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Dr. Paul Byron Roache, MD

Claimed Profile

Accepting New Patients

(6 Ratings)

Specializes in: Sports Medicine and Orthopedics/Orthopedic Surgery

University of Arizona College of Medicine

Professional interests include: shoulder problems, sports health, replacement arthroplasty (joint replacement)

651 First Street W Suite M
Sonoma, CA 95476

(415) 447-0495

Dr. Paul Byron Roache, MD is a sports medicine doctor in San Francisco, CA specializing in sports medicine and orthopedics/orthopedic surgery. He graduated from University of Arizona College of Medicine. Dr. Paul Byron Roache, MD is affiliated with St. Francis Memorial Hospital, Brown and Toland Physicians and Hill Physicians.

Office Locations

1 Daniel Burnham Court Suite 365c
San Francisco, CA 94109

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45 Castro Street Suite 337
San Francisco, CA 94114

(415) 447-0495

(415) 447-0467

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Hill Physicians

651 1st Street
West Ste M Sonoma, CA 95476

(415) 447-0495

open_in_new

Brown and Toland Physicians

651 First Street W Suite M
Sonoma, CA 95476

(415) 447-0495

open_in_new

909 Hyde Street Suite 501
San Francisco, CA 94109

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Some issues Dr. Paul Byron Roache, MD can help you with:

Replacement Arthroplasty (Joint Replacement)

Joint replacement, sometimes also called arthroplasty, is an option when a joint becomes severely damaged by disease or injury. The damaged cartilage of the joint is surgically removed, the ends of the bones in the joint are resurfaced, and a prosthetic is installed. Most prosthetic joints are made of a metal piece that fits into a plastic sleeve so that they glide smoothly. A joint replacement increases stability in the damaged area and decreases pain. The hip and knee are the two joints most commonly replaced, but joint replacement can also be performed on the ankle, shoulder, elbow and even fingers.

Although joint replacement is one of the safest and most reliable medical procedures available, it is still a major surgical procedure. All surgical procedures carry risks, such as infection or blood clots. For this reason, doctors try to help their patients avoid surgery for as long as they can. Taking arthritis medications, losing weight, avoiding high impact sports such as running, taking supplements such as glucosamine or chondroitin, or having joint injections may allow a patient to enjoy life without the need for surgery.

After having joint replacement surgery, patients can expect some pain the first few days as they recover. Physical therapy is an important part of recovery, and it can decrease complications and increase future mobility. As soon as possible, returning to low impact sports such as swimming, walking or biking can stretch and heal the new joint. A prosthetic joint can last 15 - 20 years and cannot be further damaged by degenerative diseases such as arthritis, so once it is done patients should be pain-free for many years.

Medicare Procedure and Patient Information

2012 Medicare Procedure Volume

The top procedures that Dr. Paul Byron Roache, MD treated as a sports medicine doctor in San Francisco, CA during 2012 were aspiration and injections.

Volume of procedures performed by Dr. Paul Byron Roache, MD for Medicare patients.

aspiration	39
doctor visit	79
injections	39

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

The top procedures that Dr. Paul Byron Roache, MD treated as a sports medicine doctor in San Francisco, CA during 2013 were aspiration and injections.

Volume of procedures performed by Dr. Paul Byron Roache, MD for Medicare patients.

aspiration	25
doctor visit	48
injections	25

2013 Medicare Patient Data

Information about Medicare patients treated by Dr. Paul Byron Roache, MD.

**Gender**
Male	13
Female	22

**Age**
From 65 to 74	14
From 75 to 84	0
85 and over	0
Less than 65	0

Conditions of Medicare patients treated by Dr. Paul Byron Roache, MD in 2013

Hypertension	66
High Cholesterol	57
Stroke	0
Ischemic Heart Disease	0
Depression	0
Chronic Kidney Disease	0
Asthma	0
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	0
Chronic Obstructive Pulmonary Disease	0
Diabetes	34
Dementia	0
Cancer	0

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

The top procedures that Dr. Paul Byron Roache, MD treated as a sports medicine doctor in San Francisco, CA during 2014 were aspiration and injections.

Volume of procedures performed by Dr. Paul Byron Roache, MD for Medicare patients.

aspiration	27
doctor visit	40
injections	27

2014 Medicare Patient Data

Information about Medicare patients treated by Dr. Paul Byron Roache, MD.

