JAMES ODONE – Diagnostic Radiology Physician, NPI 1104005172

JAMES ODONE is a healthcare provider. based in Travis afb, California. specializing in Diagnostic Radiology Physician. They hold a License No. MD61064494 (WA). The NPI Number for JAMES ODONE is 1104005172

Main info

Male
Sole Proprietor
20 Years Of Experience
Accepts Medicare Assignment
Name
JAMES ODONE
NPI
1104005172
Phone
Not provided
Address
101 BODIN CIR
Enumeration Date
26 October 2007
Last Update Date
23 January 2022

Doctor Profile

Medical School Name
UNIFORMED SERVICES UHS FE HEBERT SCHOOL OF MED
Secondary Phone
3072349037
Graduation Year
2006 (20 years ago)
PAC ID
2668609926
Group Practice PAC ID
2264340843
Professional Enrollment ID
I20181120001891
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:18State licenses:2Digital endpointsOther names

Provider Addresses for JAMES ODONE

  • 101 BODIN CIR

    TRAVIS AFB, CA 945351809

    Phone:

    Type: Mailing

  • 19020 33RD AVE W

    STE 210

    LYNNWOOD, WA 980364748

    Phone: (425) 563-1500

    Fax: (425) 563-1374

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2018-11-20

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
I20181120001891IDiagnostic RadiologyWYTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
71045X-ray of chest, 1 view427351$0
71046X-ray of chest, 2 views186181$0
70450Ct scan head or brain without contrast150132$0
74177Ct scan of abdomen and pelvis with contrast136134$0
77067Screening mammography109109$0
View full utilization report →

Insurance plans in this area (ZIP 94535)

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Provider's Procedures

JAMES ODONE performs procedures in Diagnostic Radiology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYCA71010X-ray of chest, 1 view, front3632

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: 2264340843View full group profile
NameSpecialtyState
Diagnostic Radiology, Nuclear MedicineNJ
Nurse PractitionerWY
Certified Registered Nurse Anesthetist (Crna)WY
Family PracticeMO
Emergency MedicineOR
A N E S T H E S I O L O G YWY
Hand Surgery, Orthopedic SurgeryWY
O B S T E T R I C S/ G Y N E C O L O G YNY
-WY
N E U R O S U R G E R YMI

Reviews

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Frequently asked questions

What is the 10-digit NPI for JAMES ODONE?
JAMES ODONE — NPI 1104005172 — is the standard way to identify this listing.
Does CMS list JAMES ODONE as active?
Yes — JAMES ODONE is active in the NPI listing used on this page.
What is JAMES ODONE's specialty?
The listing groups JAMES ODONE with Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Where is JAMES ODONE based?
JAMES ODONE is tied to Travis Afb, California in the data we show; additional addresses may exist on the full record.
Is the information about JAMES ODONE up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."