MICHELLE ODETTE MD
NPI 1114424983
Pediatrics in San Francisco, CA

Active since April 09, 2018PECOS EnrolledAccepts Medicare Assignment
1975 4TH ST, SAN FRANCISCO, CA 94143(415) 502-2606 Get Directions Write a Review

NPPES record last updated: February 5, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 5, 2025, Apr 15, 2018 (2 updates tracked since 2018).

About Michelle Odette Md NPPES

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

MICHELLE ODETTE MD (NPI 1114424983) is an individual pediatrics provider in San Francisco, California, licensed in California (A165075) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Sacramento, and is a graduate of Eastern Virginia Medical School (2018).

NPPES Registry Identity

NPI1114424983
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameMICHELLE ODETTECredential: MD
Location Address1975 4TH STSan Francisco, CA 94143-2351
Mailing Address1975 4th StSan Francisco, CA 94143-2351 · (415) 502-2606
Sole ProprietorNo
Medical School CMSEastern Virginia Medical SchoolGraduated 2018
Enumeration DateApril 9, 2018
Last NPPES UpdateFebruary 5, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2025
✔ NPI 1114424983 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A165075
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1975 4TH ST, San Francisco, CA 94143

Secondary Practice Location 1

Location 12516 Stockton BlvdSacramento, CA 95817-2208 · Phone (916) 734-2428

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

Michelle Odette 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 ID3375949241
PECOS Enrollment IDI20240911001345
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

3

Medicare enrollment records show Michelle Odette reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pediatrics
505 PARNASSUS AVE
San Francisco, CA 94143
  • Reassigned Medicare billing, California enrollment
  • 1,159 clinicians in this Medicare group
Surgery
400 PARNASSUS AVE, MCB 300
San Francisco, CA 94143
  • Reassigned Medicare billing, California enrollment
  • 5,645 clinicians in this Medicare group
Internal Medicine
400 PARNASSUS AVE
San Francisco, CA 94122
  • Reassigned Medicare billing, California enrollment
  • 5,544 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94143 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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 20

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

Physical Therapist
1975 4TH ST
SAN FRANCISCO, CA 94143
Pediatrics
1975 4TH ST
SAN FRANCISCO, CA 94143
Anesthesiology
1975 4TH ST
SAN FRANCISCO, CA 94143
Nurse Practitioner (Pediatrics)
1975 4TH ST
SAN FRANCISCO, CA 94143
Pharmacist (Pediatrics)
1975 4TH ST
SAN FRANCISCO, CA 94143
Social Worker (Clinical)
1975 4TH ST
SAN FRANCISCO, CA 94143
Pediatrics (Adolescent Medicine)
1975 4TH ST
SAN FRANCISCO, CA 94143
Nurse Practitioner (Neonatal)
1975 4TH ST
SAN FRANCISCO, CA 94143

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 Michelle Odette's NPI number?

The NPI number for Michelle Odette is 1114424983. It was assigned to this individual provider in the NPPES registry on April 9, 2018.

Where is Michelle Odette located?

Michelle Odette practices at 1975 4th St, San Francisco, CA 94143. The listed phone number is (415) 502-2606.

What is Michelle Odette's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Michelle Odette enrolled in Medicare?

Yes. Michelle Odette 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 Michelle Odette's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Odette reassigns Medicare benefits to 3 organizations: Ucsf Pediatrics Associates (San Francisco, CA), University Of California San Francisco (San Francisco, CA) and Ucsf Medical Group Business Services (San Francisco, CA). 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 Michelle Odette'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 Michelle Odette was last updated on February 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.