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DR. EDWIN ROEDER MD
NPI 1003812645
Orthopaedic Surgery in West Plains, MO

Active since June 27, 2005PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1210 N KENTUCKY AVE, WEST PLAINS, MO 65775(417) 256-1745(417) 256-1745 Get Directions Write a Review

NPPES record last updated: August 29, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Edwin Roeder Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. EDWIN ROEDER MD (NPI 1003812645) is an individual orthopaedic surgery provider in West Plains, Missouri, licensed in Missouri (112519) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Ozarks Healthcare, and maintains a secondary practice location in Springfield.

NPPES Registry Identity

NPI1003812645
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. EDWIN ROEDERCredential: MD
Location Address1210 N KENTUCKY AVEWest Plains, MO 65775
Mailing Address2828 N National AveSpringfield, MO 65803-4306 · (417) 837-4003 · Fax (417) 875-4782
Phone(417) 256-1745
Fax(417) 256-1745
Sole ProprietorNo
Medical School CMSBaylor College Of MedicineGraduated 1992
Enumeration DateJune 27, 2005
Last NPPES UpdateAugust 29, 2018
✔ NPI 1003812645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in MO · 112519
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
1210 N KENTUCKY AVE, West Plains, MO 65775
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Secondary Practice Location 1

Location 12828 N National AveSpringfield, MO 65803-4306 · Phone (417) 837-4003 · Fax (417) 875-4782

Other Identifiers 3

Medicaid1003812645MO
OtherP00061886Rr Medicare
Medicaid244688917MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Edwin Roeder Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5991619280
PECOS Enrollment IDI20031119000756, I20150423000702
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Edwin Roeder reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ozarks Medical Center
Same address
Orthopaedic Surgery
1210 N KENTUCKY AVE
West Plains, MO 65775
  • Reassigned Medicare billing, Missouri enrollment
  • 338 clinicians in this Medicare group
NPI 1922397124 (417) 256-1745
Baxter County Regional Hospital, Inc
25 mi
Rural Health
350 MAIN ST STE 4
Mammoth Spring, AR 72554
  • Reassigned Medicare billing, Arkansas enrollment
  • 32 clinicians in this Medicare group
NPI 1215692330 (870) 625-3111
Baxter County Regional Hospital, Inc.
40 mi
Surgery
639 BROADMOOR CIR STE 2
Mountain Home, AR 72653
  • Reassigned Medicare billing, Arkansas and Missouri enrollments
  • Also billed through NPI 1639472830 (Missouri)
  • 7 clinicians in this Medicare group
NPI 1548927429 (870) 508-6960

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
79 services79 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
79 services52 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
46 services39 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
41 services31 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
37 services37 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
31 services27 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ozarks Healthcare

Acute Care Hospitals · West Plains, MO
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260078
Location1100 Kentucky AveWest Plains, MO 65775 · Howell County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65775 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability98
Improvement Activities40

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JAMES L RUSHFORD DO
Orthopaedic Surgery
1210 N KENTUCKY AVE
WEST PLAINS, MO 65775
Howell County (417) 256-1745
OZARKS MEDICAL CENTER
Dermatology
1210 N KENTUCKY AVE
WEST PLAINS, MO 65775
Howell County (417) 505-7114
DR. LESLIE ANN MARSHALL D.O.
Dermatology
1210 N KENTUCKY AVE
WEST PLAINS, MO 65775
Howell County (417) 256-9111
OZARKS MEDICAL CENTER
Orthopaedic Surgery
1210 N KENTUCKY AVE
WEST PLAINS, MO 65775
Howell County (417) 256-1745

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edwin Roeder's NPI number?

The NPI number for Edwin Roeder is 1003812645. It was assigned to this individual provider in the NPPES registry on June 27, 2005.

Where is Edwin Roeder located?

Edwin Roeder practices at 1210 N Kentucky Ave, West Plains, MO 65775. The listed phone number is (417) 256-1745.

What is Edwin Roeder's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Edwin Roeder enrolled in Medicare?

Yes. Edwin Roeder is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Edwin Roeder's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edwin Roeder reassigns Medicare benefits to 3 organizations: Ozarks Medical Center (West Plains, MO), Baxter County Regional Hospital, Inc (Mammoth Spring, AR) and Baxter County Regional Hospital, Inc. (Mountain Home, AR). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Edwin Roeder's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Edwin Roeder accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Edwin Roeder as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Edwin Roeder affiliated with any hospitals?

According to CMS data, Edwin Roeder is affiliated with Ozarks Healthcare.

When was this NPI record last updated?

The NPPES record for Edwin Roeder was last updated on August 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.