TRACY ODOM (CRNP) – Psychiatry Physician, NPI 1104332527
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,653 NURSE PRACTITIONER in AL
Provider Addresses for TRACY ODOM (CRNP)
24245 5TH AVE
FLORALA, AL 364423523
Phone: (334) 684-9208
Fax: (334) 684-1302
Type: Location
24245 5th Ave
Florala, AL 364423523
Phone: (334) 809-8049
Type: Location
PO BOX 8308
DOTHAN, AL 363040308
Phone: (334) 673-8869
Fax: (334) 673-8851
Type: Mailing
Regency Court, Dothan, Houston County, Alabama, 36305, United States
DOTHAN, AL 363051179
Phone: (334) 673-8869
Fax: (334) 673-8851
Type: Location
PO BOX 342
FLORALA, AL 364420342
Phone: (334) 809-8049
Type: Mailing
101 E PAULK AVE STE A
OPP, AL 364671727
Phone: (334) 493-0311
Fax: (334) 493-0355
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 14 Open Payments records for all available years, with a total value of $304.
Total Amount is formed as General ($304) + Research ($0) + Ownership ($0) = $304.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: ABBVIE INC. ($142).
Total Amount
$304
General + Research + Ownership
Payments
14
Total payment records
General Amount
$304
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $142 |
| AstraZeneca Pharmaceuticals LP | $35 |
| PFIZER INC. | $31 |
| Lilly USA, LLC | $27 |
| Axsome Therapeutics, Inc. | $21 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2021-01-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210108001668 | I | Nurse Practitioner | AL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 709 | 57 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 321 | 109 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 294 | 78 | $0 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 240 | 40 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 142 | 78 | $0 |
Insurance plans in this area (ZIP 36442)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | AL |
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