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Dr. Joshua Ernest Roller, MD

(Dr. Joshua E. Roller, MD)

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Specializes in: Bariatric Surgery and General Surgery

University of Oklahoma College of Medicine

Professional interests include: pancreatectomy (pancreas removal), gastrectomy, Nissen fundoplication, and more.

1695 E. Rainforest Road
Fayetteville, AR 72703

1-877-445-6460

Dr. Joshua Ernest Roller, MD is a bariatric surgeon in Fayetteville, AR specializing in bariatric surgery and general surgery. He graduated from University of Oklahoma College of Medicine. Dr. Joshua Ernest Roller, MD is affiliated with Northwest Health System, Mercy Hospital Northwest Arkansas and Mercy Health System.

Office Locations

1280 E Stearns Street Suite 5
Fayetteville, AR 72703

(479) 445-6460

(479) 445-6719

open_in_new

Northwest Health System

1695 E. Rainforest Road
Fayetteville, AR 72703

1-877-445-6460

(479) 445-6719

open_in_new

Some issues Dr. Joshua Ernest Roller, MD can help you with:

Adrenalectomy (Adrenal Surgery)

Adrenalectomy is a surgical procedure to remove the adrenal glands, which lie above each kidney. The adrenal glands are responsible for producing hormones that are necessary for bodily functions, such as the regulation of blood pressure and metabolism. If the adrenal glands overproduce certain hormones, or if a tumor grows on them, removal of the glands is a treatment option.

Adrenal surgery can be open or laparoscopic. Laparoscopic adrenalectomy is a minimally invasive procedure that inserts a thin tube with a camera (laparoscope) through several small incisions on the abdomen. The surgeon uses the laparoscope to guide the procedure and is able to access and remove adrenal glands through the small incisions. Laparoscopic adrenal surgery lasts approximately 1-2 hours.

Laparoscopic adrenalectomy is associated with shorter recovery periods, reduced risk of infection, and smaller scars. Although these factors may be desirable, the location of the tumor, its size, and the severity of the condition may require that an individual instead undergo open surgery. An open adrenalectomy is typically done for larger adrenal tumors and requires a single, large incision on the abdomen. Open adrenal surgery takes around 2-4 hours.

Following the operation, patients will remain in the hospital for 1-2 days for a laparoscopic adrenalectomy or 3-5 days for an open adrenalectomy. Patients will likely have a liquid diet immediately after their surgery, but should be able to return to solid foods after a day. If both of the glands are removed, patients will be given drug therapy to replace the hormones they produced.

Pancreatectomy (Pancreas Removal)

Pancreatectomy is surgery to remove part or all of the pancreas to treat pancreatitis, tumors, or cancer. The pancreas is located behind the stomach and near the small intestine and spleen. There are three sections of the pancreas:

The head, which is the portion closest to the intestines
The body, which is the middle portion of the pancreas
The tail, which is the portion nearest the spleen

Pancreas removal procedures differ based on how much of the pancreas and surrounding organs are removed. There are three types of pancreatectomy:

Distal pancreatectomy removes the tail and body of the pancreas. This procedure treats tumors confined to these areas.
Pancreaticoduodenectomy, or the Whipple procedure, removes the pancreas, duodenum, bile duct, and, sometimes, part of the stomach. The Whipple procedure is used for pancreatic tumors that have not spread past the head of the pancreas and for other conditions affecting the pancreas, duodenum, and bile duct.
Total pancreatectomy removes the whole pancreas along with the duodenum, gallbladder, parts of the stomach and bile duct, surrounding lymph nodes, and, potentially, the spleen. Rarely performed, total pancreatectomy treats conditions that involve the entire pancreas, such as tumors found in multiple sites on the pancreas, or for rare tumors such as intraductal papillary mucinous neoplasms (IPMN).

Pancreatectomy can be done by open or minimally invasive surgery. During a laparoscopic pancreatectomy, the surgeon will use tiny incisions to insert a thin tube with a camera, or laparoscope, into the abdomen. Open surgery, or a laparotomy, is performed through a larger incision on the abdomen. If additional organs are removed, some procedures may require that the small intestine be reconnected to the stomach.

