EDWARD H RILEY II MD
NPI 1962404921
Orthopaedic Surgery in La Crosse, WI
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
Specialties & Licenses
Other Identifiers 3
Accepted 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
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.
Medicare Billing Reassignments
7Medicare enrollment records show Edward Riley reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
La Crosse, WI 54601
- Reassigned Medicare billing, Minnesota and Wisconsin enrollments
- 141 clinicians in this Medicare group
La Crosse, WI 54601
- Reassigned Medicare billing, Wisconsin enrollment
- 1,457 clinicians in this Medicare group
Blair, WI 54616
- Reassigned Medicare billing, Wisconsin enrollment
- 293 clinicians in this Medicare group
Hillsboro, WI 54634
- Reassigned Medicare billing, Wisconsin enrollment
- Medicare enrollment name: St Josephs Health Services Inc
- 282 clinicians in this Medicare group
Boscobel, WI 53805
- Reassigned Medicare billing, Wisconsin enrollment
- Also billed through NPI 1306804794 (Wisconsin)
- 76 clinicians in this Medicare group
Wabasha, MN 55981
- Reassigned Medicare billing, Minnesota enrollment
- 147 clinicians in this Medicare group
Friendship, WI 53934
- Reassigned Medicare billing, Wisconsin enrollment
- 280 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, WIGundersen Boscobel Area Hospital And Clinics
Critical Access Hospitals · Boscobel, WIPhysician 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.
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.
LA CROSSE, WI 54601
LA CROSSE, WI 54601
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 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.
Where is Edward Riley located?
Edward Riley practices at 1836 South Ave, La Crosse, WI 54601. The listed phone number is (608) 782-7300.
What is Edward Riley's specialty?
The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.
Is Edward Riley enrolled in Medicare?
Yes. Edward Riley 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 Edward Riley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Edward Riley reassigns Medicare benefits to 7 organizations: Gundersen Clinic Ltd (La Crosse, WI), Gundersen Lutheran Medical Center, Inc (La Crosse, WI), Tri-County Memorial Hospital, Inc. (Blair, WI), St. Joseph's Health Services, Inc. (Hillsboro, WI), Memorial Hospital Of Boscobel (Boscobel, WI) and 2 more organizations, listed in the Medicare section above. 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 Edward Riley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Edward Riley accept?
Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Dean Health Plan, Group Health Cooperative-SCW and HealthPartners and 2 other insurers list Edward Riley 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 Riley affiliated with any hospitals?
According to CMS data, Edward Riley is affiliated with Gundersen St Josephs Hospital And Clinics and Gundersen Boscobel Area Hospital And Clinics.
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.
# Edward H Riley II, MD · NPI 1962404921
Orthopaedic Surgery physician in La Crosse, Wisconsin. Individual provider, active in the CMS NPPES registry since June 2, 2005.
## Identity
- **NPI:** 1962404921 (Entity type: Individual)
- **Enumerated:** June 2, 2005
- **Primary specialty:** Orthopaedic Surgery · taxonomy 207X00000X
- **State license:** 38727 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 1836 SOUTH AVE, La Crosse, WI 54601-5429
- **Phone:** (608) 782-7300
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 7 organizations under Medicare reassignment (form CMS-855R): Gundersen Clinic Ltd (NPI 1851343115, La Crosse, WI); Gundersen Lutheran Medical Center, Inc (NPI 1619210895, La Crosse, WI); Tri-County Memorial Hospital, Inc. (NPI 1659625192, Blair, WI); St. Joseph's Health Services, Inc. (NPI 1972591410, Hillsboro, WI); Memorial Hospital Of Boscobel (NPI 1760459846, Boscobel, WI); and 2 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Mayo Medical School, class of 1987
## Record status
- **NPPES last updated:** April 14, 2015
- **Other identifiers:** Medicare UPIN G58684; Medicare PIN 0406 (WI); Medicaid 32382000 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1962404921) · Data from the CMS NPPES public registry.