CARL IRWIN ODOM (MD) – Diagnostic Radiology Physician, NPI 1740523513

CARL IRWIN ODOM (MD) is a healthcare provider. based in Cleveland, Ohio. specializing in DIAGNOSTIC RADIOLOGY, NUCLEAR MEDICINE. They hold the professional credentials MD. They hold a License No. T0301 (TX). The NPI Number for CARL IRWIN ODOM (MD) is 1740523513

Main info

Male
Sole Proprietor
13 Years Of Experience
Accepts Medicare Assignment
Name
CARL IRWIN ODOM (MD)
NPI
1740523513
Phone
(216) 844-1000
Address
11100 EUCLID AVE
Enumeration Date
31 March 2013
Last Update Date
12 September 2023

Doctor Profile

Medical School Name
UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Secondary Phone
2083812094
Graduation Year
2013 (13 years ago)
PAC ID
8628216769
Group Practice PAC ID
9638153257
Professional Enrollment ID
I20231027001797
Address ID
ID837126241BO190XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:13State licenses:1Digital endpointsOther names

1,805 DIAGNOSTIC RADIOLOGY in OH

Provider Addresses for CARL IRWIN ODOM (MD)

  • 11100 EUCLID AVE

    CLEVELAND, OH 441061716

    Phone: (216) 844-1000

    Type: Mailing

  • 12554 RIATA VISTA CIR

    AUSTIN, TX 787276431

    Phone: (512) 795-5100

    Fax: (512) 795-5122

    Type: Mailing

  • 620 W HAYS ST

    BOISE, ID 837025511

    Phone: (208) 381-2094

    Fax: (208) 381-1791

    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 $83.

Total Amount is formed as General ($83) + Research ($0) + Ownership ($0) = $83.

Last reported payment date: 2024-06-10 • Largest payer in this snapshot: Telix Pharmaceuticals ($83).

Total Amount

$83

General + Research + Ownership

Payments

1

Total payment records

General Amount

$83

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-10

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Telix Pharmaceuticals$83
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: 2023-10-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20210526000224IDiagnostic RadiologyTXTBD
I20231027001797IDiagnostic RadiologyIDTBD

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
Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml4,14050$0
A9607Lutetium lu 177 vipivotide tetraxetan, therapeutic, 1 millicurie3,60013$0
71045X-ray of chest, 1 view335325$0
78815Nuclear medicine study from skull base to mid-thigh with ct scan326318$0
74177Ct scan of abdomen and pelvis with contrast305298$0
View full utilization report →

Insurance plans in this area (ZIP 44106)

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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: 9638153257View full group profile
NameSpecialtyState
Diagnostic RadiologyID
Interventional RadiologyID
Diagnostic RadiologyCT
Diagnostic RadiologyID
Diagnostic RadiologyID
Physician AssistantID
Diagnostic RadiologyID
Diagnostic RadiologyWA
Physician AssistantID
Diagnostic RadiologyNC

Reviews

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Frequently asked questions

Is there an official ID for CARL IRWIN ODOM (MD) in U.S. healthcare records?
The official identifier for CARL IRWIN ODOM (MD) is NPI 1740523513.
Is there an active status for CARL IRWIN ODOM (MD)?
For scheduling context, CARL IRWIN ODOM (MD) is shown as active in the registry.
What area of care is associated with CARL IRWIN ODOM (MD)?
CARL IRWIN ODOM (MD)'s record emphasizes Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Is CARL IRWIN ODOM (MD) associated with Cleveland?
Public fields place CARL IRWIN ODOM (MD) around Cleveland, Ohio. Always confirm the exact site before visiting.
What does 5 location(s) imply?
5 practice locations appear in the available data.

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