Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JACOB COLIN O'DELL MD
NPI 1184281602
Surgery in Meridian, ID

Active since May 20, 2019PECOS Enrolled
520 S EAGLE RD STE 1241, MERIDIAN, ID 83642(208) 381-6930 Get Directions Write a Review

NPPES record last updated: September 1, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Sep 1, 2026, Jun 6, 2019, May 20, 2019 (3 updates tracked since 2019).

About Jacob Colin O'dell Md NPPES

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

JACOB COLIN O'DELL MD (NPI 1184281602) is an individual surgery provider in Meridian, Idaho, licensed in Idaho (8181303) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS and maintains a secondary practice location in Oklahoma City.

NPPES Registry Identity

NPI1184281602
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameJACOB COLIN O'DELLCredential: MD
Location Address520 S EAGLE RD STE 1241Meridian, ID 83642-6355
Mailing Address190 E Bannock StBoise, ID 83712-6241 · (208) 381-8866
Sole ProprietorNo
Enumeration DateMay 20, 2019
Last NPPES UpdateSeptember 1, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 1, 2026
NPI 1184281602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in ID · 8181303
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 1184281602 (OK)
520 S EAGLE RD STE 1241, Meridian, ID 83642

Secondary Practice Location 1

Location 1800 Stanton L Young Blvd # 9000Oklahoma City, OK 73104-5018 · Phone (405) 271-7912

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jacob Colin O'dell 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83642 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
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.

Other Providers at the Same Location NPPES 16

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

Surgery
520 S EAGLE RD STE 1241
MERIDIAN, ID 83642
Physician Assistant (Surgical)
520 S EAGLE RD STE 1241
MERIDIAN, ID 83642
Physician Assistant (Surgical)
520 S EAGLE RD STE 1241
MERIDIAN, ID 83642
Surgery
520 S EAGLE RD STE 1241
MERIDIAN, ID 83642
Surgery
520 S EAGLE RD STE 1241
MERIDIAN, ID 83642
Surgery
520 S EAGLE RD STE 1241
MERIDIAN, ID 83642
Nurse Practitioner (Acute Care)
520 S EAGLE RD STE 1241
MERIDIAN, ID 83642
Surgery
520 S EAGLE RD STE 1241
MERIDIAN, ID 83642

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 Jacob O'dell's NPI number?

The NPI number for Jacob O'dell is 1184281602. It was assigned to this individual provider in the NPPES registry on May 20, 2019.

Where is Jacob O'dell located?

Jacob O'dell practices at 520 S Eagle Rd Ste 1241, Meridian, ID 83642. The listed phone number is (208) 381-6930.

What is Jacob O'dell's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Jacob O'dell enrolled in Medicare?

Yes. Jacob O'dell is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jacob O'dell was last updated on September 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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.