CANDICE BOURGEOIS ODOM (M.S., CCC/A) – Audiologist, NPI 1174794192

CANDICE BOURGEOIS ODOM (M.S., CCC/A) is a healthcare provider. based in Houston, Texas. specializing in QUALIFIED AUDIOLOGIST. They hold the professional credentials M.S., CCC/A. They hold a License No. 51570 (TX). The NPI Number for CANDICE BOURGEOIS ODOM (M.S., CCC/A) is 1174794192

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
CANDICE BOURGEOIS ODOM (M.S., CCC/A)
NPI
1174794192
Phone
(281) 897-0416
Address
10740 N GESSNER DR
Enumeration Date
18 March 2008
Last Update Date
9 August 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2815482626
Graduation Year
2002 (24 years ago)
PAC ID
8628140134
Group Practice PAC ID
5799770202
Professional Enrollment ID
I20080627000382
Address ID
TX773385724HU18648DRXX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness75
Years active:18State licenses:1Digital endpointsOther names

665 QUALIFIED AUDIOLOGIST in TX

Provider Addresses for CANDICE BOURGEOIS ODOM (M.S., CCC/A)

  • North Gessner Drive, Houston, Harris County, Texas, 77064, United States

    STE 310

    HOUSTON, TX 770641240

    Phone: (281) 897-0416

    Fax: (281) 890-8890

    Type: Mailing

  • 18648 MCKAY DR

    SUITE 120

    HUMBLE, TX 773385723

    Phone: (281) 548-2626

    Fax: (281) 548-1659

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2008-06-27

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
I20080627000382IQualified AudiologistTXTBD

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
92557Comprehensive hearing and speech recognition test310292$0
92567Test to assess middle ear function229211$0
92550Test for eardrum and muscle function9493$0
View full utilization report →

Insurance plans in this area (ZIP 77064)

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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: 5799770202View full group profile
NameSpecialtyState
-TX
Qualified AudiologistTX
O T O L A R Y N G O L O G YTX
Qualified AudiologistTX
Physician AssistantTX
Qualified AudiologistTX
O T O L A R Y N G O L O G YTX
Qualified AudiologistTX
-TX
Physician AssistantTX

Reviews

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Frequently asked questions

Does CANDICE BOURGEOIS ODOM (M.S., CCC/A) have a public NPI I can cite?
Public records show CANDICE BOURGEOIS ODOM (M.S., CCC/A) under NPI 1174794192.
Does the public listing show CANDICE BOURGEOIS ODOM (M.S., CCC/A) as active?
CANDICE BOURGEOIS ODOM (M.S., CCC/A)'s NPI record reflects an active status in NPPES.
Which specialty label fits CANDICE BOURGEOIS ODOM (M.S., CCC/A)?
NPPES ties CANDICE BOURGEOIS ODOM (M.S., CCC/A) to Audiologist in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to CANDICE BOURGEOIS ODOM (M.S., CCC/A)?
CANDICE BOURGEOIS ODOM (M.S., CCC/A) is associated with Houston, Texas in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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