Romana Sibyl Kleinguenther, M.D.

Neurology Psychiatry & Neurology

Romana Sibyl Kleinguenther is a Neurology Psychiatry & Neurology specialist based in San Antonio, TX with over 36 years of clinical experience. Medicare-enrolled per CMS records and offers virtual telehealth visits.

(210) 358-9887San Antonio, TX
Telehealth Available
NPI Active per CMS — Q2 2026|Medicare Enrolled|Order & Refer

Romana Sibyl Kleinguenther, M.D. runs an independent neurology psychiatry & neurology specialist practice in San Antonio, TX. She graduated from University of Texas Medical School at San Antonio in 1990 and has 36+ years of clinical experience. She regularly sees Medicare patients with hypertension, high cholesterol, and diabetes (per CMS claims data).

At a glance

  • Uses generic medications more than 80% of reporting doctors in Texas
  • Virtual visits available — no app or travel required
1 of 419 Psychiatry & Neurology providers in TXSee all Psychiatry & Neurology in San Antonio36+ years experienceNPI since 2006

Older · 4289dNPPES updated 2014-08-27 · verify NPI on CMS · Verify license at Texas Medical Board

Contact & Location

Practice Location

903 W Martin St, San Antonio, TX 78207-0903

CMS Clinical Data

How Does This Doctor Compare?

Based on Medicare data, this doctor favors affordable generic drugs over brand-name ones.

Generic Rx

↑ Higher = better

92.1%

Texas avg: 83.8 · US avg: 82.8

Higher than most doctors nationally(+9.3 pts)

Better than 80% of reporting doctors in Texas

How often this doctor prescribes affordable generic drugs instead of expensive brand-name ones.

Medicare Patients

54

Unique beneficiaries

Standard volume

Prescription Recipients

141

Patients prescribed

Prescriptions Written

850

Total claims

Total Medicare drug cost: $118k

Percentile rankings compared against 4,889 reporting peers in Texas.

Data Note: Sourced from CMS Medicare Provider Utilization & Payment Data. Percentile rankings compare this provider against all peers with reported data in the same state. Updated annually to reflect the latest federal reporting cycle.

Patient Condition Panel

What This Doctor Treats Most

Based on Medicare claims data — here's what patients commonly see this doctor for

Based on Medicare data, this doctor primarily manages Hypertension, High Cholesterol, and Diabetes.

Hypertension
Higher than avg (+5%)75%

High blood pressure — a leading risk factor for heart disease and stroke

US avg: 70.2%

↑ More patients than average (+5%) — a focus area for this doctor

High Cholesterol
Higher than avg (+2%)72%

Elevated cholesterol or triglycerides that increase heart disease risk

US avg: 70.4%

↑ More patients than average (+2%) — a focus area for this doctor

Diabetes
Higher than avg (+9%)43%

A condition where the body cannot properly regulate blood sugar levels

US avg: 34.5%

↑ More patients than average (+9%) — a focus area for this doctor

Mood Disorders
39%

Conditions affecting emotional state, including depression and bipolar disorder

Anxiety Disorders
Lower than avg (-4%)30%

Excessive worry or fear that interferes with daily life

US avg: 34.1%

↓ Fewer patients than average (-4%) — less common here

Arthritis
Lower than avg (-21%)28%

Joint inflammation causing pain, swelling, and stiffness

US avg: 49.3%

↓ Fewer patients than average (-21%) — less common here

Depression
Lower than avg (-6%)26%

A mood disorder causing persistent sadness and loss of interest in activities

US avg: 31.8%

↓ Fewer patients than average (-6%) — less common here

Chronic Kidney Disease
Lower than avg (-6%)24%

Gradual loss of kidney function over time, often linked to diabetes or hypertension

US avg: 29.6%

↓ Fewer patients than average (-6%) — less common here

GeneralBehavioralNational avg

Percentage of this provider's Medicare patients diagnosed with each condition. Source: CMS Utilization Data.

Industry Payment Transparency

$378 received from industry

15 transactions reported in 2024 ·Low tier

View on CMS Open Payments →

Payments include consulting fees, speaking honoraria, food & beverage, travel, research support, and ownership interests from drug and medical device manufacturers. Disclosure is required by the federal Physician Payments Sunshine Act. These payments do not necessarily indicate conflicts of interest. National median: $338 across 136 000 tracked providers.

Tiers — Low: under $500 · Moderate: $500-5 000 · High: $5 000-25 000 · Very High: $25 000+. Source: CMS Open Payments 2024, attributed to Romana Sibyl Kleinguenther's NPI.

Patient Reviews

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Background & Specialty

Education, training, and specialty classification from CMS NPPES and Medicare records.

Career Journey
  1. Graduated medical school · 1990

    Ut Health San Antonio Joe R. and Teresa Lozano Long School of Medicine

  2. 36 years in practice

    Senior practitioner

Psychiatry & NeurologyAllopathic & Osteopathic Physicians

Neurologists diagnose and treat disorders of the nervous system including stroke, epilepsy, multiple sclerosis, Parkinson's disease, migraines, neuropathy, and dementia.

Taxonomy: 2084N0400X

Education & Training

University of Texas Medical School at San Antonio (Class of 1990)

Practice Footprint

Mailing address

7703 Floyd Curl Dr # Mc7977, San Antonio, TX 78229-3901

Differs from practice location

Virtual Psychiatry & Neurology Care With Romana Sibyl Kleinguenther

NPPES records indicate this provider offers telehealth services. Contact the office to confirm availability and scheduling.

Schedule a virtual visit with Romana Sibyl Kleinguenther for blood pressure monitoring, cholesterol management, diabetes check-ins — no travel to San Antonio required. The office sends a secure video link before your appointment. Most visits take 15–30 minutes. Medicare enrolled per CMS records.

Frequently Asked Questions

Common questions about Romana Sibyl Kleinguenther

Dr. Kleinguenther is listed as active in the NPI registry with telehealth listed in San Antonio, TX. NPI status alone doesn't confirm open availability — call the office to confirm. Phone: (210) 358-9887.

Verified across 5 federal data sources

Sourced from CMS NPPES · OIG LEIE · CMS Medicare Part D · CMS Open Payments 2024 · CMS Physician Comparator. See Data Methodology.

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Claim Profile

Medical Disclaimer: NPI Telehealth is a provider directory for informational purposes only. This page does not constitute medical advice, diagnosis, or treatment recommendations. Provider data is sourced from the CMS NPPES federal registry and public Medicare datasets. NPI Telehealth does not verify clinical qualifications beyond federal records. Data may not reflect real-time availability — always contact the provider's office directly to confirm details before seeking care.

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