DR. PAUL JEFFREY ROACH M.D.
NPI 1760467468
Internal Medicine - Interventional Cardiology in Austin, TX

Q: What is Paul Roach's NPI number?

The NPI number for Paul Roach is 1760467468. It was assigned to this individual provider in the NPPES registry on December 14, 2005.

Q: What is Paul Roach's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Q: When was this NPI record last updated?

The NPPES record for Paul Roach was last updated on October 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since December 14, 2005PECOS EnrolledAccepts Medicare Assignment

87.27/100

CMS Quality Rating

1301 W 38TH ST, SUITE 400, AUSTIN, TX 78705(512) 324-3440(512) 406-6513 Get Directions Write a Review

NPPES record last updated: October 28, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Dr. Paul Jeffrey Roach M.d. NPPES

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

DR. PAUL JEFFREY ROACH M.D. (NPI 1760467468) is an individual interventional cardiology provider in Austin, Texas, licensed in Texas (J1370) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Ascension Seton Medical Center Austin, and is a graduate of Northwestern University Feinberg Medical School (1984).

NPPES Registry Identity

NPI1760467468

Entity TypeIndividualMale

Primary Taxonomy207RI0011X

Provider Legal NameDR. PAUL JEFFREY ROACHCredential: M.D.

Location Address1301 W 38TH ST, SUITE 400Austin, TX 78705-1000

Mailing Address4616 W Howard LnAustin, TX 78728-6300 · (512) 324-8960 · Fax (512) 324-8906

Phone(512) 324-3440

Fax(512) 406-6513

Sole ProprietorNo

Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 1984

Enumeration DateDecember 14, 2005

Last NPPES UpdateOctober 28, 2016

✔ NPI 1760467468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code207RI0011X

License✔ Licensed in TX · J1370

Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License J1370 (TX)

1301 W 38TH ST, Austin, TX 78705

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Other Identifiers 10

Medicare PIN328441YL9XTX

Medicaid137563616TX

Medicaid137563615TX

Other8CN870TX · Bcbs

OtherP00837339TX · Railroad Medicare

Medicare UPINA02792TX

Medicaid137563614TX

Medicaid137563617TX

Medicare PIN328441YMGJTX

Other8ET553TX · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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 and accepts Medicare assignment

Dr. Paul Jeffrey Roach M.d. 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 ID8729073879

PECOS Enrollment IDI20090210000742

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 Roach reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Seton Family Of Doctors

2.1 mi

Neurological Surgery

1601 TRINITY ST STOP 704
Austin, TX 78712

Reassigned Medicare billing, Texas enrollment
1,188 clinicians in this Medicare group

NPI 1588997233 (512) 324-8300

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 12

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.

302 services204 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

238 services175 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

160 services159 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.

138 services123 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

90 services86 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.

49 services43 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.

27 services27 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

25 services25 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

20 services14 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

19 services19 patients

Ultrasound of heart, follow-up 93308

A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.

15 services15 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.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Ascension Seton Medical Center Austin

Acute Care Hospitals · Austin, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450056

Location1201 W 38th StAustin, TX 78705 · Travis County

Emergency services Birthing friendly

Ascension Seton Northwest

Acute Care Hospitals · Austin, TX

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450867

Location11113 Research BoulevardAustin, TX 78759 · Travis County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78705 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

$131.95 typical visit price

range $57.88 – $174.00

Typical copayment $32.98 (range $14.47 – $43.50)

Most-billed visit code 99204

Established Patient

$101.65 typical visit price

range $18.88 – $142.23

Typical copayment $25.41 (range $4.72 – $35.55)

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.

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.

87.27/100

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

Individually scored

Quality

79.05

Promoting Interoperability

Improvement Activities

Reported Quality Measures

Breast Cancer Screening

20%276 patients1/55-star benchmark: 93%

Cervical Cancer Screening

22%212 patients1/55-star benchmark: 98%

Closing the Referral Loop: Receipt of Specialist Report

21%90 patients1/55-star benchmark: 87%

Colorectal Cancer Screening

25%854 patients2/55-star benchmark: 88%

Controlling High Blood Pressure

91%786 patients5/55-star benchmark: 91%

Coronary Artery Disease (CAD): Beta-Blocker Therapy Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF <= 40%)

82%87 patients4/55-star benchmark: 99%

Diabetes: Eye Exam

6%277 patients1/55-star benchmark: 100%

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

Lower rates are better for this measure.

58%277 patients2/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

96%2,518 patients4/55-star benchmark: 100%

e-Prescribing

99%1,031 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

5%842 patients1/55-star benchmark: 100%

HIV Screening

6%650 patients1/55-star benchmark: 60%

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

32%1,409 patients2/55-star benchmark: 98%

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

82%1,293 patients4/55-star benchmark: 97%

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

21%885 patients2/55-star benchmark: 61%

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

Patients combinedPopulations: 97% · 875 patients

Patients screened: 100% · 875 patients

72%82 patients3/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

82%541 patients4/55-star benchmark: 100%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

84%998 patients4/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 872 patients

Patients totalRate: 2% · 874 patients

2%874 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.

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.

WILLIAM R WOODWARD MD

Specialist

1301 W 38TH ST, SUITE 601
AUSTIN, TX 78705

Travis County (512) 454-5171

TEXAS CARDIOVASCULAR CONSULTANTS, PA

Internal Medicine (Cardiovascular Disease)

1301 W 38TH ST, SUITE 705
AUSTIN, TX 78705

Travis County (512) 617-6000

DR. KEVIN J. BOZIC MD

Orthopaedic Surgery

1301 W 38TH ST, STE 102
AUSTIN, TX 78705

Travis County (512) 454-4561

MEGAN LYN MCCOIN MD

Obstetrics & Gynecology

1301 W 38TH ST, SUITE 300
AUSTIN, TX 78705

Travis County (512) 454-5721

AMANDA MAEGHAN HERRERA LCSW-S

Social Worker (Clinical)

1301 W 38TH ST
AUSTIN, TX 78705

Travis County (512) 324-3380

MARK J PIRWITZ MD, FACC

Internal Medicine (Interventional Cardiology)

1301 W 38TH ST, SUITE 400
AUSTIN, TX 78705

Travis County (512) 324-3440

MATTHEW C ROBINSON M.D.

Internal Medicine (Infectious Disease)

1301 W 38TH ST, SUITE 403
AUSTIN, TX 78705

Travis County (512) 459-0301

ZAHIR A MOMIN MD

Internal Medicine

1301 W 38TH ST, #205
AUSTIN, TX 78705

Travis County (512) 324-1864

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 Roach's NPI number?

The NPI number for Paul Roach is 1760467468. It was assigned to this individual provider in the NPPES registry on December 14, 2005.

Where is Paul Roach located?

Paul Roach practices at 1301 W 38th St Suite 400, Austin, TX 78705. The listed phone number is (512) 324-3440.

What is Paul Roach's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Paul Roach enrolled in Medicare?

Yes. Paul Roach 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.

Which organization bills Medicare for Paul Roach's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul Roach reassigns Medicare benefits to Seton Family Of Doctors (Austin, TX). 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 Roach's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Paul Roach accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 5 other insurers list Paul Roach 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 Roach affiliated with any hospitals?

According to CMS data, Paul Roach is affiliated with Ascension Seton Medical Center Austin and Ascension Seton Northwest.

When was this NPI record last updated?

The NPPES record for Paul Roach was last updated on October 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.