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Active NPI 1114059987 Individual Practitioner Male Practitioner

Jack W Romano , PA

Physician Assistant - Surgical • Kimberly, WI

Professional Overview & Biography Verified Profile Summary

Jack Romano, PA is a registered healthcare professional specializing in Physician Assistant - Surgical in Kimberly, WI. Practice services are available at 300 W PAPERMILL RUN UNIT 311 under active NPI credentials.

Frequently performed procedures and clinical services include replacement of knee joint, both sides of knee, replacement of thigh bone and hip joint with prosthesis. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

300 W Papermill Run Unit 311

Kimberly, WI 541365507

Telephone 2069400962

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant - Surgical in Kimberly, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.5 Yrs
Regional Practice Density
1 Specialists

Practicing in Kimberly, WI (288 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
95.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
27447 Replacement of knee joint, both sides of knee
26 25 $4485.88 $195.20
27130 Replacement of thigh bone and hip joint with prosthesis
14 14 $4391.40 $195.28

Medical Specialties & State Licenses

CMS Verified: 2026-05-01
Physician Assistant - Surgical Primary Specialty

NUCC Taxonomy Code: 363AS0400X

State License WA PA10002119

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Medicare Ptan
G8864515 (WA)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location May 01, 2026

Registered at 300 W PAPERMILL RUN UNIT 311, KIMBERLY, WI 541365507 (Tel: 2069400962)

📍
Updated Business Mailing Address May 01, 2026

Registered at 300 W PAPERMILL RUN UNIT 311, KIMBERLY, WI 541365507 (Tel: 2069400962)

NPI Profile Active August 13, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location August 13, 2014

Registered at 9701 NE 120TH PL, KIRKLAND, WA 980344275 (Tel: 2069092601)

📍
Updated Business Mailing Address August 13, 2014

Registered at 9701 NE 120TH PL, KIRKLAND, WA 980344275 (Tel: 2069092601)

👤
Provider Name / Credentials Updated August 13, 2014

Recorded as JACK ROMANO, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 13, 2014

Physician Assistant (License #PA10002119 in WA)

🟢
Initial NPI Registration & Enumeration March 09, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114059987
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 09, 2007
Last Update: May 01, 2026
Sole Proprietor: No

Mailing Address

300 W Papermill Run Unit 311

Kimberly, WI 541365507

Phone: 2069400962

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.