JOHN ODOM MD
NPI 1215953732
Physical Medicine & Rehabilitation - Sports Medicine in Eden Prairie, MN

Q: What is John Odom's NPI number?

The NPI number for John Odom is 1215953732. It was assigned to this individual provider in the NPPES registry on July 15, 2006.

Q: What is John Odom's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Sports Medicine, with taxonomy code 2081S0010X.

Q: When was this NPI record last updated?

The NPPES record for John Odom was last updated on April 29, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 15, 2006PECOS EnrolledAccepts Medicare Assignment

6545 FLYING CLOUD DR STE 201, EDEN PRAIRIE, MN 55344(952) 224-1919(612) 999-1943 Get Directions Write a Review

NPPES record last updated: April 29, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 29, 2026, Jun 25, 2024, Jun 13, 2024 (3 updates tracked since 2024).

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About John Odom Md NPPES

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

JOHN ODOM MD (NPI 1215953732) is an individual sports medicine provider in Eden Prairie, Minnesota, licensed in Minnesota (44235) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Colorado School Of Medicine, Denver (1999).

NPPES Registry Identity

NPI1215953732

Entity TypeIndividualMale

Primary Taxonomy2081S0010X

Provider Legal NameJOHN ODOMCredential: MD

Location Address6545 FLYING CLOUD DR STE 201Eden Prairie, MN 55344-3356

Mailing Address6545 Flying Cloud Dr Ste 201Eden Prairie, MN 55344-3356 · (952) 224-1919 · Fax (612) 999-1943

Phone(952) 224-1919

Fax(612) 999-1943

Sole ProprietorNo

Medical School CMSUniversity Of Colorado School Of Medicine, DenverGraduated 1999

Enumeration DateJuly 15, 2006

Last NPPES UpdateApril 29, 20263 updates tracked since enumeration

NPPES CertifiedApril 29, 2026

✔ NPI 1215953732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2081S0010X

License✔ Licensed in MN · 44235

Definition

A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise.

Also ListedEmergency MedicineTaxonomy 207P00000X · License 44235 (MN)

6545 FLYING CLOUD DR STE 201, Eden Prairie, MN 55344

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

John Odom 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 ID3274502455

PECOS Enrollment IDI20040927000127

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.

Areas of Expertise CMS Part B claims 2

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.

39 services16 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.

14 services14 patients

Referred Medical Equipment & Supplies CMS DME claims

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

Extra heavy duty wheelchair K0007

DME-Wheelchairs · category DD000N

1 supplier11 claims11 services$61.93 avg. paid by Medicare

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

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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.

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