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

Q: 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.

Q: What is Edward Rooney's specialty?

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

Q: 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 15 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.

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: October 25, 2026.

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

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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 St Joseph Regional Medical Center, 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

Phone(208) 625-6700

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

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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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Moda Health Plan, Inc., Molina Healthcare 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. 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.

Medicare Billing Reassignments

Medicare enrollment records show Edward Rooney reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Kootenai Health, Inc.

6.5 mi

Psychiatry

2003 KOOTENAI HEALTH WAY
Coeur D Alene, ID 83814

Reassigned Medicare billing, Idaho enrollment
472 clinicians in this Medicare group

NPI 1174661151 (208) 625-4000

Kootenai Health, Inc.

6.5 mi

Psychiatry

2003 KOOTENAI HEALTH WAY
Coeur D Alene, ID 83814

Reassigned Medicare billing, Idaho enrollment
301 clinicians in this Medicare group

NPI 1174661151 (208) 625-4000

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 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

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

29 services28 patients

Correction of toe joint deformity 28285

Correction of toe joint deformity is a procedure to fix misshapen toe joints. This can involve realigning the bones, removing bone or tissue, or implanting devices to improve joint function. It can help reduce pain and improve mobility.

25 services12 patients

Fluoroscopic guidance for needle placement 77002

Fluoroscopic guidance for needle placement is a medical procedure that uses a special X-ray technology to help accurately place a needle in the body. It's often used in biopsies, injections or other treatments to ensure precision and safety.

24 services17 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

17 services16 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

16 services15 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

St Joseph Regional Medical Center

Acute Care Hospitals · Lewiston, ID

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number130003

Location415 Sixth StreetLewiston, ID 83501 · Nez Perce County

Emergency services Birthing friendly

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

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

Quality

87.83

Promoting Interoperability

100

Improvement Activities

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.

DR. JONATHAN JAY LINTHICUM M.D.

Orthopaedic Surgery