DR. RYAN PAUL ROACH M.D.
NPI 1932544046
Orthopaedic Surgery in Birmingham, AL

Active since May 02, 2013PECOS Enrolled
78.18/100
CMS Quality Rating
805 SAINT VINCENTS DR STE 100, BIRMINGHAM, AL 35205(205) 939-3699(205) 581-7155 Get Directions Write a Review

NPPES record last updated: June 21, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Ryan Paul Roach M.d. NPPES

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

DR. RYAN PAUL ROACH M.D. (NPI 1932544046) is an individual orthopaedic surgery provider in Birmingham, Alabama, licensed in Alabama (MD.36835) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS, is affiliated with Uf Health Shands Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1932544046
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. RYAN PAUL ROACHCredential: M.D.
Location Address805 SAINT VINCENTS DR STE 100Birmingham, AL 35205
Mailing Address805 Saint Vincents Dr Ste 100Birmingham, AL 35205-1638 · (205) 939-3699 · Fax (205) 581-7155
Fax(205) 581-7155
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateMay 2, 2013
Last NPPES UpdateJune 21, 2018
NPI 1932544046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in AL · MD.36835
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
805 SAINT VINCENTS DR STE 100, Birmingham, AL 35205

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Ryan Paul Roach M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID840543245
PECOS Enrollment IDI20191112002024
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 4

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 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.
47 services32 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.
35 services29 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.
25 services16 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.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Uf Health Shands Hospital

Acute Care Hospitals · Gainesville, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100113
Location1600 SW Archer RdGainesville, FL 32610 · Alachua County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35205 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
Most-billed visit code 99213
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.

78.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.54
Promoting Interoperability100
Improvement Activities40
Cost54.74

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.

Orthopaedic Surgery (Sports Medicine)
805 SAINT VINCENTS DR STE 100
BIRMINGHAM, AL 35205
Specialist/Technologist (Athletic Trainer)
805 SAINT VINCENTS DR STE 100
BIRMINGHAM, AL 35205
Orthopaedic Surgery
805 SAINT VINCENTS DR STE 100
BIRMINGHAM, AL 35205
Orthopaedic Surgery
805 SAINT VINCENTS DR STE 100
BIRMINGHAM, AL 35205
Occupational Therapist
805 SAINT VINCENTS DR STE 100
BIRMINGHAM, AL 35205
Physical Medicine & Rehabilitation (Sports Medicine)
805 SAINT VINCENTS DR STE 100
BIRMINGHAM, AL 35205
Orthopaedic Surgery
805 SAINT VINCENTS DR STE 100
BIRMINGHAM, AL 35205
Physician Assistant
805 SAINT VINCENTS DR STE 100
BIRMINGHAM, AL 35205

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 Ryan Roach's NPI number?

The NPI number for Ryan Roach is 1932544046. It was assigned to this individual provider in the NPPES registry on May 2, 2013.

Where is Ryan Roach located?

Ryan Roach practices at 805 Saint Vincents Dr Ste 100, Birmingham, AL 35205. The listed phone number is (205) 939-3699.

What is Ryan Roach's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Ryan Roach enrolled in Medicare?

Yes. Ryan Roach is registered in the Medicare PECOS enrollment system.

What insurance does Ryan Roach accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Molina Healthcare list Ryan 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 Ryan Roach affiliated with any hospitals?

According to CMS data, Ryan Roach is affiliated with Uf Health Shands Hospital.

When was this NPI record last updated?

The NPPES record for Ryan Roach was last updated on June 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.