Paul Roache, M.D.
NPI 1255362919 · Sports Medicine (Orthopaedic Surgery) Physician · San Francisco, CA
Enrolled with Medicare as Practitioner - Orthopedic Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Paul Roache, M.D. is a Sports Medicine (Orthopaedic Surgery) Physician provider in San Francisco, CA (NPI 1255362919).
Provider details
- NPI number
- 1255362919
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Orthopaedic Surgery) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- A48445 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
215 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 89 | $197 |
| Aspiration And/Or Injection of Fluid From Large Joint20610 | 73 | $72 |
| New Patient Office Or Other Outpatient Visit With a High Level of Medical Decision Making, If Using Time, 60 Minutes Or More99205 | 36 | $234 |
| Limited Ultrasound Scan of Joint Or Other Extremity Structure Except Blood Vessels76882 | 17 | $72 |
Typical Medicare-allowed amounts for these services range $72–$234 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$6,726 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (2)
- 1 Daniel Burnham CtSte. 365cSan Francisco, CA 94109-5455Phone: (415) 447-0495Fax: (415) 447-0467
- 1 Daniel Burnham CtSte. 365cSan Francisco, CA 94109-5455Phone: (415) 447-0495Fax: (415) 447-0467
Registry dates
- Enumerated
- 2006-07-05
- Last updated
- 2018-03-17
Frequently asked questions
- What is Paul Roache's NPI number?
- Paul Roache's National Provider Identifier (NPI) is 1255362919, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Paul Roache's specialty?
- Paul Roache is listed in the NPPES registry with a primary specialty of Sports Medicine (Orthopaedic Surgery) Physician (Allopathic & Osteopathic Physicians).
- Where is Paul Roache located?
- Paul Roache's practice location on file with NPPES is 45 Castro St Ste 337, San Francisco, CA 94114-1019.
- What is Paul Roache's phone number?
- The practice phone number listed in the NPPES registry for Paul Roache is (415) 447-0495.
- Does Paul Roache accept Medicare?
- Paul Roache is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Paul Roache's NPI active?
- Yes — Paul Roache's NPI (1255362919) is active in the NPPES registry as of the last update on 2018-03-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.