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

Active since July 14, 2021PECOS Enrolled
2 PROFESSIONAL PARK DR STE 11, JOHNSON CITY, TN 37604(423) 439-6464 Get Directions Write a Review

NPPES record last updated: July 24, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 24, 2026, Jul 3, 2025, Jul 14, 2021 (3 updates tracked since 2021).

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, maintains 2 additional practice locations, and is a graduate of Other (2021).

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
Medical School CMSOtherGraduated 2021
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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Thomas John O'donnell is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3971983552
PECOS Enrollment IDI20260807001452
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 Reassignment

Medicare enrollment records show Thomas O'donnell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Christiana Care Health System
433 mi
Critical Access
4755 OGELTOWN-STANTON RD
Newark, DE 19718
  • Reassigned Medicare billing, Delaware enrollment
  • Medicare enrollment name: Christiana Care Health Services Inc
  • 1,531 clinicians in this Medicare group
NPI 1770615494 (302) 733-4176

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Other Providers at the Same Location NPPES 11

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

BLUE RIDGE MEDICAL MANGEMENT CORPORATION
Surgery (Vascular Surgery)
2 PROFESSIONAL PARK DR STE 11
JOHNSON CITY, TN 37604
Washington County (423) 434-7400
JOHN PARIGGER
Student in an Organized Health Care Education/Training Program
2 PROFESSIONAL PARK DR STE 11
JOHNSON CITY, TN 37604
Washington County (423) 952-6474
MARIA JOHANA ZAMBRANO DO
Preventive Medicine (Addiction Medicine)
2 PROFESSIONAL PARK DR STE 11
JOHNSON CITY, TN 37604
Washington County (423) 952-6474
ANTONIA E ONKS BS
Social Worker
2 PROFESSIONAL PARK DR STE 11
JOHNSON CITY, TN 37604
Washington County (423) 952-6474
ELIZABETH ANNE LAWSON MD
Surgery
2 PROFESSIONAL PARK DR STE 11
JOHNSON CITY, TN 37604
Washington County (423) 975-5650
DR. LUKE STEPHAN ERDOES M.D.
Surgery (Vascular Surgery)
2 PROFESSIONAL PARK DR STE 11
JOHNSON CITY, TN 37604
Washington County (423) 434-7400
SAVANNA BLEVINS FNP
Nurse Practitioner (Family)
2 PROFESSIONAL PARK DR STE 11
JOHNSON CITY, TN 37604
Washington County (423) 975-5650
KARILYNN RAMOS MD
Family Medicine
2 PROFESSIONAL PARK DR STE 11
JOHNSON CITY, TN 37604
Washington County (423) 439-6464

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 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.

Where is Thomas O'donnell located?

Thomas O'donnell practices at 2 Professional Park Dr Ste 11, Johnson City, TN 37604. The listed phone number is (423) 439-6464.

What is Thomas O'donnell's specialty?

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

Is Thomas O'donnell enrolled in Medicare?

Yes. Thomas O'donnell is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Thomas O'donnell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas O'donnell reassigns Medicare benefits to Christiana Care Health System (Newark, DE). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Thomas O'donnell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Thomas O'donnell was last updated on July 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.