KENNETH FRANKLIN ODOM (PA) – Physician Assistant, NPI 1982639738
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,201 PHYSICIAN ASSISTANT in AL
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Provider Addresses for KENNETH FRANKLIN ODOM (PA)
PO BOX 729
DOTHAN, AL 363020729
Phone: (334) 793-2663
Fax: (334) 836-2247
Type: Mailing
1500, Ross Clark Circle, Morris Heights, Dothan, Houston County, Alabama, 36301, United States
DOTHAN, AL 363014754
Phone: (334) 793-2663
Fax: (334) 836-2247
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $165.
Total Amount is formed as General ($165) + Research ($0) + Ownership ($0) = $165.
Last reported payment date: 2024-10-02 • Largest payer in this snapshot: Prime Surgical, LLC ($85).
Total Amount
$165
General + Research + Ownership
Payments
5
Total payment records
General Amount
$165
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-02
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2006-10-18
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 |
|---|---|---|---|---|
| I20061018000656 | I | Physician Assistant | 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 |
|---|---|---|---|---|
| J7325 | Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg | 2,112 | 27 | $0 |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 1,445 | 219 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 680 | 371 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 448 | 242 | $0 |
| 73560 | X-ray of knee, 1-2 views | 366 | 236 | $0 |
Insurance plans in this area (ZIP 36302)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | AL | 20610 | Aspiration and/or injection of large joint or joint capsule | 649 | 301 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | AL | |
| Physician Assistant | PA | |
| P O D I A T R Y | AL | |
| Orthopedic Surgery | AL | |
| Nurse Practitioner | AL | |
| Orthopedic Surgery | AL | |
| - | AL | |
| Orthopedic Surgery | AL | |
| Physician Assistant | AL | |
| - | AL |
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