DR. THOMAS JOHN O'DONNELL - NPI 1396317707 - Family Medicine in Johnson City, TN

Q: What is Thomas O'donnell's NPI number?

The NPI number for Thomas O'donnell is 1396317707. It was assigned to this individual provider in the NPPES registry on July 14, 2021.

Q: What is Thomas O'donnell's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Thomas O'donnell was last updated on July 24, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dr. Thomas John O'donnell NPPES

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

DR. THOMAS JOHN O'DONNELL (NPI 1396317707) is an individual family medicine provider in Johnson City, Tennessee, licensed in Delaware (C1-0029374) and active in the NPI registry since July 2021. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1396317707

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. THOMAS JOHN O'DONNELL

Location Address2 PROFESSIONAL PARK DR STE 11Johnson City, TN 37604-6584

Mailing Address2 Professional Park Dr Ste 11Johnson City, TN 37604-6584 · (423) 439-6464 · Fax (423) 922-9337

Phone(423) 439-6464

Sole ProprietorNo

Enumeration DateJuly 14, 2021

Last NPPES UpdateJuly 24, 20263 updates tracked since enumeration

NPPES CertifiedJuly 24, 2026

✔ NPI 1396317707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in DE · C1-0029374

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2 PROFESSIONAL PARK DR STE 11, Johnson City, TN 37604

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Secondary Practice Locations 2

Location 1701 N Clayton St, Saint Francis Family Medicine, MSB 2nd floorWilmington, DE 19805-3155 · Phone (302) 575-8040 · Fax (302) 575-8005

Location 24745 Ogletown Stanton Rd Ste 116Newark, DE 19713-2070 · Phone (302) 623-6771 · Fax (302) 623-7942

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Thomas John O'donnell 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 37604 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

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.