Paul Byron Roache, M.D.
Orthopedic Surgery (CMS) · San Francisco, CA
At a glance
45 Castro St Ste 337, San Francisco, CA 94114-1019
Published activity: Upper limb (arm) arthroscopy (minimally invasive joint repair). View counts and coverage
NPPES record updated Mar 17, 2018. Public records can lag behind changes at a practice.
Before you call: a quick checklist
- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Medicare & insurance
Insurance participation is not established by these public records. Ask the practice and your insurer about your specific plan and this location.
How to check your coverage
Use your plan’s provider directory or the member-services number on your insurance card. Confirm the clinician, practice address, service, and whether a referral is required. A missing opt-out record does not establish Medicare acceptance.
Check the official Medicare directory ↗Practice location
45 Castro St Ste 337San Francisco, CA 94114-1019
Additional reported practice locations
1 Daniel Burnham CtSte. 365C
San Francisco, CA 941095455
Phone: 4154470495
Fax: 4154470467 1 Daniel Burnham Ct
Ste. 365C
San Francisco, CA 941095455
Phone: 4154470495
Fax: 4154470467
Education & affiliations
- Medical / professional school
- University Of Arizona College Of Medicine
- Graduation year
- 1989
- CMS specialties
- Orthopedic Surgery
Reported hospital affiliations
- Sonoma Valley Hospital Sonoma, CA
Graduation year does not establish years in practice. A reported affiliation does not establish employment, current admitting privileges, or insurance participation.
Source: CMS National Downloadable File · Published Oct 15, 2026.
Source: CMS Facility Affiliation Data · Published Oct 15, 2026.
Procedures in the public data
Reported activity can help you ask more informed questions about a practice’s services.
| Procedure category | Published Medicare activity |
|---|---|
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 37 |
CMS uses a one-year claims window with a reporting lag. Counts cover the Medicare activity included by CMS, not all patients. “1–10” is a published range. Volume is not a quality or outcomes score. Coverage and methodology
Source: CMS Utilization Data · Published Oct 15, 2026.
Find providers with a similar service mix
Compare 2024 published Medicare activity in the same reported specialty, here or in another city.
Industry-reported general payments
Includes reported transfers of value, such as meals, travel, or consulting. Payments do not establish improper conduct or quality of care. Research funding and ownership values are excluded from this total.
See payment purposes and reporting companies
Reported purposes
| Purpose | Amount |
|---|---|
| Debt forgiveness | $355.20 |
Reporting companies
| Company | Amount |
|---|---|
| JOHNSON & JOHNSON HEALTH CARE SYSTEMS INC. | $355.20 |
Source: CMS 2025 payments grouped by covered recipient and nature of payments · Published Jun 30, 2026.
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Orthopedic Surgery (CMS)
- Taxonomy code
- 207XX0005X
- Enumeration date
- Jul 5, 2006
- Record updated
- Mar 17, 2018
More registry details
- Provider type
- Individual · Type 1
- Reported credentials
- M.D.
Reported taxonomies and licenses
207XX0005X · Primary
License reported: A48445 CA
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
45 Castro St Ste 337San Francisco, CA 94114-1019
- Phone
- (415) 447-0495
- Fax
- (415) 447-0467
Mailing address
2269 CHESTNUT ST#975
SAN FRANCISCO, CA 941232600
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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