EDWARD H RILEY II MD
NPI 1962404921
Orthopaedic Surgery in La Crosse, WI

Q: What is Edward Riley's NPI number?

The NPI number for Edward Riley is 1962404921. It was assigned to this individual provider in the NPPES registry on June 2, 2005.

Q: What is Edward Riley'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 Riley was last updated on April 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since June 02, 2005PECOS EnrolledAccepts Medicare Assignment

1836 SOUTH AVE, LA CROSSE, WI 54601(608) 782-7300 Get Directions Write a Review

NPPES record last updated: April 14, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Edward H Riley Ii Md NPPES

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

EDWARD H RILEY II MD (NPI 1962404921) is an individual orthopaedic surgery provider in La Crosse, Wisconsin, licensed in Wisconsin (38727) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Gundersen St Josephs Hospital And Clinics, and is a graduate of Mayo Medical School (1987).

NPPES Registry Identity

NPI1962404921

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameEDWARD H RILEY IICredential: MD

Location Address1836 SOUTH AVELa Crosse, WI 54601-5429

Mailing Address1836 South AveLa Crosse, WI 54601-5429 · (608) 782-7300

Phone(608) 782-7300

Sole ProprietorNo

Medical School CMSMayo Medical SchoolGraduated 1987

Enumeration DateJune 2, 2005

Last NPPES UpdateApril 14, 2015

✔ NPI 1962404921 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

Licenses✔ Licensed in WI · 38727✔ Licensed in IA · 39402

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.

1836 SOUTH AVE, La Crosse, WI 54601

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Other Identifiers 3

Medicare UPING58684

Medicare PIN0406WI

Medicaid32382000WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Group Health Cooperative-SCW and more.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

Edward H Riley Ii 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 ID6507909256

PECOS Enrollment IDI20100203000894

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.

Hospital Affiliations CMS Care Compare 2

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

Gundersen St Josephs Hospital And Clinics

Critical Access Hospitals · Hillsboro, WI

OwnershipVoluntary non-profit - Private

CMS Certification Number521304

Location400 Water AveHillsboro, WI 54634 · Vernon County

Emergency services

Gundersen Boscobel Area Hospital And Clinics

Critical Access Hospitals · Boscobel, WI

OwnershipVoluntary non-profit - Private

CMS Certification Number521344

Location205 Parker StBoscobel, WI 53805 · Grant County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54601 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

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.

Other Providers at the Same Location NPPES 20

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

JEFFREY BRIAN TROHKIMOINEN M.D.

Anesthesiology

1836 SOUTH AVE, GUNDERSEN CLINIC, LTD.
LA CROSSE, WI 54601

La Crosse County (608) 775-2031

JESSICA E THESING CRNA

Nurse Anesthetist, Certified Registered