EMILEE ODOM (PA-C) – Physician Assistant, NPI 1417306580
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
640 PHYSICIAN ASSISTANT in AR
Provider Addresses for EMILEE ODOM (PA-C)
1604 E Moore Ave
Searcy, AR 721434633
Phone: (501) 268-1500
Fax: (501) 268-1505
Type: Location
500 S University Ave Ste 708
Little Rock, AR 722055372
Phone: (501) 221-2700
Fax: (501) 246-5323
Type: Location
4261 STOCKTON DRIVE SUITE LL100
NORTH LITTLE ROCK, AR 72117
Phone: (501) 975-7456
Fax: (501) 978-1822
Type: Mailing
15506 Highway 5 Ste A
Cabot, AR 720237695
Phone: (501) 941-3101
Fax: (501) 941-3105
Type: Location
9601 BAPTIST HEALTH DR STE 860
LITTLE ROCK, AR 72205
Phone: (501) 975-7455
Fax: (501) 975-3631
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 204 Open Payments records for all available years, with a total value of $3,296.
Total Amount is formed as General ($3,296) + Research ($0) + Ownership ($0) = $3,296.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($882).
Total Amount
$3,296
General + Research + Ownership
Payments
204
Total payment records
General Amount
$3,296
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novartis Pharmaceuticals Corporation | $882 |
| UCB, Inc. | $404 |
| ABBVIE INC. | $348 |
| Lilly USA, LLC | $257 |
| E.R. Squibb & Sons, L.L.C. | $248 |
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: 2017-04-27
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20170427000159 | I | Physician Assistant | AR | 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 |
|---|---|---|---|---|
| J7345 | Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg | 10,000 | 43 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 1,952 | 361 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 1,390 | 966 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 735 | 538 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 494 | 414 | $0 |
Insurance plans in this area (ZIP 72143)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | AR | |
| Nurse Practitioner | AR | |
| Physician Assistant | AR | |
| - | AR | |
| Physician Assistant | AR | |
| Physician Assistant | AR | |
| Physician Assistant | AR | |
| Physician Assistant | AR | |
| Physician Assistant | AR | |
| Physician Assistant | TX |
Reviews
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