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TIMOTHY W. ODELL MD
NPI 1972693588
Internal Medicine in Salt Lake City, UT

Active since October 13, 2006PECOS Enrolled
555 FOOTHILL BLVD, MADSEN HEALTH CLINIC, SALT LAKE CITY, UT 84112(801) 581-7790 Get Directions Write a Review

NPPES record last updated: November 10, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Timothy W. Odell Md NPPES

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

TIMOTHY W. ODELL MD (NPI 1972693588) is an individual internal medicine provider in Salt Lake City, Utah, licensed in Utah (186056-1205) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972693588
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameTIMOTHY W. ODELLCredential: MD
Location Address555 FOOTHILL BLVD, MADSEN HEALTH CLINICSalt Lake City, UT 84112
Mailing AddressPo Box 581700Salt Lake City, UT 84158-1700 · (801) 213-3800
Phone(801) 581-7790
Sole ProprietorNo
Enumeration DateOctober 13, 2006
Last NPPES UpdateNovember 10, 2021
NPPES CertifiedNovember 10, 2021
✔ NPI 1972693588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in UT · 186056-1205
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.
555 FOOTHILL BLVD, Salt Lake City, UT 84112
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Timothy W. Odell Md 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.

Medicare Billing Reassignment

Medicare enrollment records show Timothy Odell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Utah Community Physicians Group
Same address
Family Medicine
555 FOOTHILL DR, STE 600
Salt Lake City, UT 84112
  • Reassigned Medicare billing, Utah enrollment
  • 295 clinicians in this Medicare group
NPI 1912301615 (801) 587-6336

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84112 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
$125.70 typical visit price
range $54.34 – $166.03
Typical copayment $31.42 (range $13.58 – $41.50)
Most-billed visit code 99204
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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.

Referred Medical Equipment & Supplies CMS DME claims

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

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
2 suppliers14 claims14 services$65.34 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Timothy Odell's NPI number?

The NPI number for Timothy Odell is 1972693588. It was assigned to this individual provider in the NPPES registry on October 13, 2006.

Where is Timothy Odell located?

Timothy Odell practices at 555 Foothill Blvd Madsen Health Clinic, Salt Lake City, UT 84112. The listed phone number is (801) 581-7790.

What is Timothy Odell's specialty?

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

Is Timothy Odell enrolled in Medicare?

Yes. Timothy Odell is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Timothy Odell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Odell reassigns Medicare benefits to University Of Utah Community Physicians Group (Salt Lake City, UT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Timothy Odell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Timothy Odell was last updated on November 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.