**Gender**
Male	12
Female	23

**Age**
From 65 to 74	0
From 75 to 84	13
85 and over	0
Less than 65	0

Conditions of Medicare patients treated by Dr. Paul Byron Roache, MD in 2014

Hypertension	54
High Cholesterol	60
Stroke	0
Ischemic Heart Disease	0
Depression	34
Chronic Kidney Disease	0
Asthma	0
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	0
Chronic Obstructive Pulmonary Disease	0
Diabetes	0
Dementia	0
Cancer	0

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

The top procedures that Dr. Paul Byron Roache, MD treated as a sports medicine doctor in San Francisco, CA during 2015 were aspiration and injections.

Volume of procedures performed by Dr. Paul Byron Roache, MD for Medicare patients.

aspiration	17
doctor visit	39
injections	17

2015 Medicare Patient Data

Information about Medicare patients treated by Dr. Paul Byron Roache, MD.

**Age**
From 65 to 74	0
From 75 to 84	24
85 and over	0
Less than 65	0

Conditions of Medicare patients treated by Dr. Paul Byron Roache, MD in 2015

Hypertension	69
High Cholesterol	73
Stroke	0
Ischemic Heart Disease	42
Depression	50
Chronic Kidney Disease	0
Asthma	0
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	0
Chronic Obstructive Pulmonary Disease	0
Diabetes	0
Dementia	0
Cancer	0

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

Volume of procedures performed by Dr. Paul Byron Roache, MD for Medicare patients.

doctor visit	38

2016 Medicare Patient Data

Information about Medicare patients treated by Dr. Paul Byron Roache, MD.

**Gender**
Male	11
Female	14

Conditions of Medicare patients treated by Dr. Paul Byron Roache, MD in 2016

Hypertension	60
High Cholesterol	56
Stroke	0
Ischemic Heart Disease	0
Depression	52
Chronic Kidney Disease	0
Asthma	0
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	0
Chronic Obstructive Pulmonary Disease	0
Diabetes	0
Dementia	0
Cancer	0

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

Volume of procedures performed by Dr. Paul Byron Roache, MD for Medicare patients.

doctor visit	19

Conditions of Medicare patients treated by Dr. Paul Byron Roache, MD in 2017

Hypertension	68
High Cholesterol	50
Stroke	0
Ischemic Heart Disease	0
Depression	0
Chronic Kidney Disease	0
Asthma	0
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	0
Chronic Obstructive Pulmonary Disease	0
Diabetes	0
Dementia	0
Cancer	0

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

Volume of procedures performed by Dr. Paul Byron Roache, MD for Medicare patients.

doctor visit	16

2018 Medicare Patient Data

Information about Medicare patients treated by Dr. Paul Byron Roache, MD.

**Age**
From 65 to 74	0
From 75 to 84	12
85 and over	0
Less than 65	0

Conditions of Medicare patients treated by Dr. Paul Byron Roache, MD in 2018

Hypertension	75
High Cholesterol	63
Stroke	0
Ischemic Heart Disease	0
Depression	0
Chronic Kidney Disease	0
Asthma	0
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	0
Chronic Obstructive Pulmonary Disease	0
Diabetes	63
Dementia	0
Cancer	0

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

The top procedures that Dr. Paul Byron Roache, MD treated as a sports medicine doctor in San Francisco, CA during 2019 were aspiration and injections.

Volume of procedures performed by Dr. Paul Byron Roache, MD for Medicare patients.

aspiration	20
doctor visit	68
injections	20

2019 Medicare Patient Data

Information about Medicare patients treated by Dr. Paul Byron Roache, MD.

**Gender**
Male	19
Female	25

**Age**
From 65 to 74	23
From 75 to 84	0
85 and over	0
Less than 65	0

Conditions of Medicare patients treated by Dr. Paul Byron Roache, MD in 2019

Hypertension	59
High Cholesterol	64
Stroke	0
Ischemic Heart Disease	32
Depression	30
Chronic Kidney Disease	0
Asthma	0
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	0
Chronic Obstructive Pulmonary Disease	0
Diabetes	27
Dementia	0
Cancer	0

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

The top procedures that Dr. Paul Byron Roache, MD treated as a sports medicine doctor in San Francisco, CA during 2020 were aspiration and injections.

