Dr. Paul Roettges, M.D.

Orthopedic Surgery
Ranked 11 of 406#11of 406
Knee rank in Florida

289 procedures3 hospitalsSt Augustine, FLUpdated May 2026

Built on public CMS Medicare data Growing Volume Top 10% Nationally

Contact & Location

904-634-0640
Phone: 904-634-0640
Practice phone listed in the NPI registry
45 Groover Loop Ste 201
St Augustine, FL 32086
Current practice address per the CMS NPPES registry (self-reported to the registry, last updated July 2025). Registry checked August 2026.
Other locations registered to this NPI:
216 Southpark Cir E Ste 216
St Augustine, FL 32086
3055 County Road 210 W Ste 110
St Johns, FL 32259
1690 Us Highway 1 S Ste F
St Augustine, FL 32084
Additional practice sites listed in the surgeon's own CMS NPPES registry entry. The registry does not record which site a surgeon primarily works from, so call ahead to confirm where an appointment takes place.
NPI: 1609214246
Credentials: M.D.
Active Medicare provider (NPI verified)
13 years of practice experience
Licensed M.D.
Licensed surgical specialist
Board-certified orthopedic surgeon
Contact information available
Find Practice on Google Maps
National Comparison by Procedure
Hip 122 vs 36 national avg 3.4x
avg
Knee 167 vs 45 national avg 3.7x
avg

Compared with 4,542 hip surgeons and 6,612 knee surgeons in the 2024 Medicare dataset.

Dr. Roettges performs more knee replacement procedures than 97% of orthopedic surgeons in Florida, based on 2024 Medicare claims volume.Derived from the state ranking shown on this page: #11 of 406 ranked knee surgeons in Florida.

About Dr. Roettges

Practice. Dr. Paul Roettges is a board-certified orthopedic surgeon practicing in St Augustine, Florida. The latest annual CMS data records 167 knee replacements and 122 hip replacements, 289 procedures in all. That is #11 in Florida for knee replacement. A Medicare provider since 2013.

Trend. Medicare records run from 2019 to 2024, 6 years. Volume rose from 63 procedures a year to 289, up 359%.

National context. Among 6,612 knee replacement surgeons tracked nationally, 167 procedures is more than 3x the national average of 45. That is #123 nationally.

Local context. St Augustine has 3 orthopedic surgeons in the current Medicare data. Comparing volume and procedure mix across them is one way to narrow a shortlist.

Verified Medicare Cases

Knee Replacement
167 verified cases
#11 in Florida
Hip Replacement
122 verified cases
#12 in Florida
Estimated 2024 total: 970 – 1,210 procedures (all insurers)
Medicare fee-for-service share of national volume in 2024: 23% to 28% for knee replacement, 25% to 33% for hip replacement
How is this estimated?

Medicare Part B fee-for-service claims are one payer stream among several, and the share they represent differs by procedure. In 2024 it was 23% to 28% for knee replacement, 25% to 33% for hip replacement. Each verified count above is divided by its own procedure's range, and the results are added, to estimate total practice volume across all payers. The verified Medicare count is the definitive, audited figure; this is a range derived from published national volume projections, not a measurement, and an individual practice can sit well outside it: how these ranges are derived, and their sources.

How Dr. Roettges Compares

Procedure volume compared to the Florida state average.

Hip Very High
122 Avg: 40
Knee Very High
167 Avg: 48
Dr. Roettges Florida Average

Volume Trend Analysis

Dr. Roettges's Medicare-recorded procedure volume has trended upward over 6 years, increasing 359% from 63 procedures in 2019 to 289 in the most recent data.

Years of Data 6
2024 Volume 289
Peak Volume 289 (2024)
Trend Growing

Hospital Affiliations & Quality

H
Ascension St Vincent'S St Johns County
St Johns, FL
Low case volume
H
Flagler Hospital
2/5
Saint Augustine, FL
Similar to national avg
H
Adventhealth Palm Coast
3/5
Palm Coast, FL
Similar to national avg

Quality ratings and complication rates are hospital-level metrics from CMS Hospital Compare and do not reflect individual surgeon performance. Star ratings updated quarterly. Complication data covers a rolling 3-year period.

Patient Resources: Preparing for Knee Replacement

If you are considering knee replacement surgery, these evidence-based guides can help you prepare and recover:

Knee Replacement Recovery Overview

Recovery timelines vary by patient, but here is a general overview of what to expect after knee replacement surgery:

Week 1-2 Walking with assistive device. Knee bending exercises begin immediately. Ice therapy and elevation for swelling control.
Week 3-6 Increased range of motion (target 90 degrees). Walking longer distances. Physical therapy intensifies with strengthening exercises.
Week 7-12 Most patients walk without assistive devices. Resume driving and desk work. Continue PT for strength and flexibility.
Month 4-6 Near-full recovery. Resume most recreational activities. Some swelling and stiffness may persist but continues improving.

