DR. TARA L ODLE (MD) – Emergency Medicine Physician, NPI 1184726085

DR. TARA L ODLE (MD) is a healthcare provider. based in Louisville, Kentucky. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 35847 (KY). The NPI Number for DR. TARA L ODLE (MD) is 1184726085

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. TARA L ODLE (MD)
NPI
1184726085
Phone
(502) 899-7646
Address
PO BOX 6749
Enumeration Date
1 September 2006
Last Update Date
7 March 2023

Doctor Profile

Medical School Name
TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Secondary Phone
5028978100
Graduation Year
1999 (27 years ago)
PAC ID
8921147265
Group Practice PAC ID
2860890704
Professional Enrollment ID
I20091130000481
Address ID
KY402074605LO4000XWAYX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

886 EMERGENCY MEDICINE in KY

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Provider Addresses for DR. TARA L ODLE (MD)

  • Louisville Post Office, West Dahlia Street, Louisville, Boulder County, Colorado, 80027, United States

    LOUISVILLE, KY 402060749

    Phone: (502) 899-7646

    Fax: (502) 899-7648

    Type: Mailing

  • Baptist Health Louisville, 4000, Kresge Way, Springlee, Louisville, Jefferson County, Kentucky, 40207, United States

    EMERGENCY DEPARTMENT BAPTIST HEALTH LOUISVILLE

    LOUISVILLE, KY 402074605

    Phone: (502) 899-7646

    Fax: (502) 899-7648

    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 $19.

Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.

Last reported payment date: 2023-03-14 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($19).

Total Amount

$19

General + Research + Ownership

Payments

1

Total payment records

General Amount

$19

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-14

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: 2009-11-30

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
I20091130000481IEmergency MedicineKYTBD

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
99285Emergency department visit with high level of medical decision making261259$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only178166$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes9493$0
99239Hospital discharge day management, more than 30 minutes6565$0
99284Emergency department visit with moderate level of medical decision making4848$0
View full utilization report →

Insurance plans in this area (ZIP 40206)

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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: 2860890704View full group profile
NameSpecialtyState
Emergency MedicineKY
Emergency MedicineKY
Emergency MedicineKY
Emergency MedicineKY
Emergency MedicineKY
Emergency MedicineKY
Emergency MedicineKY
Nurse PractitionerKY
Physician AssistantKY
Nurse PractitionerKY

Reviews

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Frequently asked questions

What number should I use to identify DR. TARA L ODLE (MD) for billing?
Administrative and clinical systems typically use NPI 1184726085 for DR. TARA L ODLE (MD).
Does the public listing show DR. TARA L ODLE (MD) as active?
DR. TARA L ODLE (MD)'s NPI record reflects an active status in NPPES.
Which specialty label fits DR. TARA L ODLE (MD)?
NPPES ties DR. TARA L ODLE (MD) to Emergency Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. TARA L ODLE (MD)?
DR. TARA L ODLE (MD) shows a connection to Louisville, Kentucky in registry-derived data.
Why is information missing for DR. TARA L ODLE (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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