RILEY ODOM NP-C
NPI 1437659190
Nurse Practitioner - Critical Care Medicine in Saint Paul, MN

Active since February 19, 2018PECOS EnrolledAccepts Medicare Assignment
87.63/100
CMS Quality Rating
559 CAPITOL BLVD, SAINT PAUL, MN 55103(651) 232-2000 Get Directions Write a Review

NPPES record last updated: March 22, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 22, 2018, Feb 19, 2018 (2 updates tracked since 2018).

About Riley Odom Np-c NPPES

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

RILEY ODOM NP-C (NPI 1437659190) is an individual critical care medicine provider in Saint Paul, Minnesota, licensed in Minnesota (5737) and active in the NPI registry since February 2018. He is enrolled in Medicare PECOS, is affiliated with M Health Fairview St John's Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1437659190
Entity TypeIndividualMale
Primary Taxonomy363LC0200X
Provider Legal NameRILEY ODOMCredential: NP-C
Location Address559 CAPITOL BLVDSaint Paul, MN 55103-2101
Mailing Address2318 Taft St NeMinneapolis, MN 55418-4132
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateFebruary 19, 2018
Last NPPES UpdateMarch 22, 20182 updates tracked since enumeration
✔ NPI 1437659190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Critical Care MedicinePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LC0200X
License✔ Licensed in MN · 5737
559 CAPITOL BLVD, Saint Paul, MN 55103

Accepted 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

Riley Odom Np-c 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 ID1850654641
PECOS Enrollment IDI20180409001188
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

9

Medicare enrollment records show Riley Odom reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinic/Center
45 10TH ST W STE 3000
Saint Paul, MN 55102
  • Reassigned Medicare billing, Minnesota enrollment
  • 3,633 clinicians in this Medicare group
Internal Medicine
45 10TH STREET WEST
Saint Paul, MN 55102
  • Reassigned Medicare billing, Minnesota enrollment
  • Medicare enrollment name: Healtheast Medical Research Institute
  • 2,361 clinicians in this Medicare group
Long Term Care Hospital
45 10TH ST W
Saint Paul, MN 55102
  • Reassigned Medicare billing, Minnesota enrollment
  • 671 clinicians in this Medicare group
Anesthesiology
1700 UNIVERSITY AVE W
Saint Paul, MN 55104
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,178 clinicians in this Medicare group
Anesthesiology
909 FULTON ST SE
Minneapolis, MN 55455
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,662 clinicians in this Medicare group
Multi-Specialty
720 WASHINGTON AVE SE STE 200
Minneapolis, MN 55414
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,453 clinicians in this Medicare group
General Acute Care Hospital
2450 RIVERSIDE AVE, OUTREACH LAB DEPARTMENT
Minneapolis, MN 55454
  • Reassigned Medicare billing, Minnesota enrollment
  • 4,038 clinicians in this Medicare group
General Acute Care Hospital
1925 WOODWINDS DR
Woodbury, MN 55125
  • Reassigned Medicare billing, Minnesota enrollment
  • 955 clinicians in this Medicare group
Multi-Specialty
2820 INGLEWOOD AVE S
St Louis Park, MN 55416
  • Reassigned Medicare billing, Minnesota enrollment
  • 50 clinicians in this Medicare group

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 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
314 services33 patients
Follow-up inpatient or observation ventilation assistance and management 94003
Follow-up inpatient or observation ventilation assistance and management involves continuous monitoring and adjustment of your ventilator while in the hospital. This ensures your lungs receive the right amount of air, promoting your recovery and well-being.
222 services18 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
39 services31 patients

Hospital Affiliations CMS Care Compare

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

M Health Fairview St John's Hospital

Acute Care Hospitals · Maplewood, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240210
Location1575 Beam AvenueMaplewood, MN 55109 · Ramsey County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55103 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.78
Promoting Interoperability100
Improvement Activities40
Cost71.59

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.

Psychologist
559 CAPITOL BLVD
SAINT PAUL, MN 55103
Internal Medicine
559 CAPITOL BLVD
SAINT PAUL, MN 55103
Physical Therapist
559 CAPITOL BLVD
SAINT PAUL, MN 55103
Clinical Nurse Specialist
559 CAPITOL BLVD
SAINT PAUL, MN 55103
Psychologist
559 CAPITOL BLVD
SAINT PAUL, MN 55103
Internal Medicine
559 CAPITOL BLVD
SAINT PAUL, MN 55103
Social Worker
559 CAPITOL BLVD
SAINT PAUL, MN 55103
Occupational Therapist (Physical Rehabilitation)
559 CAPITOL BLVD
SAINT PAUL, MN 55103

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 Riley Odom's NPI number?

The NPI number for Riley Odom is 1437659190. It was assigned to this individual provider in the NPPES registry on February 19, 2018.

Where is Riley Odom located?

Riley Odom practices at 559 Capitol Blvd, Saint Paul, MN 55103. The listed phone number is (651) 232-2000.

What is Riley Odom's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Critical Care Medicine, with taxonomy code 363LC0200X.

Is Riley Odom enrolled in Medicare?

Yes. Riley 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.

Which organizations bill Medicare for Riley Odom's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Riley Odom reassigns Medicare benefits to 9 organizations: Fairview Express Care (Saint Paul, MN), Healtheast Medical Research Insititue (Saint Paul, MN), Fairview Bethesda Hospital (Saint Paul, MN), Healtheast St. John's Hospital (Saint Paul, MN), University Of Minnesota Health Clinics And Surgery Center Inc (Minneapolis, MN) and 4 more organizations, listed in the Medicare section above. Each 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 Riley Odom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Riley Odom accept?

Health plans from Sanford Health Plan list Riley 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.

Is Riley Odom affiliated with any hospitals?

According to CMS data, Riley Odom is affiliated with M Health Fairview St John's Hospital.

When was this NPI record last updated?

The NPPES record for Riley Odom was last updated on March 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.