Volume of procedures performed by Dr. Paul Byron Roache, MD for Medicare patients.

aspiration	16
doctor visit	118
injections	16

2020 Medicare Patient Data

Information about Medicare patients treated by Dr. Paul Byron Roache, MD.

**Gender**
Male	14
Female	28

**Age**
From 65 to 74	21
From 75 to 84	0
85 and over	0
Less than 65	0

Conditions of Medicare patients treated by Dr. Paul Byron Roache, MD in 2020

Hypertension	55
High Cholesterol	57
Stroke	0
Ischemic Heart Disease	36
Depression	26
Chronic Kidney Disease	0
Asthma	0
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	0
Chronic Obstructive Pulmonary Disease	0
Diabetes	0
Dementia	0
Cancer	0

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

The top procedures that Dr. Paul Byron Roache, MD treated as a sports medicine doctor in San Francisco, CA during 2021 were aspiration and injections.

Volume of procedures performed by Dr. Paul Byron Roache, MD for Medicare patients.

aspiration	33
doctor visit	125
injections	33

2021 Medicare Patient Data

Information about Medicare patients treated by Dr. Paul Byron Roache, MD.

**Gender**
Male	23
Female	18

**Age**
From 65 to 74	24
From 75 to 84	0
85 and over	0
Less than 65	0

Conditions of Medicare patients treated by Dr. Paul Byron Roache, MD in 2021

Hypertension	56
High Cholesterol	51
Stroke	0
Ischemic Heart Disease	0
Depression	0
Chronic Kidney Disease	0
Asthma	0
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	0
Chronic Obstructive Pulmonary Disease	0
Diabetes	0
Dementia	0
Cancer	0

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

The top procedures that Dr. Paul Byron Roache, MD treated as a sports medicine doctor in San Francisco, CA during 2022 were aspiration and injections.

Volume of procedures performed by Dr. Paul Byron Roache, MD for Medicare patients.

aspiration	52
doctor visit	170
injections	52

2022 Medicare Patient Data

Information about Medicare patients treated by Dr. Paul Byron Roache, MD.

**Gender**
Male	35
Female	31

**Ethnicity**
Non-Hispanic White	52
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	31
From 75 to 84	24
85 and over	0
Less than 65	0

Conditions of Medicare patients treated by Dr. Paul Byron Roache, MD in 2022

Hypertension	75
High Cholesterol	75
Stroke	0
Ischemic Heart Disease	38
Depression	18
Chronic Kidney Disease	21
Asthma	0
Osteoperosis	17
Atrial Fibrilation	23
Heart Failure	20
Chronic Obstructive Pulmonary Disease	0
Diabetes	24
Dementia	0
Cancer	0

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2012 - 2022

Volume of procedures performed by Dr. Paul Byron Roache, MD for Medicare patients.

The highest averages for the top procedures that Dr. Paul Byron Roache, MD treated as a sports medicine doctor in San Francisco, CA were aspiration and injections.

aspiration	28
doctor visit	69
injections	28

Average Medicare Patient Data From 2012 - 2022

Information about Medicare patients treated by Dr. Paul Byron Roache, MD.

**Gender**
Male	11
Female	14

**Ethnicity**
Black / African American	0
Asian / Pacific Islander	0
Non-Hispanic White	4
Hispanic	0
Native American / Alaskan Native	0
Other	0

**Age**
75 to 84	6
85 and over	0
Less than 65	0
65 to 74	10

Average of Total of Conditions of Medicare patients treated by Dr. Paul Byron Roache, MD From 2012 - 2022

The highest averages of the most common conditions of Medicare patients that Dr. Paul Byron Roache, MD treated were hypertension, high cholesterol, depression and diabetes.

Hypertension	57
High Cholesterol	55
Stroke	0
Ischemic Heart Disease	13
Depression	19
Chronic Kidney Disease	1
Asthma	0
Osteoporosis	1
Heart Failure	1
Chronic Obstructive Pulmonary Disease	0
Diabetes	13
Atrial Fibrillation	2
Cancer	0
Dementia	0

Education & Training

Dr. Paul Byron Roache, MD graduated from University of Arizona College of Medicine. He completed residency at Boston Medical Center. He is certified by the American Board of Orthopaedic Surgery American Board of Orthopaedic Surgery (Certified) and has a state license in California.

