DR. MATTHEW RICHARD ODOM (M.D.) – Emergency Medicine Physician, NPI 1780828988

DR. MATTHEW RICHARD ODOM (M.D.) is a healthcare provider. based in Starke, Florida. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. TRN13500 (FL). The NPI Number for DR. MATTHEW RICHARD ODOM (M.D.) is 1780828988

Main info

Male
Sole Proprietor
17 Years Of Experience
Name
DR. MATTHEW RICHARD ODOM (M.D.)
NPI
1780828988
Phone
(904) 368-2300
Address
922 E Call St
Enumeration Date
1 May 2009
Last Update Date
23 October 2018

Doctor Profile

Medical School Name
UNIVERSITY OF MIAMI, LM MILLER SCHOOL OF MEDICINE
Secondary Phone
3523797900
Graduation Year
2009 (17 years ago)
PAC ID
2769645126
Group Practice PAC ID
7315966850
Professional Enrollment ID
I20120522000996
Address ID
FL326014998GA1050XAVEX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:17State licenses:2Digital endpointsOther names

3,232 EMERGENCY MEDICINE in FL

Provider Addresses for DR. MATTHEW RICHARD ODOM (M.D.)

  • 922 E Call St

    Starke, FL 320913616

    Phone: (904) 368-2300

    Fax: (904) 368-2306

    Type: Location

  • Corporate Boulevard, Lafayette, Lafayette Parish, Louisiana, 70502, United States

    LAFAYETTE, LA 705083870

    Phone: (800) 893-9698

    Type: Mailing

  • 20, Northwest 8th Avenue, Duckpond, City of Gainesville Municipal Boundaries, Alachua County, Florida, 32601, United States

    GAINESVILLE, FL 326014998

    Phone: (352) 379-7900

    Fax: (352) 379-2971

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $20.

Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.

Last reported payment date: 2023-08-11 • Largest payer in this snapshot: Inspire Medical Systems, Inc. ($20).

Total Amount

$20

General + Research + Ownership

Payments

1

Total payment records

General Amount

$20

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-11

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: 2012-05-22

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
I20120522000996IEmergency MedicineFLTBD

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
99284Emergency department visit with moderate level of medical decision making329313$0
99213Established patient office or other outpatient visit, 20-29 minutes310113$0
99285Emergency department visit with high level of medical decision making209196$0
99283Emergency department visit with low level of medical decision making7777$0
99214Established patient office or other outpatient visit, 30-39 minutes5747$0
View full utilization report →

Insurance plans in this area (ZIP 32091)

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Provider's Procedures

DR. MATTHEW RICHARD ODOM (M.D.) performs procedures in EMERGENCY MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
EMERGENCY MEDICINEFL20610Aspiration and/or injection of large joint or joint capsule2214

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: 7315966850View full group profile
NameSpecialtyState
Family Practice, Addiction Medicine, General PracticeFL
Emergency Medicine, Addiction Medicine, Family PracticeFL
Family Practice, Emergency MedicineFL

Reviews

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Frequently asked questions

How is DR. MATTHEW RICHARD ODOM (M.D.) identified in CMS data?
CMS-hosted NPPES data lists DR. MATTHEW RICHARD ODOM (M.D.) with NPI 1780828988.
Is DR. MATTHEW RICHARD ODOM (M.D.) still practicing?
DR. MATTHEW RICHARD ODOM (M.D.) is currently listed as active in the public NPI registry.
What is DR. MATTHEW RICHARD ODOM (M.D.)'s primary classification?
Emergency Medicine Physician is the headline specialty for DR. MATTHEW RICHARD ODOM (M.D.) here. Clinical services aligned with this taxonomy classification.
What address line appears for DR. MATTHEW RICHARD ODOM (M.D.)?
DR. MATTHEW RICHARD ODOM (M.D.)'s geographic hint is Starke, Florida in our summary view.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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