MR. ISAAC NATHAN O'DELL (PA) – Surgical Physician Assistant, NPI 1821035908
Surgical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,118 PHYSICIAN ASSISTANT in TN
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Provider Addresses for MR. ISAAC NATHAN O'DELL (PA)
Paducah Post Office, South 4th Street, Paducah, McCracken County, Kentucky, 42003, United States
PADUCAH, KY 420029150
Phone: (270) 744-9600
Fax: (270) 744-0834
Type: Mailing
701, Med Tech Parkway, Camelot Two, Johnson City, Washington County, Tennessee, 37604, United States
SUITE 300
JOHNSON CITY, TN 376042365
Phone: (423) 232-8301
Fax: (423) 232-8304
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 77 Open Payments records for all available years, with a total value of $1,269.
Total Amount is formed as General ($1,269) + Research ($0) + Ownership ($0) = $1,269.
Last reported payment date: 2024-12-29 • Largest payer in this snapshot: Medtronic, Inc. ($1,050).
Total Amount
$1,269
General + Research + Ownership
Payments
77
Total payment records
General Amount
$1,269
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $1,050 |
| SPINEFRONTIER, INC. | $80 |
| AstraZeneca Pharmaceuticals LP | $57 |
| DJO, LLC | $35 |
| Smoky Mountain Surgical Llc | $28 |
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: 2006-03-01
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20060301000316 | I | Physician Assistant | TN | 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 |
|---|---|---|---|---|
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 76 | 46 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 46 | 45 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 18 | 18 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 17 | 17 | $0 |
Insurance plans in this area (ZIP 42002)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O L O G Y | MD | |
| Physician Assistant | TN | |
| - | VA | |
| - | TN | |
| Anesthesiology, Pain Management | TN | |
| Pediatric Medicine | TN | |
| - | VA | |
| N E P H R O L O G Y | VA | |
| Physician Assistant | TN | |
| - | TN |
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