Individual recovery varies based on overall health, age, and adherence to physical therapy. View full knee replacement recovery guide and product recommendations

Frequently Asked Questions About Dr. Roettges

How does Dr. Roettges's procedure volume compare to other Florida surgeons?

Dr. Roettges has performed 289 Medicare-verified joint replacement procedures. This is more than 4x the Florida average of 72 procedures per surgeon. Dr. Roettges ranks #9 out of 523 orthopedic surgeons in Florida.

What types of joint replacement does Dr. Roettges perform?

Dr. Roettges's Medicare data shows procedures in knee replacement (167 cases) and hip replacement (122 cases).

How experienced is Dr. Roettges with knee replacement surgery?

Dr. Roettges ranks #11 in Florida for knee replacement with 167 Medicare-verified procedures. This high ranking among 523 state surgeons indicates significant experience with this specific procedure.

Are there other orthopedic surgeons near Dr. Roettges in St Augustine?

Yes. There are 3 orthopedic surgeons in St Augustine in the current Medicare dataset. Patients can compare procedure volumes and specializations to choose the surgeon who best fits their needs. Use the state page to view all Florida surgeons.

What does the Medicare data for Dr. Roettges represent?

The procedure counts shown are based on 2024 Medicare Part B fee-for-service claims data, published by the Centers for Medicare and Medicaid Services (CMS). Medicare fee-for-service is only one payer stream, and the share of national volume it represents differs by procedure. In 2024 the share was 23% to 28% for knee replacement, 25% to 33% for hip replacement, which puts Dr. Roettges's total volume across all insurers at roughly 970 to 1,210 procedures against the 289 verified here. Those shares are derived from published national volume projections rather than quoted from a single publication, and they are estimates with real uncertainty. The OrthoProcedures methodology page shows the full derivation, the sources, and the limits at orthoprocedures.com/data-methodology.html.

Has Dr. Roettges's procedure volume changed over time?

Yes. Dr. Roettges's Medicare-recorded volume has increased from 63 procedures in 2019 to 289 in the most recent data, a 359% increase over 6 years. This upward trend suggests an expanding joint replacement practice. Peak volume was 289 procedures in 2024.

Does Dr. Roettges perform more than one type of joint replacement?

Yes. Dr. Roettges's Medicare data shows procedures in knee replacement (167 cases), hip replacement (122 cases). Surgeons who perform multiple joint replacement types maintain broad technical skills across different anatomical joints.

Which hospitals is Dr. Roettges affiliated with?

According to CMS facility affiliation data, Dr. Roettges is affiliated with Ascension St Vincent'S St Johns County, Flagler Hospital, Adventhealth Palm Coast.

How does Dr. Roettges compare to other orthopedic surgeons in St Augustine?

Among the 3 orthopedic surgeons in St Augustine, Dr. Roettges ranks #1 by total Medicare procedure volume. Dr. Roettges has the highest verified Medicare volume in the city.

What are the quality ratings for hospitals where Dr. Roettges practices?

Ascension St Vincent'S St Johns County (insufficient case volume for complication rate comparison); Flagler Hospital (2 out of 5 CMS stars, hip/knee complication rate similar to national average); Adventhealth Palm Coast (3 out of 5 CMS stars, hip/knee complication rate similar to national average). These are hospital-level quality metrics from CMS Hospital Compare and do not reflect individual surgeon outcomes.

Other Orthopedic Surgeons in St Augustine, Florida

Dr. Roettges's 289 Medicare procedures are above the St Augustine average of 135. The table below compares verified procedure volumes for orthopedic surgeons practicing in St Augustine.

SurgeonProceduresSpecialties
Dr. Eric Kim 79 Hip, Knee
Dr. Richard Snyder 36 Shoulder

Patient Resources & Verification

Research reviews, verify credentials, and check official quality data through these trusted sources:

Medicare Care Compare and NPI Registry are official U.S. government sources. Google reviews reflect user-submitted feedback. OrthoProcedures.com does not verify the accuracy of third-party review content.

Cite This Data

APA: OrthoProcedures. (2026). Dr. Paul Roettges, M.D. -- Orthopedic Surgeon Profile. Retrieved from https://orthoprocedures.com/surgeons/fl/dr-paul-roettges-st-augustine.html

Link: https://orthoprocedures.com/surgeons/fl/dr-paul-roettges-st-augustine.html

Data source: CMS Medicare Part B Provider Utilization & Payment Data. Full methodology | Open Data API

Important: Rankings are based solely on Medicare procedure volume and do not reflect quality of care, patient outcomes, or procedures covered by private insurance. This data represents approximately one-third to 40% of all joint replacement procedures nationwide. Always consult with healthcare providers to make informed decisions about your care.