KEITH J. ODEGARD MD
NPI 1083609614
Orthopaedic Surgery in St. Louis, MO

Q: What is Keith Odegard's NPI number?

The NPI number for Keith Odegard is 1083609614. It was assigned to this individual provider in the NPPES registry on September 20, 2005.

Q: What is Keith Odegard'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 Keith Odegard was last updated on October 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 September 20, 2005PECOS EnrolledAccepts Medicare Assignment

12855 NORTH FORTY DRIVE, SUITE 125, ST. LOUIS, MO 63141(314) 966-0111(314) 966-1023 Get Directions Write a Review

NPPES record last updated: October 21, 2011. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Keith J. Odegard Md NPPES

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

KEITH J. ODEGARD MD (NPI 1083609614) is an individual orthopaedic surgery provider in St. Louis, Missouri, licensed in Missouri (2004027795) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Minnesota Medical School (1984).

NPPES Registry Identity

NPI1083609614

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameKEITH J. ODEGARDCredential: MD

Location Address12855 NORTH FORTY DRIVE, SUITE 125St. Louis, MO 63141

Mailing Address12813 Flushing Meadows Drive, Suite 210St. Louis, MO 63131 · (314) 966-0111 · Fax (314) 966-1023

Phone(314) 966-0111

Fax(314) 966-1023

Sole ProprietorNo

Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 1984

Enumeration DateSeptember 20, 2005

Last NPPES UpdateOctober 21, 2011

✔ NPI 1083609614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

License✔ Licensed in MO · 2004027795

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.

12855 NORTH FORTY DRIVE, St. Louis, MO 63141

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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 and accepts Medicare assignment

Keith J. Odegard 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 ID6608833801

PECOS Enrollment IDI20041220000003

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

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

Mercy Hospitals East Communities

2.4 mi

Clinic/Center

615 S NEW BALLAS RD
Saint Louis, MO 63141

Reassigned Medicare billing, Missouri enrollment
435 clinicians in this Medicare group

NPI 1851431738 (314) 251-6382

Mercy Clinic Surgical Specialists, LLC

30 mi

Vascular Surgery

851 E 5TH ST, SUITE 108
Washington, MO 63090

Reassigned Medicare billing, Missouri enrollment
168 clinicians in this Medicare group

NPI 1043530538 (636) 861-7870

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

Areas of Expertise CMS Part B claims 13

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 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.

250 services184 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

149 services72 patients

Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702

This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.

143 services59 patients

X-ray of knee, 3 views 73562

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

96 services86 patients

Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose J7323

Hyaluronan or Euflexxa is a substance similar to a natural substance in your joints. It's injected into the joint space to treat pain from osteoarthritis, especially in the knee. It helps to lubricate the joint, reducing pain and improving mobility.

89 services17 patients

X-ray of knee, 4 or more views 73564

An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.

69 services69 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

54 services41 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

54 services51 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

36 services36 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

32 services27 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

26 services26 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.

17 services17 patients

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.

16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63141 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

$86.32 typical visit price

range $55.65 – $169.38

Typical copayment $21.58 (range $13.91 – $42.34)

Most-billed visit code 99203

Established Patient

$69.50 typical visit price

range $17.76 – $137.92

Typical copayment $17.37 (range $4.44 – $34.48)

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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walker, folding, wheeled, adjustable or fixed height E0143

DME-Other DME · category DE000N

5 suppliers13 claims13 services$43.27 avg. paid by Medicare

Walker, folding, wheeled, adjustable or fixed height E0143

DME-Other DME · category DE000N

1 supplier18 claims18 services$4.32 avg. paid by Medicare

Continuous passive motion exercise device for use on knee only E0935

DME-Other DME · category DE000N

2 suppliers25 claims492 services$18.70 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 10

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

MRS. SARAH E KESSEN MSN, ANP

Nurse Practitioner

12855 NORTH FORTY DRIVE, SUITE 125
ST. LOUIS, MO 63141

St. Louis County (314) 966-0111

JAMES C. STRICKLAND MD

Orthopaedic Surgery

12855 NORTH FORTY DRIVE, SUITE 125
ST LOUIS, MO 63141

St. Louis County (314) 966-0111

HUSAM T NAWAS M.D.

Orthopaedic Surgery

12855 NORTH FORTY DRIVE, SUITE 125, NORTH TOWER
ST. LOUIS, MO 63141

St. Louis County (314) 966-0111

DAVID R. LANGE MD

Orthopaedic Surgery

12855 NORTH FORTY DRIVE, SUITE 125, NORTH TOWER
SAINT LOUIS, MO 63141

St. Louis County (314) 966-0111

DONALD WADE HAMMOND II MD

Orthopaedic Surgery

12855 NORTH FORTY DRIVE, SUITE 125
ST LOUIS, MO 63141

St. Louis County (314) 966-0111

RYAN W. COUCHMAN MD

Orthopaedic Surgery

12855 NORTH FORTY DRIVE, SUITE 125
ST LOUIS, MO 63141

St. Louis County (314) 966-0111

DONALD L. PRUITT MD

Orthopaedic Surgery (Hand Surgery)

12855 NORTH FORTY DRIVE, SUITE 125
ST LOUIS, MO 63141

St. Louis County (314) 966-0111

BERNARD C RANDOLPH JR. M.D.

Physical Medicine & Rehabilitation

12855 NORTH FORTY DRIVE, SUITE 125
ST LOUIS, MO 63141

St. Louis County (314) 966-0111

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 Keith Odegard's NPI number?

The NPI number for Keith Odegard is 1083609614. It was assigned to this individual provider in the NPPES registry on September 20, 2005.

Where is Keith Odegard located?

Keith Odegard practices at 12855 North Forty Drive Suite 125, St. Louis, MO 63141. The listed phone number is (314) 966-0111.

What is Keith Odegard's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Keith Odegard enrolled in Medicare?

Yes. Keith Odegard 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 Keith Odegard's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Keith Odegard reassigns Medicare benefits to 2 organizations: Mercy Hospitals East Communities (Saint Louis, MO) and Mercy Clinic Surgical Specialists, LLC (Washington, MO). 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 Keith Odegard'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 Keith Odegard was last updated on October 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.