You've already done the most dangerous and daring
thing, tell Statalist that you have gone inside the
code of -outreg- and made some tweaks. Now you are
the most obvious authority in the Stata community
on -outreg-, and it seems to me that the main decision
is yours, not anybody else's.
It seems like (a) making a good faith effort to reach the author, or
(b) calling it outreg2, would be options. outreg is one of the most
downloaded programs, so whoever wrote a new version could be opening
themselves up to lots and lots of questions about it, which might be
especially bad if you mostly just know the new tweaks and not the old stuff.