Active NPI 1003812645 Individual Practitioner Male Practitioner

Dr. Edwin Roeder , MD

Orthopaedic Surgery • West Plains, MO

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Edwin Roeder, MD is a certified Orthopaedic Surgery practicing in West Plains, MO. With approximately 34 years of clinical experience since graduating from Baylor College Of Medicine in 1992, Dr. Roeder delivers high-quality medical care to the local community at 1210 N KENTUCKY AVE.

Dr. Roeder is affiliated with Baxter County Regional Hospital Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, methylprednisolone acetate, 1 mg, established patient outpatient office visit, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1210 N Kentucky Ave

West Plains, MO 65775

Telephone 4172561745

Fax 4172561745

Associated Practice Facility / Clinic

🏢 Ozarks Medical Center Facility NPI 1922397124

Medicare Profile & Education

Medical School

Baylor College Of Medicine

Graduation Year

1992

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in West Plains, MO

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

34 Yrs +6.2 yrs vs City Avg

City Avg: 27.8 Yrs

State Avg: 25.7 Yrs

Regional Practice Density

6 Specialists

Practicing in West Plains, MO (550 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

51.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Roeder (34 Years) 34 Yrs

West Plains Specialty Average (27.8 Years) 27.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1010 Injection, methylprednisolone acetate, 1 mg	1,903	38	$1.32	$0.13
99213 Established patient office or other outpatient visit, typically 15 minutes	79	52	$164.00	$82.11
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	79	79	$202.00	$99.88
20610 Aspiration and/or injection of fluid from large joint	46	39	$132.50	$62.08
73030 X-ray of shoulder, minimum of 2 views	41	31	$84.00	$30.30
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	37	37	$303.00	$151.17
73562 X-ray of knee, 3 views	31	27	$85.00	$35.42
73502 X-ray of hip, 2-3 views	29	22	$100.00	$41.19
73110 X-ray of wrist, minimum of 3 views	27	17	$106.00	$35.65
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	21	$102.00	$50.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	21	$232.00	$116.16
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	18	$195.00	$119.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	59	48	$125.00	$62.15
20610 Aspiration and/or injection of fluid from large joint	39	32	$194.86	$42.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$200.40	$78.01
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$202.00	$100.52
99213 Established patient office or other outpatient visit, typically 15 minutes	12	11	$160.75	$81.52
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$301.36	$122.44
J1030 Injection, methylprednisolone acetate, 40 mg	11	11	$16.00	$7.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	57	57	$192.20	$79.09
99213 Established patient office or other outpatient visit, typically 15 minutes	49	43	$126.37	$63.20
20610 Aspiration and/or injection of fluid from large joint	30	27	$236.36	$49.02
99213 Established patient office or other outpatient visit, typically 15 minutes	27	25	$93.86	$78.93
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	23	23	$292.35	$126.99
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	21	15	$27.09	$6.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$116.73	$105.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	18	$179.00	$92.79
27245 Treatment of broken neck of thigh bone with bone implant	17	17	$3079.24	$1151.40
20610 Aspiration and/or injection of fluid from large joint	17	17	$129.89	$65.04
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	14	$99.00	$34.31
27447 Replacement of knee joint, both sides of knee	13	12	$3352.15	$1204.92
99221 Initial hospital inpatient care per day, typically 30 minutes	13	13	$179.50	$95.05
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$274.46	$128.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	116	116	$118.88	$104.36
20610 Aspiration and/or injection of fluid from large joint	77	64	$130.93	$65.77
99213 Established patient office or other outpatient visit, typically 15 minutes	60	53	$82.06	$77.96
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	55	55	$173.47	$155.76
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	54	42	$37.45	$7.18
99221 Initial hospital inpatient care per day, typically 30 minutes	23	23	$169.75	$95.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	23	$114.01	$109.92
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	19	$44.89	$44.89
27447 Replacement of knee joint, both sides of knee	16	14	$2857.50	$1223.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	142	142	$180.79	$102.13
99213 Established patient office or other outpatient visit, typically 15 minutes	92	78	$149.05	$71.01
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	62	48	$135.90	$42.49
20610 Aspiration and/or injection of fluid from large joint	61	49	$165.83	$64.88
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	60	47	$44.55	$7.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	23	$160.70	$100.03
99221 Initial hospital inpatient care per day, typically 30 minutes	22	22	$169.52	$100.03
99202 New patient office or other outpatient visit, typically 20 minutes	21	21	$167.05	$71.85
27447 Replacement of knee joint, both sides of knee	18	17	$2857.50	$1280.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	141	141	$173.75	$101.17
99213 Established patient office or other outpatient visit, typically 15 minutes	120	95	$143.75	$68.98
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	76	61	$39.96	$6.79
20610 Aspiration and/or injection of fluid from large joint	65	60	$150.37	$60.33
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	36	30	$131.75	$41.72
99221 Initial hospital inpatient care per day, typically 30 minutes	36	35	$164.75	$98.47
99202 New patient office or other outpatient visit, typically 20 minutes	31	31	$162.00	$71.25
27447 Replacement of knee joint, both sides of knee	16	14	$2774.25	$1324.91
27245 Treatment of broken neck of thigh bone with bone implant	13	13	$2640.25	$1200.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$153.75	$102.38
99201 New patient office or other outpatient visit, typically 10 minutes	11	11	$105.00	$42.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	80	80	$321.89	$97.07
J1040 Injection, methylprednisolone acetate, 80 mg	73	41	$41.68	$12.67
99213 Established patient office or other outpatient visit, typically 15 minutes	63	53	$368.25	$66.11
20610 Aspiration and/or injection of fluid from large joint	63	48	$162.17	$63.25
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	59	39	$360.00	$39.31
73030 X-ray of shoulder, minimum of 2 views	24	12	$131.21	$17.34
73560 X-ray of knee, 1-2 views	19	16	$139.16	$21.09
99221 Initial hospital inpatient care per day, typically 30 minutes	18	18	$188.89	$94.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	15	$227.40	$97.70
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	15	13	$81.48	$6.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1040 Injection, methylprednisolone acetate, 80 mg	144	71	$42.59	$10.92
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	119	72	$360.00	$38.66
20610 Aspiration and/or injection of fluid from large joint	109	65	$175.30	$61.42
99213 Established patient office or other outpatient visit, typically 15 minutes	97	71	$540.00	$65.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	87	87	$540.00	$95.79
73560 X-ray of knee, 1-2 views	40	35	$151.00	$22.43
73030 X-ray of shoulder, minimum of 2 views	29	24	$130.31	$16.76
73610 X-ray of ankle, minimum of 3 views	22	16	$126.00	$18.84
99221 Initial hospital inpatient care per day, typically 30 minutes	22	22	$212.00	$94.37
27447 Replacement of knee joint, both sides of knee	21	18	$3403.71	$1242.58
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	18	$309.33	$127.17
73552 X-ray of thigh bone, minimum 2 views	17	12	$201.00	$19.14
73630 X-ray of foot, minimum of 3 views	17	13	$126.00	$16.34
27245 Treatment of broken neck of thigh bone with bone implant	16	16	$3089.00	$1144.42
73501 X-ray of hip with pelvis, 1 view	12	12	$132.00	$17.52
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	12	12	$1715.00	$1111.49