The hospital for pancreatectomy stay may be between 1-3 weeks. Generally, laparoscopic surgeries require shorter recovery periods. Whether patients undergo an open or laparoscopic procedure is determined by factors such as their condition and the extent of their procedure. For example, open surgery tends to be more common for distal pancreatectomies. If patients have difficulty eating, they may require a nasogastric tube, inserted through the nose, to carry food to their stomachs. A catheter can be inserted into the bladder if patients have trouble urinating. Full recovery may take about two months.

Medicare Procedure and Patient Information

2012 Medicare Procedure Volume

The top procedures that Dr. Joshua Ernest Roller, MD treated as a bariatric surgeon in Fayetteville, AR during 2012 were bypass surgery, minimally invasive procedures, weight management and gastrointestinal procedures.

Volume of procedures performed by Dr. Joshua Ernest Roller, MD for Medicare patients.

bypass surgery	27
doctor visit	204
gastrointestinal procedures	27
hospital care	19
inpatient care	19
minimally invasive procedures	27
weight management	27

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

The top procedures that Dr. Joshua Ernest Roller, MD treated as a bariatric surgeon in Fayetteville, AR during 2013 were minimally invasive procedures, gastrointestinal procedures, catheterization and bypass surgery.

Volume of procedures performed by Dr. Joshua Ernest Roller, MD for Medicare patients.

bypass surgery	11
catheterization	13
doctor visit	134
gastrointestinal procedures	39
minimally invasive procedures	39
weight management	11

2013 Medicare Patient Data

Information about Medicare patients treated by Dr. Joshua Ernest Roller, MD.

**Gender**
Male	53
Female	120

**Age**
From 65 to 74	81
From 75 to 84	0
85 and over	0
Less than 65	57

Conditions of Medicare patients treated by Dr. Joshua Ernest Roller, MD in 2013

Hypertension	73
High Cholesterol	62
Stroke	0
Ischemic Heart Disease	40
Depression	38
Chronic Kidney Disease	21
Asthma	12
Osteoperosis	7
Atrial Fibrilation	9
Heart Failure	20
Chronic Obstructive Pulmonary Disease	12
Diabetes	39
Dementia	0
Cancer	16

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

The top procedures that Dr. Joshua Ernest Roller, MD treated as a bariatric surgeon in Fayetteville, AR during 2014 were minimally invasive procedures, gastrointestinal procedures, bypass surgery and weight management.

Volume of procedures performed by Dr. Joshua Ernest Roller, MD for Medicare patients.

bypass surgery	25
doctor visit	66
gastrointestinal procedures	45
minimally invasive procedures	45
weight management	25

2014 Medicare Patient Data

Information about Medicare patients treated by Dr. Joshua Ernest Roller, MD.

**Gender**
Male	44
Female	86

**Age**
From 65 to 74	58
From 75 to 84	0
85 and over	0
Less than 65	49

Conditions of Medicare patients treated by Dr. Joshua Ernest Roller, MD in 2014

Hypertension	75
High Cholesterol	65
Stroke	0
Ischemic Heart Disease	45
Depression	49
Chronic Kidney Disease	18
Asthma	17
Osteoperosis	0
Atrial Fibrilation	12
Heart Failure	27
Chronic Obstructive Pulmonary Disease	19
Diabetes	39
Dementia	0
Cancer	16

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

The top procedures that Dr. Joshua Ernest Roller, MD treated as a bariatric surgeon in Fayetteville, AR during 2015 were minimally invasive procedures, gastrointestinal procedures, bypass surgery and weight management.

Volume of procedures performed by Dr. Joshua Ernest Roller, MD for Medicare patients.

bypass surgery	37
doctor visit	85
gastrointestinal procedures	86
minimally invasive procedures	86
weight management	37

2015 Medicare Patient Data

Information about Medicare patients treated by Dr. Joshua Ernest Roller, MD.

