Inc.
$10
Top 3 companies account for 35.0% of all-time payments
Associated products mentioned in payments ›
ACTHAR · ACTIVA · ADUHELM · AIMOVIG · AJOVY · AMPYRA · AMYVID · APTIOM · AUBAGIO · AUSTEDO · AVONEX · Aduhelm · Aimovig · Azstarys · BAFIERTAM · BELBUCA · BOTOX · BOTOX THERAPEUTIC · BUNAVAIL 2.1 mg 30-count box · Betaseron · Briviact · CAMBIA · CITALOPRAM · COMIRNATY · CONTRAVE · CREXONT · Cambia · Confirm Rx · DIVIGEL · Dhivy · EMGALITY · EPIDIOLEX · Epidiolex · Fycompa · GILENYA · GOCOVRI · GRALISE · Gamunex-C · Gocovri · Gralise · HORIZANT · HYQVIA · Hizentra · Horizant · INBRIJA · INGREZZA · KESIMPTA · KISUNLA · Kcentra · LINZESS · LYRICA · Leqembi · MAVENCLAD · MAYZENT · MIGRANAL · Mavenclad · Morphabond ER · NAPRELAN · NASCOBAL · NEUROSTAR TMS THERAPY SYSTEM · NORTHERA · NOURIANZ · NUEDEXTA · NUPLAZID · NURTEC ODT · Neupro · Nourianz · OCREVUS · OCTAGAM IMMUNE GLOBULIN (HUMAN) · ONGENTYS · ONGENTYS 50MG CAPSULES 30 · OXTELLAR XR · Ongentys · PANZYGA · PAXLOVID · PERCEPT PC BRAINSENSE · PLEGRIDY · PONVORY · QUDEXY XR TOPIRAMATE EXTENDED RELEASE CAPSULES · QUDEXY XR Topiramate Extended Release Capsules · QULIPTA · QUVIVIQ · RADICAVA · REXULTI · RYTARY · Respiratoriy Care Undiv · Rystiggo · SOLIRIS · SPRIX · Seglentis · Soliris · Sunosi · TECFIDERA · TEGSEDI · TOPIRAMATE Extended Release Capsules · TOSYMRA · TOSYMRA SUMATRIPTAN NASAL SPRAY · TROKENDI XR · TYSABRI · Trintellix · Trudhesa · UBRELVY · ULTOMIRIS · UPLIZNA · VALTOCO · VNS - Sentiva · VNS Therapy · VRAYLAR · VUMERITY · VYEPTI · VYVGART · VYVGART HYTRULO · Vimpat · Wakix · Wellcentive Undiv · XCOPRI · XEOMIN · XYWAV · Xadago · Xembify · Xeomin · Xtampza ER · ZEMBRACE SYMTOUCH · ZEPOSIA · ZIPSOR · ZTLido · ZTLido 30 POUCH in 1 CARTON 1 PATCH in 1 POUCH · Zembrace
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
Neurologists in nearby ZIP areas
213
County median income
$128,329
Nearest hospital to ZIP centroid (approximate)
ST CATHERINE OF SIENA HOSPITAL
2.4 mi
2.4 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. Romano is a mixed practice specialist, with above-average Medicare volume (top 9% in NY), with 19 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. Romano experienced with botox injection, per unit?
Based on Medicare claims data, Dr. Romano performed 7,700 botox injection, per unit 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. Romano receive payments from pharmaceutical companies?
Yes. Dr. Romano received a total of $30,307 from 89 companies across 1,248 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. Romano's costs compare to other neurologists in Rocky Point?
Dr. Romano's average Medicare payment per service is $18. 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. Romano) 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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