Natasha Romanoski, DO
Physical Medicine & Rehabilitation · Hummelstown, PANPI 1780959429
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $3,608 of the $4,605 with a category attached, or 78.3%. 9 manufacturers reported payments, led by AbbVie at 55.7% of the total. Reporting peaked in 2024 at $2,262 and has fallen 85.1% since, to $337 in 2025. Among physical medicine & rehabilitation clinicians in PA with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 22 payments — averaging $209.34 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AbbVie$3K
- Ipsen Biopharmaceuticals, Inc$1K
- Merz Pharmaceuticals, LLC$218
- Sanofi$110
- Medtronic$80
- Merz North America, Inc.$72
- plus $117 from 3 others
Across 177 payments — averaging $756.67 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Ipsen Pharma SAS$134K
What the payments were for
- Consulting fees$3,60878%
- Food & beverage$99822%
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| AbbVie(2 entities) | 7 | $2,567 |
| Ipsen Biopharmaceuticals, Inc | 3 | $1,441 |
| Merz Pharmaceuticals, LLC | 3 | $218 |
| Sanofi | 1 | $110 |
| Medtronic(2 entities) | 2 | $80 |
| Merz North America, Inc. | 1 | $72 |
| Coloplast | 3 | $51 |
| Dentsply IH AB | 1 | $38 |
| Axonics, Inc. | 1 | $29 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
How this compares
$4,605 in reported general payments places this provider in the 90th percentile of 550 physical medicine & rehabilitation providers in Pennsylvania.
See all physical medicine & rehabilitation providers in Pennsylvania →
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Baclofen | 214 | $6,075 |
| OxycontinOxycodone Hcl | 14 | $4,021 |
| Gabapentin | 64 | $1,101 |
| Tizanidine Hcl | 111 | $1,051 |
| Pregabalin | 71 | $908 |
| Darifenacin ErDarifenacin Hydrobromide | 12 | $778 |
| Duloxetine Hcl | 28 | $472 |
| Diazepam | 47 | $453 |
| Diclofenac Sodium | 11 | $429 |
| Mirtazapine | 12 | $425 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 16 | $376 |
| Oxycodone Hcl | 21 | $343 |
| Cyclobenzaprine Hcl | 26 | $293 |
| Methylphenidate Hcl | 14 | $263 |
| Tamsulosin Hcl | 15 | $253 |
Paid to pharmacies, not to this prescriber.
Other physical medicine & rehabilitation in Hummelstown
- Jeffery RoweKing Of Prussia$1.9M
- Michael SaulinoElkins Park$425K
- Huaguang QuChalfont$356K
- Alberto EsquenaziPhiladelphia$305K
- Mitchell PaulinPaoli$229K
- Kimberly HeckertPhiladelphia$119K
- David LichtenReading$117K
- Gay WilcherRidley Park$81K
- Jessica MulhernPaoli$79K
- Leonard KamenElkins Park$44K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.