DEBRA SUE ODOM P.A.
NPI 1316905110
Physician Assistant - Medical in Tulsa, OK

Active since May 02, 2006PECOS EnrolledAccepts Medicare Assignment
1717A S UTICA AVE, TULSA, OK 74104(918) 748-1300(918) 748-1303 Get Directions Write a Review

NPPES record last updated: January 8, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Debra Sue Odom P.a. NPPES

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

DEBRA SUE ODOM P.A. (NPI 1316905110) is an individual medical provider in Tulsa, Oklahoma, licensed in Oklahoma (1340) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1316905110
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameDEBRA SUE ODOMCredential: P.A.
Location Address1717A S UTICA AVETulsa, OK 74104
Mailing Address1717a S Utica AveTulsa, OK 74104 · (918) 748-1300 · Fax (918) 748-1303
Fax(918) 748-1303
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateMay 2, 2006
Last NPPES UpdateJanuary 8, 2014
NPI 1316905110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in OK · 1340
1717A S UTICA AVE, Tulsa, OK 74104

Other Names 1

Former Name (1)Debra Sue Warren P.a.

Other Identifiers 3

Medicare UPINQ10763OK
Medicaid200023180AOK
Medicare PINOK401882OK

Accepted 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

Debra Sue Odom P.a. 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 ID8628067576
PECOS Enrollment IDI20040507000207
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 12

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
440 services79 patients
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.
225 services161 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
151 services107 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
146 services101 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
142 services121 patients
Biopsy of related skin growth, each additional growth 11103
A biopsy of related skin growth is a procedure where a small piece of skin growth is removed for testing. If additional growths are identified, they may also be biopsied. This helps in diagnosing skin conditions and planning appropriate treatment.
106 services62 patients

Other Providers at the Same Location NPPES 2

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

Family Medicine
1717A S UTICA AVE
TULSA, OK 74104
Nurse Practitioner (Family)
1717A S UTICA AVE
TULSA, OK 74104

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 Debra Odom's NPI number?

The NPI number for Debra Odom is 1316905110. It was assigned to this individual provider in the NPPES registry on May 2, 2006. The provider is also known as Debra Sue Warren P.A..

Where is Debra Odom located?

Debra Odom practices at 1717A S Utica Ave, Tulsa, OK 74104. The listed phone number is (918) 748-1300.

What is Debra Odom's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Debra Odom enrolled in Medicare?

Yes. Debra Odom 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.

What insurance does Debra Odom accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Medica, Mending Health and UnitedHealthcare list Debra Odom as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Debra Odom was last updated on January 8, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.