DR. MARTY WAYNE ODOM MD
NPI 1265520662
Internal Medicine in Clarksville, TN

Q: What is Marty Odom's NPI number?

The NPI number for Marty Odom is 1265520662. It was assigned to this individual provider in the NPPES registry on October 11, 2006.

Q: What is Marty Odom's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Marty Odom was last updated on December 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since October 11, 2006PECOS EnrolledAccepts Medicare Assignment

490 DUNLOP LN, CLARKSVILLE, TN 37040(931) 245-7000 Get Directions Write a Review

NPPES record last updated: December 29, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 29, 2025, Aug 24, 2022, Aug 26, 2021 (3 updates tracked since 2021).

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About Dr. Marty Wayne Odom Md NPPES

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

DR. MARTY WAYNE ODOM MD (NPI 1265520662) is an individual internal medicine provider in Clarksville, Tennessee, licensed in Tennessee (75415) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Jackson Purchase Medical Center, and is a graduate of University Of Kentucky College Of Medicine (1999).

NPPES Registry Identity

NPI1265520662

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. MARTY WAYNE ODOMCredential: MD

Location Address490 DUNLOP LNClarksville, TN 37040-5007

Mailing AddressPo Box 3799Clarksville, TN 37043-3799 · (931) 245-7000

Phone(931) 245-7000

Sole ProprietorNo

Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 1999

Enumeration DateOctober 11, 2006

Last NPPES UpdateDecember 29, 20253 updates tracked since enumeration

NPPES CertifiedDecember 29, 2025

✔ NPI 1265520662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in TN · 75415✔ Licensed in FL · ME82596

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.

490 DUNLOP LN, Clarksville, TN 37040

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Other Identifiers 2

OtherP01109190FL · R&r Medicare

Medicaid266818100FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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

Dr. Marty Wayne 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 ID7719943737

PECOS Enrollment IDI20251113000559

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 Marty Odom reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Premier Medical Group PC

Same address

General Practice

490 DUNLOP LN
Clarksville, TN 37040

Reassigned Medicare billing, Tennessee enrollment
58 clinicians in this Medicare group

NPI 1740242957 (931) 245-7000

Pinelake Physician Practice LLC

76 mi

Rural Health

1206 PARIS RD STE B
Mayfield, KY 42066

Reassigned Medicare billing, Kentucky enrollment
71 clinicians in this Medicare group

NPI 1093609612 (270) 804-7160

Southeastern Emergency Physicians LLC

237 mi

Emergency Medicine

989 MEDICAL PARK DR
Maysville, KY 41056

Reassigned Medicare billing, Kentucky enrollment
828 clinicians in this Medicare group

NPI 1356379382 (606) 759-5311

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 8

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.

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426

An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.

126 services86 patients

Detection test by immunoassay with direct visual observation for influenza virus 87804

This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.

117 services82 patients

Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg J3420

This is a procedure where a small dose of Vitamin B-12, also known as Cyanocobalamin, is injected into your body. This vitamin is essential for nerve function and the production of red blood cells. It's often used to treat vitamin B-12 deficiency.

75 services11 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

32 services28 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

18 services18 patients

Detection test by immunoassay technique for streptococcus, group a (strep) 87430

A detection test using the immunoassay technique for Group A Strep is a simple procedure. It identifies a specific bacteria, Streptococcus, which can cause throat infections. A swab from your throat is taken and tested for the presence of these bacteria.

16 services15 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Jackson Purchase Medical Center

Acute Care Hospitals · Mayfield, KY

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number180116

Location1099 Medical Center CircleMayfield, KY 42066 · Graves County

Emergency services Birthing friendly

Tennova Healthcare-Clarksville

Acute Care Hospitals · Clarksville, TN

1/5 CMS rating

OwnershipProprietary

CMS Certification Number440035

Location651 Dunlop LaneClarksville, TN 37040 · Montgomery County

Emergency services Birthing friendly

Vanderbilt University Medical Center

Acute Care Hospitals · Nashville, TN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440039

Location1211 Medical Center DriveNashville, TN 37232 · Davidson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37040 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

$121.80 typical visit price

range $52.64 – $160.89

Typical copayment $30.45 (range $13.16 – $40.22)

Most-billed visit code 99204

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

18 suppliers41 claims68 services$6.06 avg. paid by Medicare

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

3 suppliers11 claims11 services$37.15 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

3 suppliers16 claims84 services$1.81 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

2 suppliers18 claims18 services$207.59 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 20

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

CYREE COLLIER M.D.

Family Medicine