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MR. MITCHELL GRAY ODOM NP
NPI 1699909283
Nurse Practitioner - Psychiatric/Mental Health in Annapolis, MD

Active since May 11, 2009PECOS Enrolled
79.54/100
CMS Quality Rating
2001 MEDICAL PKWY, ANNAPOLIS, MD 21401(443) 481-1000(443) 481-6515 Get Directions Write a Review

NPPES record last updated: March 9, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Mitchell Gray Odom Np NPPES

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

MR. MITCHELL GRAY ODOM NP (NPI 1699909283) is an individual psychiatric/mental health provider in Annapolis, Maryland, licensed in Maryland (AC001965) and active in the NPI registry since May 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699909283
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMR. MITCHELL GRAY ODOMCredential: NP
Location Address2001 MEDICAL PKWYAnnapolis, MD 21401-3773
Mailing Address2001 Medical PkwyAnnapolis, MD 21401-3773 · (443) 481-1000 · Fax (443) 481-6515
Phone(443) 481-1000
Fax(443) 481-6515
Sole ProprietorYes
Enumeration DateMay 11, 2009
Last NPPES UpdateMarch 9, 2017
✔ NPI 1699909283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MD · AC001965
Also ListedNurse PractitionerTaxonomy 363L00000X · License 5004355 (NC)
2001 MEDICAL PKWY, Annapolis, MD 21401
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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)

Mr. Mitchell Gray Odom Np 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 21401 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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.

79.54/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.02
Promoting Interoperability97
Improvement Activities40
Cost65.27

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.

GASHAW ADUGNA M.D
Internal Medicine
2001 MEDICAL PKWY
ANNAPOLIS, MD 21401
Anne Arundel County (240) 495-4189
DR. VANESSA MONSALVE-GOMEZ MD
Student in an Organized Health Care Education/Training Program
2001 MEDICAL PKWY
ANNAPOLIS, MD 21401
Anne Arundel County (443) 481-5543
MS. STEPHANIE ZWONITZER CRNP
Nurse Practitioner
2001 MEDICAL PKWY
ANNAPOLIS, MD 21401
Anne Arundel County (443) 481-1750
HEATHER ZACK
General Acute Care Hospital
2001 MEDICAL PKWY
ANNAPOLIS, MD 21401
Anne Arundel County (443) 927-6383
SARAH LYNN HERN LCSW-C
Counselor (Mental Health)
2001 MEDICAL PKWY
ANNAPOLIS, MD 21401
Anne Arundel County (443) 481-1272
RIYO RAJAN PHARMD
Pharmacist (Oncology)
2001 MEDICAL PKWY
ANNAPOLIS, MD 21401
Anne Arundel County (443) 481-4157
DIMENSIONS HEALTHCARE ASSOCIATES INC
Obstetrics & Gynecology
2001 MEDICAL PKWY
ANNAPOLIS, MD 21401
Anne Arundel County (443) 481-1000
ERIC HADHAZY
Student in an Organized Health Care Education/Training Program
2001 MEDICAL PKWY
ANNAPOLIS, MD 21401
Anne Arundel County (443) 481-4142

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 Mitchell Odom's NPI number?

The NPI number for Mitchell Odom is 1699909283. It was assigned to this individual provider in the NPPES registry on May 11, 2009.

Where is Mitchell Odom located?

Mitchell Odom practices at 2001 Medical Pkwy, Annapolis, MD 21401. The listed phone number is (443) 481-1000.

What is Mitchell Odom's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Mitchell Odom enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Mitchell Odom was last updated on March 9, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.