Active NPI 1518157031 Individual Practitioner Male Practitioner

Dr. Romeo A Lainez , MD

Surgery • Austin, TX

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Romeo Lainez, MD is a certified Surgery practicing in Austin, TX. With approximately 19 years of clinical experience since completing medical education in 2007, Dr. Lainez delivers high-quality medical care to the local community at 3705 MEDICAL PKWY STE 250.

Dr. Lainez maintains professional affiliations with Capital Surgeons Group, Pllc, Southwest Bariatric Surgeons, Pllc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include initial hospital care with straightforward or low-level medical decision making, if using time, at least, subsequent hospital care with moderate levelof medical decision making, if using time, at least, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3705 Medical Pkwy Ste 250

Austin, TX 787051022

Telephone 5123021210

Fax 5124519752

Associated Practice Facility / Clinic

🏢 Capital Surgeons Group, Pllc Facility NPI 1891745592

Medicare Profile & Education

Medical School

Other

Graduation Year

2007

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Austin, TX

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

19 Yrs -4.9 yrs vs City Avg

City Avg: 23.9 Yrs

State Avg: 25.2 Yrs

Regional Practice Density

153 Specialists

Practicing in Austin, TX (2342 Statewide)

Telehealth Adoption Rate

12.4% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

54.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Lainez (19 Years) 19 Yrs

Austin Specialty Average (23.9 Years) 23.9 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	54	53	$347.00	$127.56
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	44	21	$170.00	$76.85
99213 Established patient office or other outpatient visit, typically 15 minutes	39	22	$143.54	$89.62
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$385.76	$153.93
99231 Follow-up hospital inpatient care per day, typically 15 minutes	18	13	$106.00	$48.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	15	$228.71	$128.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	48	48	$347.00	$127.99
99213 Established patient office or other outpatient visit, typically 15 minutes	38	20	$141.79	$90.92
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	29	15	$170.00	$78.05
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$386.92	$166.46
99231 Follow-up hospital inpatient care per day, typically 15 minutes	19	14	$106.00	$48.76
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	13	13	$2207.00	$678.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	53	26	$106.00	$37.05
99221 Initial hospital inpatient care per day, typically 30 minutes	46	45	$212.00	$95.66
99213 Established patient office or other outpatient visit, typically 15 minutes	32	22	$143.63	$89.82
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$380.79	$164.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	17	$225.00	$130.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	22	16	$144.00	$93.43
99231 Follow-up hospital inpatient care per day, typically 15 minutes	21	12	$106.00	$36.36
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$389.38	$162.31
99221 Initial hospital inpatient care per day, typically 30 minutes	17	16	$212.00	$99.28
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	14	13	$170.00	$71.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$225.69	$132.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	53	44	$170.00	$72.63
99231 Follow-up hospital inpatient care per day, typically 15 minutes	53	21	$104.00	$39.44
99213 Established patient office or other outpatient visit, typically 15 minutes	35	22	$140.74	$75.96
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$390.63	$166.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	53	30	$106.00	$38.99
99213 Established patient office or other outpatient visit, typically 15 minutes	47	28	$142.85	$73.71
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	32	30	$170.00	$72.03
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$384.74	$158.37
99221 Initial hospital inpatient care per day, typically 30 minutes	22	20	$212.00	$100.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	17	$221.40	$108.78
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	11	11	$2207.00	$682.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	47	32	$144.13	$69.97
99221 Initial hospital inpatient care per day, typically 30 minutes	47	46	$212.00	$95.79
99231 Follow-up hospital inpatient care per day, typically 15 minutes	44	24	$106.00	$37.82
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$379.52	$158.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	19	$224.10	$103.11
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	12	12	$2207.00	$691.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	73	38	$106.00	$38.09
99221 Initial hospital inpatient care per day, typically 30 minutes	67	65	$212.00	$99.11
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$385.18	$157.99
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	28	18	$170.00	$71.66
99213 Established patient office or other outpatient visit, typically 15 minutes	26	20	$146.77	$72.04
43775 Stomach reduction procedure with partial removal of stomach using an endoscope	12	12	$2400.00	$386.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	11	$222.00	$98.19
43281 Repair of hernia of muscle at esophagus and stomach using an endoscope	12	12	$2128.67	$658.76

Medical Specialties & State Licenses

CMS Verified: 2021-02-03

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License TX P5404

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1000809 (LA)

Hospital & Practice Group Affiliations

Capital Surgeons Group, Pllc

505 W Louis Henna Blvd, Austin, TX 787281703

Phone: 5124984860

Capital Surgeons Group, Pllc

3705 Medical Pkwy, Austin, TX 787051022

Phone: 5123021210

Southwest Bariatric Surgeons, Pllc

5625 Eiger Rd, Austin, TX 787358983

Phone: 5124417755

Capital Surgeons Group, Pllc

5625 Eiger Rd, Austin, TX 787358983

Phone: 5124417755

Southwest Bariatric Surgeons, Pllc

3705 Medical Pkwy, Austin, TX 787051027

Phone: 5123385024

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

16 Associated Practitioners

Dr. Jack Walzel , MD

Surgery

NPI 1093711012

Doctor of Medicine (M.D.)

Dr. Tim Faulkenberry , MD

Surgery

NPI 1114906070

Doctor of Medicine (M.D.)

Dr. Stephen Clark , MD

Surgery

NPI 1164401089

Doctor of Medicine (M.D.)

Dr. Ankur Bhakta , DO

Surgery

NPI 1164714127

Doctor of Osteopathic Medicine (D.O.)

Dr. Charles Oswalt , MD

Surgery - Trauma Surgery

NPI 1184644528

Doctor of Medicine (M.D.)

Dr. Erik Lough , MD

Surgery

NPI 1215110440

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active July 15, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location July 15, 2014

Registered at 3705 MEDICAL PKWY STE 250, AUSTIN, TX 787051022 (Tel: 5123021210)

📍

Updated Business Mailing Address July 15, 2014

Registered at 3705 MEDICAL PKWY STE 250, AUSTIN, TX 787051022 (Tel: 5123021210)

👤

Provider Name / Credentials Updated July 15, 2014

Recorded as ROMEO LAINEZ, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 15, 2014

Surgery (License #P5404 in TX)

🟢

Initial NPI Registration & Enumeration July 31, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1518157031

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 31, 2007

Last Update: February 03, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3705 Medical Pkwy Ste 250

Austin, TX 787051022

Phone: 5123021210

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.