JON DAVID ODEN (MD) – Pediatric Endocrinology Physician, NPI 1467413674

JON DAVID ODEN (MD) is a healthcare provider. based in Little rock, Arkansas. specializing in ENDOCRINOLOGY, PEDIATRIC MEDICINE. They hold the professional credentials MD. They hold a License No. K5644 (TX). The NPI Number for JON DAVID ODEN (MD) is 1467413674

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
JON DAVID ODEN (MD)
NPI
1467413674
Phone
(501) 686-8000
Address
1 CHILDRENS WAY # 653
Enumeration Date
29 March 2006
Last Update Date
26 May 2015

Doctor Profile

Medical School Name
TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Secondary Phone
5013641100
Graduation Year
1997 (29 years ago)
PAC ID
3870493679
Group Practice PAC ID
4082528955
Professional Enrollment ID
I20150707001987
Address ID
AR722023571LI1XXXXWAYX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

55 ENDOCRINOLOGY in AR

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Provider Addresses for JON DAVID ODEN (MD)

  • Children's Way, Little Rock, Pulaski County, Arkansas, 72202, United States

    LITTLE ROCK, AR 722023500

    Phone: (501) 686-8000

    Fax: (501) 526-6562

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $486.

Total Amount is formed as General ($486) + Research ($0) + Ownership ($0) = $486.

Last reported payment date: 2024-07-11 • Largest payer in this snapshot: SANOFI-AVENTIS U.S. LLC ($305).

Total Amount

$486

General + Research + Ownership

Payments

11

Total payment records

General Amount

$486

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-11

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2015-07-07

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150707001987IEndocrinologyARTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 72202)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4082528955View full group profile
NameSpecialtyState
N E U R O L O G YAR
-AR
Internal MedicineNY
Internal Medicine, NephrologyAR
-AR
-AR
Nurse PractitionerAR
P S Y C H I A T R YAR
-AR
-AR

Reviews

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Frequently asked questions

Does JON DAVID ODEN (MD) have a public NPI I can cite?
Public records show JON DAVID ODEN (MD) under NPI 1467413674.
Is JON DAVID ODEN (MD)'s NPI status active today?
Active status means JON DAVID ODEN (MD)'s NPI record is not deactivated in the public file.
What does the directory say JON DAVID ODEN (MD) does?
Insurance directories may phrase it differently, but here JON DAVID ODEN (MD) maps to Pediatric Endocrinology Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to JON DAVID ODEN (MD)?
JON DAVID ODEN (MD) is associated with Little Rock, Arkansas in the same public data insurers reference.
Why is information missing for JON DAVID ODEN (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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