**Gender**
Male	72
Female	168

**Age**
From 65 to 74	0
From 75 to 84	0
85 and over	0
Less than 65	118

Conditions of Medicare patients treated by Dr. Joshua Ernest Roller, MD in 2015

Hypertension	75
High Cholesterol	73
Stroke	0
Ischemic Heart Disease	39
Depression	47
Chronic Kidney Disease	18
Asthma	23
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	14
Chronic Obstructive Pulmonary Disease	9
Diabetes	52
Dementia	0
Cancer	0

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

The top procedures that Dr. Joshua Ernest Roller, MD treated as a bariatric surgeon in Fayetteville, AR during 2016 were minimally invasive procedures, gastrointestinal procedures, bypass surgery and weight management.

Volume of procedures performed by Dr. Joshua Ernest Roller, MD for Medicare patients.

bypass surgery	19
doctor visit	87
gastrointestinal procedures	53
minimally invasive procedures	53
weight management	19

2016 Medicare Patient Data

Information about Medicare patients treated by Dr. Joshua Ernest Roller, MD.

**Gender**
Male	43
Female	86

**Age**
From 65 to 74	60
From 75 to 84	0
85 and over	0
Less than 65	54

Conditions of Medicare patients treated by Dr. Joshua Ernest Roller, MD in 2016

Hypertension	75
High Cholesterol	68
Stroke	0
Ischemic Heart Disease	43
Depression	38
Chronic Kidney Disease	31
Asthma	21
Osteoperosis	0
Atrial Fibrilation	11
Heart Failure	15
Chronic Obstructive Pulmonary Disease	16
Diabetes	40
Dementia	0
Cancer	0

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

The top procedures that Dr. Joshua Ernest Roller, MD treated as a bariatric surgeon in Fayetteville, AR during 2017 were minimally invasive procedures and gastrointestinal procedures.

Volume of procedures performed by Dr. Joshua Ernest Roller, MD for Medicare patients.

doctor visit	60
gastrointestinal procedures	12
minimally invasive procedures	12

2017 Medicare Patient Data

Information about Medicare patients treated by Dr. Joshua Ernest Roller, MD.

**Gender**
Male	31
Female	57

**Age**
From 65 to 74	41
From 75 to 84	0
85 and over	0
Less than 65	34

Conditions of Medicare patients treated by Dr. Joshua Ernest Roller, MD in 2017

Hypertension	73
High Cholesterol	67
Stroke	0
Ischemic Heart Disease	43
Depression	45
Chronic Kidney Disease	32
Asthma	13
Osteoperosis	0
Atrial Fibrilation	13
Heart Failure	19
Chronic Obstructive Pulmonary Disease	16
Diabetes	41
Dementia	0
Cancer	0

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

Volume of procedures performed by Dr. Joshua Ernest Roller, MD for Medicare patients.

doctor visit	16

2018 Medicare Patient Data

Information about Medicare patients treated by Dr. Joshua Ernest Roller, MD.

**Gender**
Male	16
Female	28

**Age**
From 65 to 74	28
From 75 to 84	0
85 and over	0
Less than 65	0

Conditions of Medicare patients treated by Dr. Joshua Ernest Roller, MD in 2018

Hypertension	75
High Cholesterol	68
Stroke	0
Ischemic Heart Disease	43
Depression	39
Chronic Kidney Disease	32
Asthma	0
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	0
Chronic Obstructive Pulmonary Disease	0
Diabetes	39
Dementia	0
Cancer	0

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

Volume of procedures performed by Dr. Joshua Ernest Roller, MD for Medicare patients.

doctor visit	26

2019 Medicare Patient Data

Information about Medicare patients treated by Dr. Joshua Ernest Roller, MD.

**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. Joshua Ernest Roller, MD in 2019

Hypertension	75
High Cholesterol	75
Stroke	0
Ischemic Heart Disease	40
Depression	35
Chronic Kidney Disease	0
Asthma	0
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	28
Chronic Obstructive Pulmonary Disease	0
Diabetes	30
Dementia	0
Cancer	0

Medicare Procedure and Patient Information

2020 Medicare Patient Data

Information about Medicare patients treated by Dr. Joshua Ernest Roller, MD.

