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DAVID DEVAUL ODINEAL MD
NPI 1023539160
Internal Medicine in Fort Campbell, KY

Active since June 28, 2017PECOS Enrolled
7973 W DESTINY BLVD, FORT CAMPBELL, KY 42223(270) 798-4677 Get Directions Write a Review

NPPES record last updated: September 19, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 19, 2022, Sep 24, 2021, Feb 2, 2021 and 4 more (7 updates tracked since 2017).

About David Devaul Odineal Md NPPES

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

DAVID DEVAUL ODINEAL MD (NPI 1023539160) is an individual internal medicine provider in Fort Campbell, Kentucky, licensed in Tennessee (65771) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023539160
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDAVID DEVAUL ODINEALCredential: MD
Location Address7973 W DESTINY BLVDFort Campbell, KY 42223-5429
Mailing Address7973 W Destiny BlvdFort Campbell, KY 42223-5429 · (270) 798-4677
Phone(270) 798-4677
Sole ProprietorNo
Enumeration DateJune 28, 2017
Last NPPES UpdateSeptember 19, 20227 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2022
✔ NPI 1023539160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TN · 65771
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedGeneral PracticeTaxonomy 208D00000X · License 7462220 (WI)
7973 W DESTINY BLVD, Fort Campbell, KY 42223
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

David Devaul Odineal Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

2

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

App Of Tennessee Hm, PLLC
94 mi
Hospitalist
2835 HIGHWAY 231 N
Shelbyville, TN 37160
  • Reassigned Medicare billing, Tennessee enrollment
  • 498 clinicians in this Medicare group
NPI 1396160768 (931) 685-5433
Southeastern Physician Services PC
185 mi
Hospitalist
990 OAK RIDGE TPKE
Oak Ridge, TN 37830
  • Reassigned Medicare billing, Tennessee enrollment
  • 1,085 clinicians in this Medicare group
NPI 1083835441 (865) 481-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42223 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

Other Providers at the Same Location NPPES 9

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

MR. DEANTHONY JAMES TAYLOR PARAMEDIC
Emergency Medical Technician, Paramedic
7973 W DESTINY BLVD
FORT CAMPBELL, KY 42223
Christian County (270) 697-0011
DR. MATTHEW MCKENZIE DDS
Dentist (General Practice)
7973 W DESTINY BLVD
FORT CAMPBELL, KY 42223
Christian County (270) 789-4677
DEBORAH ANNE LOGAN CRDH
Dental Hygienist
7973 W DESTINY BLVD
FORT CAMPBELL, KY 42223
Christian County (270) 412-6027
DR. BERNICE STRATTON
Nurse Practitioner (Family)
7973 W DESTINY BLVD
FORT CAMPBELL, KY 42223
Christian County (270) 798-4677
MRS. TAYLOR DANIELLE TODD RDH
Dental Hygienist
7973 W DESTINY BLVD
FORT CAMPBELL, KY 42223
Christian County (270) 412-6027
DR. ERIC DAVID HOLWEG DO
Internal Medicine
7973 W DESTINY BLVD
FORT CAMPBELL, KY 42223
Christian County (270) 798-4677
CAMERON HASTINGS DMD
Dentist
7973 W DESTINY BLVD
FORT CAMPBELL, KY 42223
Christian County (270) 798-4677
BENJAMIN WHEELER DO
Emergency Medicine
7973 W DESTINY BLVD
FORT CAMPBELL, KY 42223
Christian County (999) 999-9999

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 David Odineal's NPI number?

The NPI number for David Odineal is 1023539160. It was assigned to this individual provider in the NPPES registry on June 28, 2017.

Where is David Odineal located?

David Odineal practices at 7973 W Destiny Blvd, Fort Campbell, KY 42223. The listed phone number is (270) 798-4677.

What is David Odineal's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is David Odineal enrolled in Medicare?

Yes. David Odineal is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for David Odineal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Odineal reassigns Medicare benefits to 2 organizations: App Of Tennessee Hm, PLLC (Shelbyville, TN) and Southeastern Physician Services PC (Oak Ridge, TN). 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 David Odineal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for David Odineal was last updated on September 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.