DR. EDWARD MICHAEL ROONEY MD
NPI 1205285483
Orthopaedic Surgery in Post Falls, ID

Active since June 08, 2016PECOS EnrolledAccepts Medicare Assignment
94.91/100
CMS Quality Rating
1296 E POLSTON AVE STE C, POST FALLS, ID 83854(208) 625-6700(208) 625-6701 Get Directions Write a Review

NPPES record last updated: July 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 17, 2024, Jun 23, 2021, Feb 12, 2018 (3 updates tracked since 2018).

About Dr. Edward Michael Rooney Md NPPES

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

DR. EDWARD MICHAEL ROONEY MD (NPI 1205285483) is an individual orthopaedic surgery provider in Post Falls, Idaho, licensed in North Carolina (2021-01235) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, is affiliated with Kootenai Health, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1205285483
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. EDWARD MICHAEL ROONEYCredential: MD
Location Address1296 E POLSTON AVE STE CPost Falls, ID 83854-5217
Mailing Address1296 E Polston Ave Ste CPost Falls, ID 83854-5217 · (208) 625-6700 · Fax (208) 625-6701
Fax(208) 625-6701
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 2016
Enumeration DateJune 8, 2016
Last NPPES UpdateJuly 22, 20253 updates tracked since enumeration
NPPES CertifiedJuly 22, 2025
NPI 1205285483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses Licensed in NC · 2021-01235 Licensed in MI · 4301109695 Licensed in ID · M-16456
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.
1296 E POLSTON AVE STE C, Post Falls, ID 83854

Secondary Practice Locations 2

Location 12001 Vail Ave, Ste 200Charlotte, NC 28207-1219 · Phone (704) 323-3668
Location 22177 W Ironwood Center DrCoeur D Alene, ID 83814-2639 · Phone (208) 625-5084

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Edward Michael Rooney 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 ID9335409051
PECOS Enrollment IDI20220720003997
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.

Areas of Expertise CMS Part B claims 12

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.

X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
189 services110 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.
133 services84 patients
X-ray of ankle, minimum of 3 views 73610
An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.
109 services65 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.
76 services76 patients
Aspiration and/or injection of fluid from small joint 20600
This procedure involves inserting a thin needle into a small joint to remove (aspirate) or inject fluid. It can help diagnose conditions, relieve discomfort, or administer medication directly into the joint. It's generally safe with minimal discomfort.
44 services30 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
34 services34 patients

Hospital Affiliations CMS Care Compare 2

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

Kootenai Health

Acute Care Hospitals · Coeur D'alene, ID
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number130049
Location2003 Kootenai Health WayCoeur D'alene, ID 83814 · Kootenai County
Emergency services Birthing friendly

Shoshone Medical Center

Critical Access Hospitals · Kellogg, ID
OwnershipGovernment - Hospital District or Authority
CMS Certification Number131314
Location25 Jacobs Gulch RoadKellogg, ID 83837 · Shoshone County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83854 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
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.

94.91/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.83
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 5

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

Orthopaedic Surgery
1296 E POLSTON AVE STE C
POST FALLS, ID 83854
Physician Assistant
1296 E POLSTON AVE STE C
POST FALLS, ID 83854
Physician Assistant
1296 E POLSTON AVE STE C
POST FALLS, ID 83854
Nurse Practitioner
1296 E POLSTON AVE STE C
POST FALLS, ID 83854
Nurse Practitioner
1296 E POLSTON AVE STE C
POST FALLS, ID 83854

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 Edward Rooney's NPI number?

The NPI number for Edward Rooney is 1205285483. It was assigned to this individual provider in the NPPES registry on June 8, 2016.

Where is Edward Rooney located?

Edward Rooney practices at 1296 E Polston Ave Ste C, Post Falls, ID 83854. The listed phone number is (208) 625-6700.

What is Edward Rooney's specialty?

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

Is Edward Rooney enrolled in Medicare?

Yes. Edward Rooney 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.

What insurance does Edward Rooney accept?

Health plans from Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Edward Rooney 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 Edward Rooney affiliated with any hospitals?

According to CMS data, Edward Rooney is affiliated with Kootenai Health and Shoshone Medical Center.

When was this NPI record last updated?

The NPPES record for Edward Rooney was last updated on July 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.