**Gender**
Male	11
Female	16

**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. Joshua Ernest Roller, MD in 2020

Hypertension	67
High Cholesterol	52
Stroke	0
Ischemic Heart Disease	0
Depression	41
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

Average Medicare Procedure Volume From 2012 - 2020

Volume of procedures performed by Dr. Joshua Ernest Roller, MD for Medicare patients.

The highest averages for the top procedures that Dr. Joshua Ernest Roller, MD treated as a bariatric surgeon in Fayetteville, AR were minimally invasive procedures, gastrointestinal procedures, bypass surgery and weight management.

bypass surgery	23
catheterization	13
doctor visit	84
gastrointestinal procedures	43
hospital care	19
inpatient care	19
minimally invasive procedures	43
weight management	23

Average Medicare Patient Data From 2012 - 2020

Information about Medicare patients treated by Dr. Joshua Ernest Roller, MD.

**Gender**
Female	62
Male	30

**Age**
85 and over	0
75 to 84	0
Less than 65	34
65 to 74	34

Average of Total of Conditions of Medicare patients treated by Dr. Joshua Ernest Roller, MD From 2012 - 2020

The highest averages of the most common conditions of Medicare patients that Dr. Joshua Ernest Roller, MD treated were hypertension, high cholesterol, depression and ischemic heart disease.

Hypertension	65
High Cholesterol	58
Stroke	0
Ischemic Heart Disease	32
Depression	36
Chronic Kidney Disease	16
Asthma	9
Osteoporosis	0
Heart Failure	13
Chronic Obstructive Pulmonary Disease	8
Diabetes	31
Atrial Fibrillation	5
Cancer	3
Dementia	0

Education & Training

Dr. Joshua Ernest Roller, MD graduated from University of Oklahoma College of Medicine. He completed residency at University of Texas Southwestern Medical Center at Dallas and Affiliated Hospitals. He is certified by the American Board of Surgery Surgery - General and has a state license in Arkansas.

Medical School: University of Oklahoma College of Medicine

Residency: University of Texas Southwestern Medical Center at Dallas and Affiliated Hospitals

Board Certification: American Board of Surgery Surgery - General

Licensed In: Arkansas

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General Payments

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

**Payments by Company**
Medtronic, Inc.	$79,902 LigaSure $32,462	Signia $1,547	ENDO GIA ULTRA $152	ProGrip $122	APPOSE ULC $99	Other $45,520
Covidien LP	$71,449 Sonicision $43,478	LigaSure $5,561	SurgiSleeve $2,450	Endo Stapling $2,034	Endo GIA $444	Other $17,482
Lexington Medical, Inc.	$68,916 Aeon Endostapler & Echelon Flex Powered Stapler $58,671	Aeon Endostapler $10,246
Ethicon US, LLC	$18,974 Other/NA $15,575	Endoscopy: Endocutters $2,191	Biosurgicals $356	Endoscopy Endocutters $233	Energy Enseal $191	Other $427
Intuitive Surgical, Inc.	$6,774 Da Vinci Surgical System $6,774
Other	$28,097 CoolSeal Generator $3,278	Sonicision $3,223	Orbera $1,567	VOYANT GENERATOR $1,181	1588 HD 3 Chip Camera $1,128	Other $17,720

**Types of Payments**
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program	$137,908
Food and Beverage	$73,998
Consulting Fee	$45,435
Travel and Lodging	$9,919
Education	$6,028
Other	$825

Ownership and Interest Payments

This table describes ownership payments received by Dr. Joshua Ernest Roller, MD.

Endolumik, Inc.

2025

$1.00

Physician Covered Recipient

Stock options granted for consulting and advisory services in a privately held company. Equity value is currently reported as $1.00 because the options were recently granted and there is no liquid public market for the shares.

Biography

Dr. Joshua Roller is a general surgery and bariatric surgery specialist in Fayetteville, AR. Clinical interests for Dr. Roller include adrenalectomy (adrenal surgery), gastrectomy, and pancreatectomy (pancreas removal). His hospital/clinic affiliations include Northwest Health System and Mercy Hospital Northwest Arkansas. His education and training includes medical school at the University of Oklahoma College of Medicine and residency at a hospital affiliated with the University of Texas Southwestern Medical Center at Dallas.