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DR. NICHOLAS CARSON O'DELL M.D.
NPI 1881987329
Internal Medicine in Murray, KY

Active since May 17, 2011PECOS EnrolledAccepts Medicare Assignment
77.14/100
CMS Quality Rating
803 POPLAR ST, MURRAY, KY 42071(270) 762-1100 Get Directions Write a Review

NPPES record last updated: November 13, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 13, 2024, Apr 18, 2022, Feb 25, 2016 (3 updates tracked since 2016).

About Dr. Nicholas Carson O'dell M.d. NPPES

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

DR. NICHOLAS CARSON O'DELL M.D. (NPI 1881987329) is an individual internal medicine provider in Murray, Kentucky, licensed in Kentucky (47279) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS, is affiliated with Murray-calloway County Hospital, and maintains a secondary practice location in Murray.

NPPES Registry Identity

NPI1881987329
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. NICHOLAS CARSON O'DELLCredential: M.D.
Location Address803 POPLAR STMurray, KY 42071-2432
Mailing Address300 S 8th St, Suite 480wMurray, KY 42071-2400 · (270) 762-1515 · Fax (270) 752-2852
Phone(270) 762-1100
Sole ProprietorNo
Medical School CMSUniversity Of South Carolina School Of MedicineGraduated 2011
Enumeration DateMay 17, 2011
Last NPPES UpdateNovember 13, 20243 updates tracked since enumeration
NPPES CertifiedNovember 13, 2024
✔ NPI 1881987329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in KY · 47279
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
803 POPLAR ST, Murray, KY 42071
Open in Google Maps ↗

Secondary Practice Location 1

Location 1300 S 8th St Ste 380WMurray, KY 42071-2442 · Phone (270) 762-1515 · Fax (270) 752-2852

Other Identifiers 1

Medicaid7100058500KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.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. Nicholas Carson O'dell M.d. 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 ID5395960595
PECOS Enrollment IDI20140701002510
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 6

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.
219 services116 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
75 services74 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
75 services73 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
64 services49 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
50 services49 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.
19 services19 patients

Hospital Affiliations CMS Care Compare

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

Murray-Calloway County Hospital

Acute Care Hospitals · Murray, KY
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number180027
Location803 Poplar StreetMurray, KY 42071 · Calloway County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42071 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

77.14/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality87.75
Promoting Interoperability99
Improvement Activities40
Cost20.41

Reported Quality Measures

Breast Cancer Screening
58%43 patients3/55-star benchmark: 93%
Cervical Cancer Screening
56%50 patients3/55-star benchmark: 98%
Colorectal Cancer Screening
64%78 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
69%51 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
13%24 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
21%24 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
30%705 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
61%171 patients3/55-star benchmark: 98%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 89% · 160 patients
Patients screened: 98% · 160 patients
52%29 patients3/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
75%75 patients3/55-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 8

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

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
1 supplier11 claims11 services$69.37 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
2 suppliers14 claims67 services$2.85 avg. paid by Medicare
Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
2 suppliers15 claims15 services$60.51 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers21 claims21 services$73.02 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
5 suppliers73 claims77 services$20.42 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
5 suppliers97 claims102 services$113.78 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 20

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

MURRAY-CALLOWAY COUNTY PUBLIC HOSPITAL CORPORATION
Clinic/Center (Multi-Specialty)
803 POPLAR ST
MURRAY, KY 42071
Calloway County (270) 762-1597
EDWARD S PARRISH III CRNA
Nurse Anesthetist, Certified Registered
803 POPLAR ST
MURRAY, KY 42071
Calloway County (270) 762-1100
MRS. SARAH ELIZABETH MARTIN PT
Physical Therapist
803 POPLAR ST
MURRAY, KY 42071
Calloway County (270) 762-1139
MURRAY-CALLOWAY COUNTY PUBLIC HOSPITAL CORPORATION
Rehabilitation Unit
803 POPLAR ST
MURRAY, KY 42071
Calloway County (270) 762-1281
MURRAY-CALLOWAY COUNTY PUBLIC HOSPITAL CORPORATION
General Acute Care Hospital
803 POPLAR ST
MURRAY, KY 42071
Calloway County (270) 762-1281
KIM ATKINS GROGAN OTR
Occupational Therapist (Pediatrics)
803 POPLAR ST, MCCH REHAB
MURRAY, KY 42071
Calloway County (270) 762-1771
MURRAY-CALLOWAY COUNTY PUBLIC HOSPITAL CORPORATION
General Acute Care Hospital (Rural)
803 POPLAR ST
MURRAY, KY 42071
Calloway County (270) 762-1287
MURRAY-CALLOWAY COUNTY PUBLIC HOSPITAL CORPORATION
General Acute Care Hospital
803 POPLAR ST
MURRAY, KY 42071
Calloway County (270) 762-1100

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 Nicholas O'dell's NPI number?

The NPI number for Nicholas O'dell is 1881987329. It was assigned to this individual provider in the NPPES registry on May 17, 2011.

Where is Nicholas O'dell located?

Nicholas O'dell practices at 803 Poplar St, Murray, KY 42071. The listed phone number is (270) 762-1100.

What is Nicholas O'dell's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Nicholas O'dell enrolled in Medicare?

Yes. Nicholas O'dell 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 Nicholas O'dell accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Nicholas O'dell 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 Nicholas O'dell affiliated with any hospitals?

According to CMS data, Nicholas O'dell is affiliated with Murray-Calloway County Hospital.

When was this NPI record last updated?

The NPPES record for Nicholas O'dell was last updated on November 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.