DR. PAUL SEBASTIAN ROETTGES MD
NPI 1609214246
Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery in St Augustine, FL

Q: What is Paul Roettges's NPI number?

The NPI number for Paul Roettges is 1609214246. It was assigned to this individual provider in the NPPES registry on June 5, 2013.

Q: What is Paul Roettges's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Adult Reconstructive Orthopaedic Surgery, with taxonomy code 207XS0114X.

Q: When was this NPI record last updated?

The NPPES record for Paul Roettges was last updated on July 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 05, 2013PECOS Enrolled

87.23/100

CMS Quality Rating

45 GROOVER LOOP STE 201, ST AUGUSTINE, FL 32086(904) 634-0640(904) 634-0203 Get Directions Write a Review

NPPES record last updated: July 28, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 16, 2025, May 10, 2023, May 4, 2023 and 3 more (6 updates tracked since 2019).

On this page

About Dr. Paul Sebastian Roettges Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PAUL SEBASTIAN ROETTGES MD (NPI 1609214246) is an individual adult reconstructive orthopaedic surgery provider in St Augustine, Florida, licensed in Florida (ME134760) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Medical Center - Jacksonville, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1609214246

Entity TypeIndividualMale

Primary Taxonomy207XS0114X

Provider Legal NameDR. PAUL SEBASTIAN ROETTGESCredential: MD

Location Address45 GROOVER LOOP STE 201St Augustine, FL 32086-6586

Mailing Address6800 Southpoint Pkwy Ste 300Jacksonville, FL 32216-8203 · (904) 634-0640 · Fax (904) 634-0203

Phone(904) 634-0640

Fax(904) 634-0203

Sole ProprietorNo

Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 2013

Enumeration DateJune 5, 2013

Last NPPES UpdateJuly 28, 20256 updates tracked since enumeration

NPPES CertifiedJuly 28, 2025

✔ NPI 1609214246 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Adult Reconstructive Orthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207XS0114X

License✔ Licensed in FL · ME134760

Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License R73929 (AZ), ME134760 (FL)

45 GROOVER LOOP STE 201, St Augustine, FL 32086

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Secondary Practice Locations 3

Location 1216 Southpark Cir E Ste 216St Augustine, FL 32086-5135 · Phone (904) 634-0640 · Fax (904) 634-0202

Location 23055 County Road 210 W Ste 110St Johns, FL 32259-7001 · Phone (904) 634-0640 · Fax (904) 634-0203

Location 31690 US Highway 1 S Ste FSt Augustine, FL 32084-6024 · Phone (904) 634-0640 · Fax (904) 634-0203

Other Identifiers 1

Medicaid122407200FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, AvMed and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Paul Sebastian Roettges Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4789905548

PECOS Enrollment IDI20180723001117

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Paul Roettges reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southeast Orthopedic Specialists, LLC

37 mi

Orthopaedic Surgery

2627 RIVERSIDE AVE STE 300
Jacksonville, FL 32204

Reassigned Medicare billing, Florida enrollment
134 clinicians in this Medicare group

NPI 1629025820 (904) 634-0640

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 17

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

780 services156 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

551 services452 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

397 services359 patients

X-ray of knee, 4 or more views 73564

An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.

367 services291 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

317 services262 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

219 services219 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

178 services161 patients

Mri scan of leg joint without contrast 73721

An MRI scan of your leg joint is a non-invasive procedure that uses magnetic fields and radio waves to create detailed images of the structures within your leg. This helps doctors diagnose or monitor conditions without using contrast dye.

177 services167 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

167 services159 patients

X-ray of knee, 3 views 73562

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

163 services147 patients

Computer-assisted surgery for muscle and bone procedure 20985

Computer-assisted surgery for muscle and bone procedures involves using a computer to aid in planning and performing surgery. This technology helps increase precision, reduce invasiveness, and improve outcomes. It's commonly used in orthopedic surgeries like joint replacements.

152 services145 patients

Replacement of thigh bone and hip joint with prosthesis 27130

This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.

122 services117 patients

Computer-assisted, fluoroscopic image-guided musculoskeletal surgical navigational orthopedic operation 0054T

This is a high-tech procedure where a computer aids in navigating surgical instruments, using real-time images. It enhances precision during orthopedic operations, helping to protect surrounding tissues and improve outcomes. It's like GPS for surgery!

118 services112 patients

Mri scan of lower spinal canal without contrast 72148

An MRI scan of the lower spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to produce detailed images of your lower spine. This helps identify issues like disc problems, tumors, or nerve conditions. No dye is used.

56 services56 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

27 services27 patients

Principal care management services for a single high-risk disease, first 30 minutes of clinical staff time directed by health care professional, per calendar month 99426

Principal care management services focus on managing a single high-risk disease. This involves a health care professional directing clinical staff for the first 30 minutes each month. The aim is to monitor your health, coordinate care, and provide necessary support for your disease management.

