Active NPI 1760467468 Individual Practitioner Male Practitioner

Dr. Paul Jeffrey Roach , MD

Internal Medicine - Interventional Cardiology • Austin, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Paul Roach, MD is a certified Internal Medicine - Interventional Cardiology practicing in Austin, TX. With approximately 42 years of clinical experience since graduating from Northwestern University Feinberg Medical School in 1984, Dr. Roach delivers high-quality medical care to the local community at 1301 W 38TH ST.

Dr. Roach is affiliated with Seton Family Of Doctors and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, routine ekg using at least 12 leads including interpretation and report. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1301 W 38th St
Suite 400

Austin, TX 787051000

Telephone 5123243440

Fax 5124066513

Associated Practice Facility / Clinic

🏢 Drs. Mchorse, Foster And Nutson, L.l.p. Facility NPI 1497728166

Medicare Profile & Education

Medical School

Northwestern University Feinberg Medical School

Graduation Year

1984

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine - Interventional Cardiology in Austin, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

42 Yrs +12.4 yrs vs City Avg

City Avg: 29.6 Yrs

State Avg: 24.6 Yrs

Regional Practice Density

32 Specialists

Practicing in Austin, TX (730 Statewide)

Telehealth Adoption Rate

65.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

65.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Roach (42 Years) 42 Yrs

Austin Specialty Average (29.6 Years) 29.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	302	204	$329.00	$130.73
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	281	213	$48.00	$16.77
93000 Routine ekg using at least 12 leads including interpretation and report	238	175	$52.00	$14.85
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	160	159	$229.68	$67.03
99213 Established patient office or other outpatient visit, typically 15 minutes	138	123	$223.00	$93.81
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	90	86	$637.00	$198.26
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	49	43	$443.00	$183.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$501.00	$167.67
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	25	25	$616.00	$175.34
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	20	14	$221.00	$79.66
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	19	19	$38.00	$12.26
93308 Ultrasound of heart, follow-up	15	15	$80.33	$24.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$329.00	$114.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	324	199	$329.70	$129.15
93000 Routine ekg using at least 12 leads including interpretation and report	184	143	$52.00	$14.86
99213 Established patient office or other outpatient visit, typically 15 minutes	169	144	$223.00	$91.59
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	127	117	$628.80	$197.55
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	90	89	$230.58	$68.10
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	38	29	$443.00	$182.63
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	31	31	$38.00	$12.34
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$501.00	$169.42
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$329.00	$114.31
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	17	16	$221.00	$79.50
93458 Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist	15	15	$907.00	$274.85
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	12	11	$317.00	$119.59
93460 Insertion of tube in right and left heart chambers and coronary artery for diagnosis with review by radiologist	11	11	$1151.00	$361.14
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$415.00	$118.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	487	301	$326.68	$127.24
93000 Routine ekg using at least 12 leads including interpretation and report	137	126	$51.74	$14.33
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	120	111	$635.38	$202.97
99213 Established patient office or other outpatient visit, typically 15 minutes	101	92	$221.84	$90.49
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	93	69	$439.39	$180.17
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	87	87	$234.30	$68.96
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	39	39	$38.00	$12.23
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$500.00	$163.01
Q9957 Injection, perflutren lipid microspheres, per ml	26	13	$154.31	$45.60
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$329.00	$113.14
93458 Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist	17	17	$907.00	$240.80
93460 Insertion of tube in right and left heart chambers and coronary artery for diagnosis with review by radiologist	17	17	$1151.00	$338.85
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	15	15	$625.00	$220.52
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	12	11	$217.25	$66.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	502	303	$324.96	$130.62
93000 Routine ekg using at least 12 leads including interpretation and report	111	107	$51.11	$15.06
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	107	76	$436.42	$182.70
99213 Established patient office or other outpatient visit, typically 15 minutes	94	87	$220.89	$92.20
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	94	88	$635.06	$207.65
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	48	46	$38.00	$12.35
Q9957 Injection, perflutren lipid microspheres, per ml	38	19	$150.74	$46.83
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	38	38	$235.79	$70.37
93458 Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist	25	24	$921.40	$230.86
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	23	23	$617.70	$221.66
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	19	12	$312.95	$102.03
93460 Insertion of tube in right and left heart chambers and coronary artery for diagnosis with review by radiologist	19	18	$1170.16	$337.14
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$496.00	$169.95
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	15	15	$609.07	$198.07
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	12	12	$214.50	$66.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	285	221	$325.53	$109.63
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	207	199	$238.69	$73.39
99213 Established patient office or other outpatient visit, typically 15 minutes	117	112	$220.15	$75.45
93000 Routine ekg using at least 12 leads including interpretation and report	103	101	$50.66	$17.15
85610 Blood test, clotting time	92	12	$15.71	$4.25
99442 Telephone medical discussion with physician, 11-20 minutes	71	66	$247.00	$77.37
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	66	65	$38.00	$12.36
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	56	55	$632.59	$210.74
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	55	55	$605.36	$200.45
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	46	41	$435.70	$144.26
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	42	32	$216.60	$70.02
93458 Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist	37	37	$928.41	$245.30
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	35	21	$311.20	$104.73
93460 Insertion of tube in right and left heart chambers and coronary artery for diagnosis with review by radiologist	22	22	$1196.50	$361.07
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$319.90	$107.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$492.50	$165.18
93228 Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional	12	12	$80.00	$27.38
92941 Removal of plaque and blood clot, insertion of stent and/or balloon dilation of single vessel	12	12	$2015.25	$629.50
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$407.64	$137.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	455	265	$328.66	$109.20
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	263	261	$226.49	$74.28
99213 Established patient office or other outpatient visit, typically 15 minutes	176	151	$222.95	$74.36
85610 Blood test, clotting time	134	18	$15.95	$4.28
93000 Routine ekg using at least 12 leads including interpretation and report	105	99	$51.63	$17.20
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	86	79	$647.73	$203.27
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	69	41	$220.93	$73.18
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	64	61	$38.00	$12.21
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	57	49	$442.16	$143.02
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	44	42	$613.93	$202.87
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	40	30	$317.00	$104.64
93458 Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist	35	33	$909.06	$233.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$499.18	$165.46
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$328.38	$109.33
93460 Insertion of tube in right and left heart chambers and coronary artery for diagnosis with review by radiologist	18	18	$1151.00	$340.12
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	18	18	$626.78	$207.80
92928 Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch	14	13	$1799.00	$556.77
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$415.00	$137.64
92941 Removal of plaque and blood clot, insertion of stent and/or balloon dilation of single vessel	11	11	$2021.00	$674.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	500	278	$324.67	$106.19
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	285	283	$202.75	$73.19
85610 Blood test, clotting time	178	21	$16.00	$4.72
93000 Routine ekg using at least 12 leads including interpretation and report	155	131	$50.39	$16.96
99213 Established patient office or other outpatient visit, typically 15 minutes	127	115	$220.61	$73.22
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	89	78	$681.42	$203.93
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	70	43	$216.93	$72.51
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	60	44	$433.28	$145.51
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	44	42	$37.30	$12.33
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	40	40	$610.20	$202.12
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	33	22	$312.64	$103.90
93458 Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist	26	26	$935.38	$220.50
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$497.25	$159.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$324.00	$107.90
92928 Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch	12	12	$1812.33	$540.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	564	302	$323.00	$105.22
93000 Routine ekg using at least 12 leads including interpretation and report	452	320	$50.00	$16.93
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	300	285	$193.00	$63.72
85610 Blood test, clotting time	268	30	$16.00	$4.83
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	102	72	$432.00	$136.70
99213 Established patient office or other outpatient visit, typically 15 minutes	101	82	$219.00	$73.03
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	87	81	$692.78	$216.95
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	84	50	$216.00	$69.33
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	57	54	$608.00	$201.11
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	53	26	$311.00	$99.07
93458 Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist	37	35	$948.00	$241.04
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	35	33	$37.00	$12.24
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$496.00	$163.55
93460 Insertion of tube in right and left heart chambers and coronary artery for diagnosis with review by radiologist	21	20	$1190.00	$367.98
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$323.00	$104.71
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	13	13	$618.00	$205.29
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$412.00	$135.80
92928 Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch	11	11	$1815.00	$589.95

