KEITH J. ODEGARD (MD) – Orthopaedic Surgery Physician, NPI 1083609614
Orthopaedic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
802 ORTHOPEDIC SURGERY in MO
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Provider Addresses for KEITH J. ODEGARD (MD)
12813, Flushing Meadows Drive, Bel Aire Office Park, Town and Country, Saint Louis County, Missouri, 63131, United States
SUITE 210
ST. LOUIS, MO 63131
Phone: (314) 966-0111
Fax: (314) 966-1023
Type: Mailing
North Forty Drive, Westwood, Saint Louis County, Missouri, 63131, United States
SUITE 125
ST. LOUIS, MO 63141
Phone: (314) 966-0111
Fax: (314) 966-1023
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $129.
Total Amount is formed as General ($129) + Research ($0) + Ownership ($0) = $129.
Last reported payment date: 2024-04-23 • Largest payer in this snapshot: Innovation Technologies Inc ($70).
Total Amount
$129
General + Research + Ownership
Payments
5
Total payment records
General Amount
$129
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Innovation Technologies Inc | $70 |
| Ferring Pharmaceuticals Inc. | $43 |
| Solventum Corporation | $17 |
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: 2004-12-20
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20041220000003 | I | Orthopedic Surgery | MO | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 264 | 184 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 183 | 94 | $0 |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 170 | 75 | $0 |
| 73564 | X-ray of knee, 4 or more views | 114 | 113 | $0 |
| J7323 | Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose | 79 | 22 | $0 |
Insurance plans in this area (ZIP 63131)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | MO | |
| Nurse Practitioner | MO | |
| Physician Assistant | IL | |
| Orthopedic Surgery | MO | |
| Orthopedic Surgery, Sports Medicine | MO | |
| Orthopedic Surgery | MO | |
| Internal Medicine, Hospitalist | MO | |
| Internal Medicine | MO | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO |
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