1. Home
  2. Directory
  3. Minnesota
  4. Fergus Falls
  5. Internal Medicine
  6. NPI Profile

ANTHONY ROONEY
NPI 1285166199
Internal Medicine - Hematology & Oncology in Fergus Falls, MN

Active since March 30, 2017PECOS EnrolledAccepts Medicare Assignment
85.21/100
CMS Quality Rating
908 S CASCADE ST, FERGUS FALLS, MN 56537(218) 736-8688 Get Directions Write a Review

NPPES record last updated: March 1, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 11, 2020, Mar 30, 2017 (2 updates tracked since 2017).

About Anthony Rooney NPPES

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

ANTHONY ROONEY (NPI 1285166199) is an individual hematology & oncology provider in Fergus Falls, Minnesota, licensed in Minnesota (73603) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, is affiliated with Lake Region Healthcare Corporation, and is a graduate of University Of Arkansas College Of Medicine (2017).

NPPES Registry Identity

NPI1285166199
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameANTHONY ROONEY
Location Address908 S CASCADE STFergus Falls, MN 56537-2911
Mailing Address2330 Shawnee Mission Pkwy Ste 210Westwood, KS 66205-2005 · (903) 588-0348 · Fax (913) 588-4085
Phone(218) 736-8688
Sole ProprietorNo
Medical School CMSUniversity Of Arkansas College Of MedicineGraduated 2017
Enumeration DateMarch 30, 2017
Last NPPES UpdateMarch 1, 20242 updates tracked since enumeration
NPPES CertifiedMarch 1, 2024
✔ NPI 1285166199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in MN · 73603
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
908 S CASCADE ST, Fergus Falls, MN 56537
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Sanford Health Plan.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

Anthony Rooney 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 ID8426329467
PECOS Enrollment IDI20230815000966
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 6

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.

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.
332 services125 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.
135 services93 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
110 services69 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
42 services42 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.
28 services28 patients
Biopsy and aspiration of bone marrow sample for diagnosis 38222
A bone marrow biopsy and aspiration is a procedure where a small amount of bone marrow is removed for testing. It involves inserting a needle into a bone, typically the hip, to collect a sample. It can help diagnose various diseases and monitor treatment effectiveness.
19 services18 patients

Hospital Affiliations CMS Care Compare 3

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

Lake Region Healthcare Corporation

Acute Care Hospitals · Fergus Falls, MN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240052
Location712 South Cascade StreetFergus Falls, MN 56537 · Otter Tail County
Emergency services

Sanford Wheaton Medical Center

Critical Access Hospitals · Wheaton, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241304
Location401 12th Street NorthWheaton, MN 56296 · Traverse County
Emergency services

Prairie Ridge Hospital And Health Services

Critical Access Hospitals · Elbow Lake, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241379
Location1411 Highway 79 EElbow Lake, MN 56531 · Grant County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56537 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
$168.28 typical visit price
range $56.00 – $168.28
Typical copayment $42.07 (range $14.00 – $42.07)
Most-billed visit code 99205
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
Most-billed visit code 99214
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.

85.21/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.39
Promoting Interoperability96
Improvement Activities40
Cost67.66

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 Anthony Rooney's NPI number?

The NPI number for Anthony Rooney is 1285166199. It was assigned to this individual provider in the NPPES registry on March 30, 2017.

Where is Anthony Rooney located?

Anthony Rooney practices at 908 S Cascade St, Fergus Falls, MN 56537. The listed phone number is (218) 736-8688.

What is Anthony Rooney's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Anthony Rooney enrolled in Medicare?

Yes. Anthony 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 Anthony Rooney accept?

Health plans from Medica and Sanford Health Plan list Anthony 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 Anthony Rooney affiliated with any hospitals?

According to CMS data, Anthony Rooney is affiliated with Lake Region Healthcare Corporation, Sanford Wheaton Medical Center and Prairie Ridge Hospital And Health Services.

When was this NPI record last updated?

The NPPES record for Anthony Rooney was last updated on March 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.