Active NPI
Paul Sebastian Roettges, MD
- Adult Reconstructive Orthopaedic Surgery Physician
- St Augustine, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Reconstructive Orthopaedic Surgery Physician
- License
- ME134760
- Practice address
- 45 Groover Loop Ste 201
St Augustine, FL 32086-6586 - Phone
- (904) 634-0640
- Fax
- (904) 634-0203
- NPI assigned
- Jun 5, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | R73929 | AZ | |
| Orthopaedic Surgery Physician | 207X00000X | ME134760 | FL | |
| Adult Reconstructive Orthopaedic Surgery Physician | 207XS0114X | ME134760 | FL | Primary |
Addresses
Primary practice location
45 Groover Loop Ste 201
St Augustine, FL 32086-6586
Mailing address
6800 Southpoint Pkwy Ste 300
Jacksonville, FL 32216-8203
Phone (904) 634-0640
Other practice location 1
216 Southpark Cir E Ste 216
St Augustine, FL 32086-5135
Phone (904) 634-0640
Other practice location 2
3055 County Road 210 W Ste 110
St Johns, FL 32259-7001
Phone (904) 634-0640
Other practice location 3
1690 US Highway 1 S Ste F
St Augustine, FL 32084-6024
Phone (904) 634-0640
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 122407200 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Loyola University of Chicago, Stritch School of Medicine, 2013
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
10475 Centurion Pkwy N
Suite 220
Jacksonville, FL 32256-5004
Phone (904) 634-0640
PO Box
Suite 1099
Melrose, FL 32666-1099
Hospital & facility affiliations
- Legacy Home Health Care Inc
- Flagler Home Care LLC
- Brooks Rehabilitation Home Health
- Concierge Home Care
- Ascension St Vincent's St Johns County
- Flagler Hospital
- AdventHealth Palm Coast
- HCA Florida Putnam Hospital
- Brooks Rehabilitation Hospital University Campus
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.75 of 100
- Quality
- 88.19
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 80.96
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 109 |
| Knee replacement | 174 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeast Orthopedic Specialists, LLC | Orthopaedic Surgery | Current | Accepting new patients |
| Southeast Orthopedic Specialists, LLC | Orthopaedic Surgery | Current | Accepting new patients |
| Center for Orthopedic Research and Education, LLC | Orthopaedic Surgery | Past | Accepting new patients |
Locations
6800 Southpoint Pkwy
Ste 300
Jacksonville, FL 32216
10475 Centurion Pkwy N
Ste 220
Jacksonville, FL 32256
Phone 9046340640 ext. 1014
10475 Centurion Pkwy N
Ste 200
Jacksonville, FL 32256
216 Southpark Cir E
Ste 216
St Augustine, FL 32086
Phone (904) 634-0203
216 Southpark Cir E
#216
St Augustine, FL 32086
45 Groover Loop
Unit 201
St Augustine, FL 32086
Phone (904) 634-0604
1690 US Highway 1 S
Ste F
St Augustine Beach, FL 32084
Phone (904) 634-0460
3055 County Road 210 W
Ste 110
St Johns, FL 32259
Phone (904) 634-0203
Interoperability endpoints
- paul.roettges.1@22724.direct.athenahealth.com
- proettges742580@direct.shands.ufl.edu
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthopaedic Surgery Physician
- Jacksonville, FL
- NPI 1629025820
-
dba Lake Area Physical Therapy & Aquatics
- Physical Therapist
- Melrose, FL
- NPI 1376682518
-
- Durable Medical Equipment & Medical Supplies
- Saint Johns, FL
- NPI 1538952379
Orthopaedic Surgery
-
dba The CORE Institute
- Orthopaedic Surgery Physician
- Phoenix, AZ
- NPI 1427095801
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Brooks Rehabilitation Home Health
- Home Health Agency
- Jacksonville, FL
- NPI 1184895740
-
dba Concierge Home Care
- Home Health Agency
- St Augustine, FL
- NPI 1073111787
-
- Home Health Agency
- St Augustine, FL
- NPI 1649791823
-
- General Acute Care Hospital
- St Augustine, FL
- NPI 1144211020
-
dba Brooks Rehabilitation Hospital Bartram Campus
- Rehabilitation Hospital
- Jacksonville, FL
- NPI 1376114413
Inpatient rehabilitation facility
-
dba Brooks Rehabilitation
- Rehabilitation Hospital
- Jacksonville, FL
- NPI 1912947748
Inpatient rehabilitation facility
-
- Home Health Agency
- Keystone Heights, FL
- NPI 1477067502
-
dba AdventHealth Palm Coast
- General Acute Care Hospital
- Palm Coast, FL
- NPI 1679678486
-
dba HCA Florida Putnam Hospital
- General Acute Care Hospital
- Palatka, FL
- NPI 1487045100
-
dba Ascension St Vincent's St. Johns County
- General Acute Care Hospital
- Saint Johns, FL
- NPI 1861078651
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753660800000",
"number": "1609214246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6800 SOUTHPOINT PKWY STE 300",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322168203",
"telephone_number": "904-634-0640",
"fax_number": "904-634-0203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 GROOVER LOOP STE 201",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320866586",
"telephone_number": "904-634-0640",
"fax_number": "904-634-0203"
}
],
"practiceLocations": [
{
"address_1": "216 Southpark Cir E Ste 216",
"address_purpose": "LOCATION",
"city": "St Augustine",
"state": "FL",
"postal_code": "320865135",
"country_code": "US",
"telephone_number": "904-634-0640",
"fax_number": "904-634-0202",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3055 County Road 210 W Ste 110",
"address_purpose": "LOCATION",
"city": "St Johns",
"state": "FL",
"postal_code": "322597001",
"country_code": "US",
"telephone_number": "904-634-0640",
"fax_number": "904-634-0203",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1690 US Highway 1 S Ste F",
"address_purpose": "LOCATION",
"city": "St Augustine",
"state": "FL",
"postal_code": "320846024",
"country_code": "US",
"telephone_number": "904-634-0640",
"fax_number": "904-634-0203",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROETTGES",
"first_name": "PAUL",
"middle_name": "SEBASTIAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-06-05",
"last_updated": "2025-07-28",
"certification_date": "2025-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "AZ",
"license": "R73929",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "FL",
"license": "ME134760",
"primary": false
},
{
"code": "207XS0114X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
"state": "FL",
"license": "ME134760",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "122407200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in St Augustine, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.