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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MATTHEW TYLER ODOM MD
NPI 1497458095
Family Medicine in Bristol, TN

Active since March 23, 2023PECOS Enrolled
208 MEDICAL PARK BLVD, BRISTOL, TN 37620(423) 989-4050(423) 990-3044 Get Directions Write a Review

NPPES record last updated: July 20, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 20, 2026, Mar 23, 2023 (2 updates tracked since 2023).

About Matthew Tyler Odom Md NPPES

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

MATTHEW TYLER ODOM MD (NPI 1497458095) is an individual family medicine provider in Bristol, Tennessee, licensed in Tennessee (76768) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS and is a graduate of East Tennessee State University Quillen College Of Medicine (2023).

NPPES Registry Identity

NPI1497458095
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMATTHEW TYLER ODOMCredential: MD
Location Address208 MEDICAL PARK BLVDBristol, TN 37620-7343
Mailing Address100 Vermont AveOak Ridge, TN 37830-6471 · (865) 482-1777 · Fax (865) 374-2117
Phone(423) 989-4050
Fax(423) 990-3044
Sole ProprietorNo
Medical School CMSEast Tennessee State University Quillen College Of MedicineGraduated 2023
Enumeration DateMarch 23, 2023
Last NPPES UpdateJuly 20, 20262 updates tracked since enumeration
NPPES CertifiedJuly 20, 2026
✔ NPI 1497458095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TN · 76768
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.
208 MEDICAL PARK BLVD, Bristol, TN 37620
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Matthew Tyler Odom Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID941661979
PECOS Enrollment IDI20260623003880
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 37620 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 20

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

MATTHEW RAYESKI
Student in an Organized Health Care Education/Training Program
208 MEDICAL PARK BLVD
BRISTOL, TN 37620
Sullivan County (423) 989-4050
JARVIS ETHAN PENNINGTON
Student in an Organized Health Care Education/Training Program
208 MEDICAL PARK BLVD
BRISTOL, TN 37620
Sullivan County (423) 989-4050
MADELINE GRACE SHIPLEY
Student in an Organized Health Care Education/Training Program
208 MEDICAL PARK BLVD
BRISTOL, TN 37620
Sullivan County (423) 989-4050
ANDREA LYNNE HOPKINS M.D.
Family Medicine
208 MEDICAL PARK BLVD
BRISTOL, TN 37620
Sullivan County (423) 989-4050
ROMANY AINGEAL NIGHTINGALE
Student in an Organized Health Care Education/Training Program
208 MEDICAL PARK BLVD
BRISTOL, TN 37620
Sullivan County (423) 989-4050
HANNAH BAKER DO
Student in an Organized Health Care Education/Training Program
208 MEDICAL PARK BLVD
BRISTOL, TN 37620
Sullivan County (423) 989-4050
HANNAH KELLER MD
Student in an Organized Health Care Education/Training Program
208 MEDICAL PARK BLVD
BRISTOL, TN 37620
Sullivan County (423) 984-4050
BRANDI KAY DAHL PHARMD
Pharmacist
208 MEDICAL PARK BLVD
BRISTOL, TN 37620
Sullivan County (423) 989-4050

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 Matthew Odom's NPI number?

The NPI number for Matthew Odom is 1497458095. It was assigned to this individual provider in the NPPES registry on March 23, 2023.

Where is Matthew Odom located?

Matthew Odom practices at 208 Medical Park Blvd, Bristol, TN 37620. The listed phone number is (423) 989-4050.

What is Matthew Odom's specialty?

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

Is Matthew Odom enrolled in Medicare?

Yes. Matthew Odom is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Matthew Odom was last updated on July 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 35 days 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.