26 services20 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

12 services12 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baptist Health Medical Center - Jacksonville

Acute Care Hospitals · Jacksonville, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100088

Location800 Prudential DrJacksonville, FL 32207 · Duval County

Emergency services Birthing friendly

Flagler Hospital

Acute Care Hospitals · Saint Augustine, FL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100090

Location400 Health Park BlvdSaint Augustine, FL 32086 · St. Johns County

Emergency services Birthing friendly

Florida Hospital Flagler

Acute Care Hospitals · Palm Coast, FL

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number100118

Location60 Memorial Medical PkwyPalm Coast, FL 32164 · Flagler County

Emergency services

Hca Florida Putnam Hospital

Acute Care Hospitals · Palatka, FL

1/5 CMS rating

OwnershipProprietary

CMS Certification Number100232

Location611 Zeagler DrPalatka, FL 32177 · Putnam County

Emergency services

Ascension St Vincent's St Johns County

Acute Care Hospitals · St Johns, FL

OwnershipVoluntary non-profit - Private

CMS Certification Number100361

Location205 Trinity WaySt Johns, FL 32259 · St. Johns County

Emergency services

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.23/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

77.34

Promoting Interoperability

Improvement Activities

Reported Quality Measures

Breast Cancer Screening

0%798 patients1/55-star benchmark: 93%

Cervical Cancer Screening

0%418 patients1/55-star benchmark: 98%

Closing the Referral Loop: Receipt of Specialist Report

67%638 patients4/55-star benchmark: 87%

Diabetes: Eye Exam

0%29 patients1/55-star benchmark: 100%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

93%29 patients1/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

99%3,321 patients4/55-star benchmark: 100%

e-Prescribing

100%830 patients5/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

0%1,517 patients1/55-star benchmark: 100%

Osteoporosis Management in Women Who Had a Fracture

7%54 patients

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

96%2,348 patients4/55-star benchmark: 100%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

0%2,340 patients1/55-star benchmark: 97%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

0%3,252 patients1/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 99% · 1,999 patients

Patients screened: 99% · 1,999 patients

96%143 patients4/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

89%1,496 patients4/55-star benchmark: 100%

Risk-standardized complication rate (RSCR) following elective primary total hip arthroplasty (THA) and/or total knee arthroplasty (TKA) for Merit-based Incentive Payment System (MIPS)

Lower rates are better for this measure.

0.03%

Screening for Osteoporosis for Women Aged 65-85 Years of Age

1%892 patients1/55-star benchmark: 98%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

87%39 patients4/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 1% · 1,581 patients

Patients totalRate: 1% · 1,581 patients

1%1,581 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walker, folding, wheeled, adjustable or fixed height E0143

DME-Other DME · category DE000N

3 suppliers48 claims48 services$46.91 avg. paid by Medicare

Neuromuscular stimulator, electronic shock unit E0745

DME-Other DME · category DE000N

1 supplier34 claims34 services$71.22 avg. paid by Medicare

Lightweight wheelchair K0003

DME-Wheelchairs · category DD000N

1 supplier12 claims12 services$42.64 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRITTYN HAMER PA-C

Physician Assistant

45 GROOVER LOOP STE 201
ST AUGUSTINE, FL 32086

St. Johns County (904) 634-0640

ASHLEIGH ELIZABETH MAYA PA-C

Physician Assistant

45 GROOVER LOOP STE 201
ST AUGUSTINE, FL 32086

St. Johns County (904) 634-0640

MATTHEW MONTGOMERY PA-C

Physician Assistant

45 GROOVER LOOP STE 201
SAINT AUGUSTINE, FL 32086

St. Johns County (904) 634-0640

AHMED SALEH MD

Orthopaedic Surgery

45 GROOVER LOOP STE 201
SAINT AUGUSTINE, FL 32086

St. Johns County (904) 634-0640

ERIC G KIM DO

Orthopaedic Surgery

45 GROOVER LOOP STE 201
ST AUGUSTINE, FL 32086

St. Johns County (904) 634-0640

DR. KURTIS R HORT MD

Orthopaedic Surgery

45 GROOVER LOOP STE 201
ST AUGUSTINE, FL 32086

St. Johns County (904) 634-0640

KENDRA M BEATON PA-C

Physician Assistant

45 GROOVER LOOP STE 201
ST AUGUSTINE, FL 32086

St. Johns County (904) 634-0640

NOLAN A GALL MD

Physical Medicine & Rehabilitation (Pain Medicine)

45 GROOVER LOOP STE 201
ST AUGUSTINE, FL 32086

St. Johns County (904) 634-0640

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Paul Roettges's NPI number?

The NPI number for Paul Roettges is 1609214246. It was assigned to this individual provider in the NPPES registry on June 5, 2013.

Where is Paul Roettges located?

Paul Roettges practices at 45 Groover Loop Ste 201, St Augustine, FL 32086. The listed phone number is (904) 634-0640.

What is Paul Roettges's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Adult Reconstructive Orthopaedic Surgery, with taxonomy code 207XS0114X.

Is Paul Roettges enrolled in Medicare?

Yes. Paul Roettges is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Paul Roettges's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul Roettges reassigns Medicare benefits to Southeast Orthopedic Specialists, LLC (Jacksonville, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Paul Roettges's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Paul Roettges accept?

Health plans from Ambetter Health, Ambetter of Alabama, AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 1 other insurer list Paul Roettges as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Paul Roettges affiliated with any hospitals?

According to CMS data, Paul Roettges is affiliated with Baptist Health Medical Center - Jacksonville, Flagler Hospital, Florida Hospital Flagler, Hca Florida Putnam Hospital and Ascension St Vincent's St Johns County.

When was this NPI record last updated?

The NPPES record for Paul Roettges was last updated on July 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.