Medical School: University of Arizona College of Medicine

Residency: Boston Medical Center

Board Certification: American Board of Orthopaedic Surgery American Board of Orthopaedic Surgery (Certified)

Licensed In: California

Affiliations & Hospitals

Dr. Paul Byron Roache, MD is associated with these hospitals and organizations:

St. Francis Memorial Hospital

Brown and Toland Physicians

Hill Physicians

Insurance Information

Please note: Insurance information may change at any time, and the provider may accept your insurance plan even if it is not listed below. Please contact the provider's office to confirm that your insurance is accepted.

Dr. Paul Byron Roache, MD appears to accept the following insurance providers: Cigna, Aetna, Blue Shield of California, SCAN Health Plan, Anthem, UnitedHealthcare, Health Net, Hill Physicians Care Solutions, Western Health Advantage (WHA), Central Health Plan, CCHP Health Plan (Chinese Community Health Plan) and Canopy Health.

Insurance Accepted by Provider includes:

According to our sources, Dr. Paul Byron Roache, MD accepts the following insurance providers:

Cigna

Aetna

Blue Shield of California

SCAN Health Plan

Anthem

UnitedHealthcare

Health Net

Hill Physicians Care Solutions

Western Health Advantage (WHA)

Central Health Plan

CCHP Health Plan (Chinese Community Health Plan)

Canopy Health

Ratings & Reviews

Dr. Paul Byron Roache, MD has a high overall rating with an average of 3.67 out of 5 stars based on 6 ratings. We collect ratings and reviews of Dr. Paul Byron Roache, MD from all over the web to help you find the right in San Francisco, CA.

3.67

Overall Rating

(6 Ratings)

Leave a Review

Reviews Left On DocSpot

Overall Rating: 5.0 2025-10-15

Dr. Roache solved my trauma induced 6 yr chronic shoulder injury without surgery in one week. He wrote a book on shoulder injuries, and it shows. If you have a shoulder injury and are in the SF Bay Area, I cannot recommend him highly enough.

General Payments

These charts describe general payments received by Dr. Paul Byron Roache, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
Smith & Nephew, Inc.	$481 Regeneten $481
Aesculap Biologics, LLC	$201 NOVOCART 3D $201
Rotation Medical, Inc.	$192 Rotation Medical Arthroscopic Instrument Kit $192

**Types of Payments**
Food and Beverage	$874

Biography

Dr. Paul Roache specializes in orthopedics/orthopedic surgery and sports medicine. In his practice, Dr. Roache focuses on replacement arthroplasty (joint replacement), sports health, and shoulder problems. His average patient rating is 3.5 stars (out of 5). Dr. Roache can take Blue Shield, Health Net, Anthem, and more. He graduated from the University of Arizona College of Medicine and then he performed his residency at Boston Medical Center and a hospital affiliated with Albert Einstein College of Medicine. His professional affiliations include California Pacific Medical Center (CPMC), Brown and Toland Physicians, and St. Francis Memorial Hospital. Dr. Roache's practice in San Francisco, CA is open to new patients as reported by Hill Physicians.

Select Year:

Dr. Paul Byron Roache, MD

Office Locations

Some issues Dr. Paul Byron Roache, MD can help you with:

Medicare Procedure and Patient Information

2012 Medicare Procedure Volume

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

2013 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Paul Byron Roache, MD in 2013

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

2014 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Paul Byron Roache, MD in 2014

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

2015 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Paul Byron Roache, MD in 2015

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

2016 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Paul Byron Roache, MD in 2016

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

Conditions of Medicare patients treated by Dr. Paul Byron Roache, MD in 2017

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

2018 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Paul Byron Roache, MD in 2018

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

2019 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Paul Byron Roache, MD in 2019

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

2020 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Paul Byron Roache, MD in 2020

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

2021 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Paul Byron Roache, MD in 2021

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

2022 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Paul Byron Roache, MD in 2022

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2012 - 2022

Average Medicare Patient Data From 2012 - 2022

Average of Total of Conditions of Medicare patients treated by Dr. Paul Byron Roache, MD From 2012 - 2022

Education & Training

Affiliations & Hospitals

Insurance Information

Ratings & Reviews

General Payments

Biography

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