STEPHANIE DENISE O'DONNELL MD
NPI 1497859847
Family Medicine in Mexia, TX

Active since September 07, 2006PECOS EnrolledAccepts Medicare Assignment
6407 FM 39 N, MEXIA, TX 76667(254) 426-8901(848) 213-0771 Get Directions Write a Review

NPPES record last updated: September 22, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 22, 2022, May 5, 2021, Apr 22, 2021 and 2 more (5 updates tracked since 2017).

About Stephanie Denise O'donnell Md NPPES

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

STEPHANIE DENISE O'DONNELL MD (NPI 1497859847) is an individual family medicine provider in Mexia, Texas, licensed in Texas (M1438) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with Navarro Regional Hospital, and is a graduate of Uniformed Services Uhs Fe Hebert School Of Med (1995).

NPPES Registry Identity

NPI1497859847
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSTEPHANIE DENISE O'DONNELLCredential: MD
Location Address6407 FM 39 NMexia, TX 76667-4922
Mailing Address6407 Fm 39 NMexia, TX 76667-4922 · (903) 903-1790 · Fax (848) 213-0771
Fax(848) 213-0771
Sole ProprietorYes
Medical School CMSUniformed Services Uhs Fe Hebert School Of MedGraduated 1995
Enumeration DateSeptember 7, 2006
Last NPPES UpdateSeptember 22, 20225 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2022
NPI 1497859847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in TX · M1438
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.
6407 FM 39 N, Mexia, TX 76667

Other Names 1

Former Name (1)Stephanie Denise Redding Md

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

Stephanie Denise O'donnell Md 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 ID9436184587
PECOS Enrollment IDI20050928000495
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 4

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.

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
23 services23 patients
Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
21 services12 patients
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a G0179
This procedure involves a doctor or approved practitioner reviewing your health status and re-certifying your need for Medicare-covered home health services. It includes communication with the home health agency and assessment of your health reports, even when you're not physically present.
20 services15 patients
Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes 99345
A new patient home visit is a comprehensive 75-minute appointment conducted at your home. The healthcare professional will assess your health, discuss any concerns, and create a personalized care plan. It's convenient, comfortable, and tailored to your specific needs.
17 services17 patients

Hospital Affiliations CMS Care Compare 4

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

Navarro Regional Hospital

Acute Care Hospitals · Corsicana, TX
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450447
Location3201 West Highway 22Corsicana, TX 75110 · Navarro County
Emergency services Birthing friendly

Freestone Medical Center

Acute Care Hospitals · Fairfield, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450658
Location125 Newman StFairfield, TX 75840 · Freestone County
Emergency services

Limestone Medical Center

Critical Access Hospitals · Groesbeck, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number451303
Location701 Mcclintic DriveGroesbeck, TX 76642 · Limestone County
Emergency services

Hill Regional Hospital

Critical Access Hospitals · Hillsboro, TX
OwnershipVoluntary non-profit - Private
CMS Certification Number451395
Location101 Circle DriveHillsboro, TX 76645 · Hill County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76667 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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

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

Family Medicine
6407 FM 39 N
MEXIA, TX 76667

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 Stephanie O'donnell's NPI number?

The NPI number for Stephanie O'donnell is 1497859847. It was assigned to this individual provider in the NPPES registry on September 7, 2006. The provider is also known as Stephanie Denise Redding MD.

Where is Stephanie O'donnell located?

Stephanie O'donnell practices at 6407 Fm 39 N, Mexia, TX 76667. The listed phone number is (254) 426-8901.

What is Stephanie O'donnell's specialty?

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

Is Stephanie O'donnell enrolled in Medicare?

Yes. Stephanie O'donnell 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 Stephanie O'donnell accept?

Health plans from Blue Cross and Blue Shield of Texas list Stephanie O'donnell 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 Stephanie O'donnell affiliated with any hospitals?

According to CMS data, Stephanie O'donnell is affiliated with Navarro Regional Hospital, Freestone Medical Center, Limestone Medical Center and Hill Regional Hospital.

When was this NPI record last updated?

The NPPES record for Stephanie O'donnell was last updated on September 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.