Medical Specialties & State Licenses

Internal Medicine - Interventional Cardiology Primary Specialty

NUCC Taxonomy Code: 207RI0011X

State License TX J1370

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.

Internal Medicine - Cardiovascular Disease

NUCC Taxonomy Code: 207RC0000X

State License TX J1370

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

137563615 (TX)

Medicaid State Provider ID

137563614 (TX)

Medicaid State Provider ID

137563617 (TX)

Medicaid State Provider ID

137563616 (TX)

Commercial Insurance / Payer ID Railroad Medicare

P00837339 (TX)

Commercial Insurance / Payer ID Bcbs

8CN870 (TX)

Commercial Insurance / Payer ID Bcbs

8ET553 (TX)

Hospital & Practice Group Affiliations

Seton Family Of Doctors

1301 W 38th St, Austin, TX 787051017

Phone: 5123243440

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

24 Associated Practitioners

Dr. Joshua Davis , DO

Internal Medicine - Clinical Cardiac Electrophysiology

NPI 1003268079

Doctor of Osteopathic Medicine (D.O.)

Holly Gureski , APRN

Nurse Practitioner - Acute Care

NPI 1053985671

Advanced Practice Registered Nurse

Dr. Mark Pirwitz , MD, FACC

Internal Medicine - Interventional Cardiology

NPI 1063436152

Doctor of Medicine (M.D.), FACC

Dr. Mauricio Hong , MD

Internal Medicine - Clinical Cardiac Electrophysiology

NPI 1073710067

Doctor of Medicine (M.D.)

Dr. Vu Nguyen , MD

Internal Medicine - Cardiovascular Disease

NPI 1093755357

Doctor of Medicine (M.D.)

Dr. Thomas Kurian , MD

Internal Medicine - Clinical Cardiac Electrophysiology

NPI 1174688360

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active October 28, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location October 28, 2016

Registered at 1301 W 38TH ST, SUITE 400, AUSTIN, TX 787051000 (Tel: 5123243440)

📍

Updated Business Mailing Address October 28, 2016

Registered at 4616 W HOWARD LN, AUSTIN, TX 787286300 (Tel: 5123248960)

👤

Provider Name / Credentials Updated October 28, 2016

Recorded as PAUL ROACH, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 28, 2016

Internal Medicine (License #J1370 in TX)

🟢

Initial NPI Registration & Enumeration December 14, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1760467468

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: December 14, 2005

Last Update: October 28, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

4616 W Howard Ln

Austin, TX 787286300

Phone: 5123248960

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.