Douglas Roane, MD
NPI 1659478220 · Rheumatology Physician · Orange Park, FL
Enrolled with Medicare as Practitioner - Rheumatology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Douglas Roane, MD is a Rheumatology Physician provider in Orange Park, FL (NPI 1659478220).
Provider details
- NPI number
- 1659478220
- Entity type
- Individual
- Primary specialty
- Rheumatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- ME128287 (FL)
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
729 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 Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 535 | $95 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 72 | $105 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 59 | $131 |
| Aspiration And/Or Injection of Fluid From Large Joint20610 | 50 | $51 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 13 | $141 |
Typical Medicare-allowed amounts for these services range $51–$141 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, 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.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 42 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Prednisone | 367 | 95 |
| Methotrexate Sodiumbrand: Methotrexate | 276 | 68 |
| Hydroxychloroquine Sulfate | 240 | 76 |
| Meloxicam | 126 | 30 |
| Gabapentin | 125 | 35 |
| Leflunomide | 120 | 32 |
| Tizanidine Hcl | 117 | 32 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$345 across 10 records (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)
- 130 Professional DrPonte Vedra Beach, FL 32082-1202Phone: (904) 285-8113Fax: (904) 645-5337
- 708 Broadwater AvenueBillings, MT 59101Phone: (406) 839-2900Fax: (406) 839-2910
Registry dates
- Enumerated
- 2006-09-17
- Last updated
- 2019-04-04
Frequently asked questions
- What is Douglas Roane's NPI number?
- Douglas Roane's National Provider Identifier (NPI) is 1659478220, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Douglas Roane's specialty?
- Douglas Roane is listed in the NPPES registry with a primary specialty of Rheumatology Physician (Allopathic & Osteopathic Physicians).
- Where is Douglas Roane located?
- Douglas Roane's practice location on file with NPPES is 2100 Kingsley Ave, Orange Park, FL 32073.
- What is Douglas Roane's phone number?
- The practice phone number listed in the NPPES registry for Douglas Roane is (904) 276-0001.
- Does Douglas Roane accept Medicare?
- Douglas Roane is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Douglas Roane's NPI active?
- Yes — Douglas Roane's NPI (1659478220) is active in the NPPES registry as of the last update on 2019-04-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.