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DR. TODD A ODOM MD
NPI 1801860952
Colon & Rectal Surgery in Plano, TX

Active since February 15, 2006PECOS EnrolledAccepts Medicare Assignment
91.76/100
CMS Quality Rating
1705 OHIO DR, SUITE 100, PLANO, TX 75093(972) 612-0430 Get Directions Write a Review

NPPES record last updated: April 14, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 14, 2026, Oct 26, 2017 (2 updates tracked since 2017).

About Dr. Todd A Odom Md NPPES

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

DR. TODD A ODOM MD (NPI 1801860952) is an individual colon & rectal surgery provider in Plano, Texas, licensed in Texas (J4400) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Texas Health Presbyterian Hospital Plano, and maintains a secondary practice location in Frisco.

NPPES Registry Identity

NPI1801860952
Entity TypeIndividualMale
Primary Taxonomy208C00000X
Provider Legal NameDR. TODD A ODOMCredential: MD
Location Address1705 OHIO DR, SUITE 100Plano, TX 75093-5255
Mailing Address1705 Ohio Dr Ste 100Plano, TX 75093-5256 · (972) 612-0430 · Fax (972) 612-0529
Phone(972) 612-0430
Sole ProprietorNo
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 1992
Enumeration DateFebruary 15, 2006
Last NPPES UpdateApril 14, 20262 updates tracked since enumeration
NPPES CertifiedApril 14, 2026
✔ NPI 1801860952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
License✔ Licensed in TX · J4400
Definition
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
1705 OHIO DR, Plano, TX 75093
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Other Names 1

Other Name (5)Dr. Todd Odom Md

Secondary Practice Location 1

Location 113136 Dallas Pkwy Ste 530Frisco, TX 75033-4247 · Phone (972) 612-0430 · Fax (972) 612-0529

Other Identifiers 2

Other280001123TX · Medicare Railroad
Other8Z1392TX · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Molina Healthcare, Oscar Insurance Company.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

Dr. Todd A Odom 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 ID4082606470
PECOS Enrollment IDI20100505000407
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 7

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.

Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
477 services477 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
436 services367 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
136 services136 patients
Diagnostic exam of anus using an endoscope 46600
This procedure involves using a thin, flexible instrument called an endoscope to examine the anal area. It helps detect any abnormal conditions or issues. It's a safe, routine exam performed by a healthcare professional.
107 services99 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
45 services45 patients
Removal of external hemorrhoids by rubber banding 46221
Rubber band ligation is a procedure used to treat external hemorrhoids. A doctor places small rubber bands around the base of the hemorrhoids. This cuts off blood supply, causing them to shrink and fall off, typically within a week.
22 services19 patients

Hospital Affiliations CMS Care Compare

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

Texas Health Presbyterian Hospital Plano

Acute Care Hospitals · Plano, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450771
Location6200 W Parker RdPlano, TX 75093 · Collin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75093 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
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
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.

91.76/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality72.55
Promoting Interoperability100
Improvement Activities40
Cost100

Reported Quality Measures

Advance Care Plan
69%724 patients3/55-star benchmark: 100%
Colorectal Cancer Screening
88%949 patients5/55-star benchmark: 88%
Controlling High Blood Pressure
0%29 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
99%2,290 patients4/55-star benchmark: 100%
e-Prescribing
98%1,359 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
2%696 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
26%1,687 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
0%2,064 patients1/55-star benchmark: 61%
Provide Patients Electronic Access to Their Health Information
91%482 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
81%117 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 731 patients
Patients totalRate: 5% · 731 patients
5%731 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Ostomy skin barrier, liquid (spray, brush, etc.), per oz A4369
DME-Orthotic Devices · category DF010N
3 suppliers13 claims29 services$2.10 avg. paid by Medicare
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385
DME-Orthotic Devices · category DF010N
4 suppliers18 claims540 services$4.15 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each A4407
DME-Orthotic Devices · category DF010N
3 suppliers14 claims430 services$8.03 avg. paid by Medicare
Adhesive remover, wipes, any type, each A4456
DME-Medical/Surgical Supplies · category DA000N
3 suppliers12 claims625 services$0.21 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 10

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

NORTH DALLAS ADVANCED DIAGNOSTIC PA
Chiropractor
1705 OHIO DR, SUITE 200 A
PLANO, TX 75093
Collin County (866) 620-5987
PLANO AMI LP
Clinic/Center (Radiology)
1705 OHIO DR, SUITE 300
PLANO, TX 75093
Collin County (972) 596-1000
MICHAEL TABA MD PA
Orthopaedic Surgery
1705 OHIO DR, SUITE 200
PLANO, TX 75093
Collin County (972) 758-3598
DR. JULIE K LEVERTON MD
Colon & Rectal Surgery
1705 OHIO DR, SUITE 100
PLANO, TX 75093
Collin County (972) 612-0430
DR. SALIM H JABBOUR MD
Colon & Rectal Surgery
1705 OHIO DR, SUITE 100
PLANO, TX 75093
Collin County (972) 612-0430
MICHAEL TABA MD PA
Orthopaedic Surgery
1705 OHIO DR, SUITE 200
PLANO, TX 75093
Collin County (972) 964-2626
PLANO AMI, LP
Clinic/Center (Magnetic Resonance Imaging (MRI))
1705 OHIO DR, STE 300
PLANO, TX 75093
Collin County (972) 596-1000
DR. MICHAEL M TABA MD
Orthopaedic Surgery
1705 OHIO DR, SUITE 200
PLANO, TX 75093
Collin County (972) 758-3598

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 Todd Odom's NPI number?

The NPI number for Todd Odom is 1801860952. It was assigned to this individual provider in the NPPES registry on February 15, 2006. The provider is also known as Dr. Todd Odom MD.

Where is Todd Odom located?

Todd Odom practices at 1705 Ohio Dr Suite 100, Plano, TX 75093. The listed phone number is (972) 612-0430.

What is Todd Odom's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is Todd Odom enrolled in Medicare?

Yes. Todd 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.

What insurance does Todd Odom accept?

Health plans from Baylor Scott and White Health Plan, Molina Healthcare and Oscar Insurance Company list Todd 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 Todd Odom affiliated with any hospitals?

According to CMS data, Todd Odom is affiliated with Texas Health Presbyterian Hospital Plano.

When was this NPI record last updated?

The NPPES record for Todd Odom was last updated on April 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.