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MR. DOUGLAS W ROANE MD
NPI 1659478220
Internal Medicine - Rheumatology in Orange Park, FL

Active since September 17, 2006PECOS EnrolledAccepts Medicare Assignment
2100 KINGSLEY AVE, ORANGE PARK, FL 32073(904) 276-0001 Get Directions Write a Review

NPPES record last updated: April 4, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 4, 2019, Mar 17, 2018, Dec 13, 2017 (3 updates tracked since 2017).

About Mr. Douglas W Roane Md NPPES

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

MR. DOUGLAS W ROANE MD (NPI 1659478220) is an individual rheumatology provider in Orange Park, Florida, licensed in Florida (ME128287) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Ascension St Vincent's Riverside, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1659478220
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameMR. DOUGLAS W ROANECredential: MD
Location Address2100 KINGSLEY AVEOrange Park, FL 32073
Mailing Address2100 Kingsley AveOrange Park, FL 32073-5130
Phone(904) 276-0001
Sole ProprietorNo
Medical School CMSOral Roberts University School Of MedicineGraduated 1990
Enumeration DateSeptember 17, 2006
Last NPPES UpdateApril 4, 20193 updates tracked since enumeration
✔ NPI 1659478220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in FL · ME128287
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
2100 KINGSLEY AVE, Orange Park, FL 32073
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1708 Broadwater AvenueBillings, MT 59101 · Phone (406) 839-2900 · Fax (406) 839-2910
Location 2130 Professional DrPonte Vedra Beach, FL 32082-1202 · Phone (904) 285-8113 · Fax (904) 645-5337

Other Identifiers 3

Medicaid0018037MT
OtherZT66GFL · Florida Blue
Other000019111MT · Bcbs Of Mt

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Douglas W Roane Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8527099266
PECOS Enrollment IDI20161011001721
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.

Areas of Expertise CMS Part B claims 5

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.

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.
535 services256 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.
72 services56 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.
59 services59 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.
50 services30 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
13 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Ascension St Vincent's Riverside

Acute Care Hospitals · Jacksonville, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100040
Location1 Shircliff WayJacksonville, FL 32204 · Duval County
Emergency services

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

Baptist Medical Center Beaches

Acute Care Hospitals · Jacksonville Beach, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100117
Location1350 13th Ave SJacksonville Beach, FL 32250 · Duval County
Emergency services Birthing friendly

Ascension St Vincent's Southside

Acute Care Hospitals · Jacksonville, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100307
Location4201 Belfort RdJacksonville, FL 32216 · Duval County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32073 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

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

CAROL ANN HILL ARNP
Nurse Practitioner
2100 KINGSLEY AVE
ORANGE PARK, FL 32073
Clay County (904) 276-0001
ARTHRITIS & OSTEOPOROSIS TREATMENT CENTER, P.A.
Internal Medicine (Rheumatology)
2100 KINGSLEY AVE
ORANGE PARK, FL 32073
Clay County (904) 276-0001
DR. ADAM WALKER BAGLEY M.D.
Internal Medicine (Rheumatology)
2100 KINGSLEY AVE
ORANGE PARK, FL 32073
Clay County (904) 276-0001
MRS. PINKI PATEL PA
Physician Assistant (Medical)
2100 KINGSLEY AVE
ORANGE PARK, FL 32073
Clay County (904) 276-0001

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 Douglas Roane's NPI number?

The NPI number for Douglas Roane is 1659478220. It was assigned to this individual provider in the NPPES registry on September 17, 2006.

Where is Douglas Roane located?

Douglas Roane practices at 2100 Kingsley Ave, Orange Park, FL 32073. The listed phone number is (904) 276-0001.

What is Douglas Roane's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Douglas Roane enrolled in Medicare?

Yes. Douglas Roane is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Douglas Roane accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 3 other insurers list Douglas Roane 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 Douglas Roane affiliated with any hospitals?

According to CMS data, Douglas Roane is affiliated with Ascension St Vincent's Riverside, Baptist Health Medical Center - Jacksonville, Flagler Hospital, Baptist Medical Center Beaches and Ascension St Vincent's Southside.

When was this NPI record last updated?

The NPPES record for Douglas Roane was last updated on April 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.