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License MO 112519

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

244688917 (MO)

Medicaid State Provider ID

1003812645 (MO)

Commercial Insurance / Payer ID Rr Medicare

P00061886

Hospital & Practice Group Affiliations

Baxter County Regional Hospital Inc

639 Broadmoor Cir, Mountain Home, AR 726532901

Phone: 8704244710

Baxter County Regional Hospital Inc

1019 E Main St, Melbourne, AR 725568240

Phone: 8709162150

Baxter County Regional Hospital Inc

805 N Kentucky Ave, West Plains, MO 657752045

Phone: 8704244710

Baxter County Regional Hospital Inc

1019 E Main St, Melbourne, AR 725568240

Phone: 8709162150

Secondary Practice Locations

2828 N National Ave

Springfield, MO 658034306

Phone: 4178374003

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners

Dr. James Rushford , DO

Orthopaedic Surgery

NPI 1356335079

Doctor of Osteopathic Medicine (D.O.)

Dr. David Denenny , MD

Orthopaedic Surgery

NPI 1467459677

Doctor of Medicine (M.D.)

Dr. David Lish , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1558920918

Doctor of Podiatric Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

📍

Updated Practice Location August 29, 2018

Registered at 1210 N KENTUCKY AVE, WEST PLAINS, MO 65775 (Tel: 4172561745)

✅

NPI Profile Active June 17, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location June 17, 2011

Registered at 2828 N NATIONAL AVE, SPRINGFIELD, MO 658034306 (Tel: 4178374003)

📍

Updated Business Mailing Address June 17, 2011

Registered at 2828 N NATIONAL AVE, SPRINGFIELD, MO 658034306 (Tel: 4178374003)

👤

Provider Name / Credentials Updated June 17, 2011

Recorded as EDWIN ROEDER, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 17, 2011

Orthopaedic Surgery (License #112519 in MO)

🟢

Initial NPI Registration & Enumeration June 27, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1003812645

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 27, 2005

Last Update: August 29, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2828 N National Ave

Springfield, MO 658034306

Phone: 4178374003

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.