DR. JOHN DAVID ODETTE (MD) – Ophthalmology Physician, NPI 1124224464

DR. JOHN DAVID ODETTE (MD) is a healthcare provider. based in Austin, Texas. specializing in OPHTHALMOLOGY. They hold the professional credentials MD. They hold a License No. N5916 (TX). The NPI Number for DR. JOHN DAVID ODETTE (MD) is 1124224464

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOHN DAVID ODETTE (MD)
NPI
1124224464
Phone
(512) 250-2020
Address
11901 JOLLYVILLE RD
Enumeration Date
25 June 2007
Last Update Date
24 August 2022

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Secondary Phone
5122502020
Graduation Year
2006 (20 years ago)
PAC ID
4789717513
Group Practice PAC ID
6608910542
Professional Enrollment ID
I20100730000698
Address ID
TX787592303AU11901RDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:18State licenses:1Digital endpointsOther names

1,544 OPHTHALMOLOGY in TX

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Provider Addresses for DR. JOHN DAVID ODETTE (MD)

  • 11901, Jollyville Road, Leffler Commercial, Austin, Travis County, Texas, 78759, United States

    AUSTIN, TX 787592303

    Phone: (512) 250-2020

    Fax: (512) 250-2612

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 56 Open Payments records for all available years, with a total value of $2,518.

Total Amount is formed as General ($2,518) + Research ($0) + Ownership ($0) = $2,518.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: RxSight Inc ($630).

Total Amount

$2,518

General + Research + Ownership

Payments

56

Total payment records

General Amount

$2,518

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

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: 2010-07-30

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
I20100730000698IOphthalmologyTXTBD

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
92136Measurement of corneal curvature and depth of eye540217$0
92014Established patient complete exam of visual system455424$0
66984Removal of cataract with insertion of prosthetic lens317180$0
92250Photography of the retina265257$0
92012Established patient problem focused exam of visual system208158$0
View full utilization report →

Insurance plans in this area (ZIP 78759)

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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: 6608910542View full group profile
NameSpecialtyState
O P T O M E T R YIL
O P H T H A L M O L O G YMN
O P H T H A L M O L O G YIL
O P H T H A L M O L O G YTX
O P T O M E T R YCA
O P T O M E T R YTX

Reviews

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Frequently asked questions

What NPI should I save for DR. JOHN DAVID ODETTE (MD)?
Save NPI 1124224464 if you need a stable reference for DR. JOHN DAVID ODETTE (MD).
Is DR. JOHN DAVID ODETTE (MD)'s NPI currently valid?
The extract we use shows DR. JOHN DAVID ODETTE (MD) as active.
Can you summarize DR. JOHN DAVID ODETTE (MD)'s specialty in plain language?
Clinically, the directory lists DR. JOHN DAVID ODETTE (MD) with Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
Where does public data place DR. JOHN DAVID ODETTE (MD)?
The snapshot lists Austin, Texas for DR. JOHN DAVID ODETTE (MD); download NPPES for the complete set.
What if Austin, Texas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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