BENJAMIN SCOTT ODOM (LPC/APRN) – Family Nurse Practitioner, NPI 1831320456

BENJAMIN SCOTT ODOM (LPC/APRN) is a healthcare provider. based in Vidor, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials LPC/APRN. They hold a License No. 63792 (TX). The NPI Number for BENJAMIN SCOTT ODOM (LPC/APRN) is 1831320456

Main info

Male
Sole Proprietor
19 Years Of Experience
Accepts Medicare Assignment
Name
BENJAMIN SCOTT ODOM (LPC/APRN)
NPI
1831320456
Phone
(409) 769-8914
Address
1271 N Main St
Enumeration Date
30 July 2009
Last Update Date
19 January 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4092321500217
Graduation Year
2007 (19 years ago)
PAC ID
1355718198
Group Practice PAC ID
3375440894
Professional Enrollment ID
I20221107003161
Address ID
TX777063061BE3560XSTXX303
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness75
Years active:16State licenses:2Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for BENJAMIN SCOTT ODOM (LPC/APRN)

  • 1271 N Main St

    Vidor, TX 776623740

    Phone: (409) 769-8914

    Type: Location

  • 538 BROADWAY

    WINNIE, TX 776657600

    Phone: (318) 614-2241

    Type: Mailing

  • 1091, North Main Street, Vidor, Orange County, Texas, 77662, United States

    SUITE 215

    VIDOR, TX 776624339

    Phone: (409) 769-8910

    Fax: (409) 769-8914

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 21 Open Payments records for all available years, with a total value of $572.

Total Amount is formed as General ($572) + Research ($0) + Ownership ($0) = $572.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: ABBVIE INC. ($234).

Total Amount

$572

General + Research + Ownership

Payments

21

Total payment records

General Amount

$572

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

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: 2022-11-07

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
I20221107003161INurse PractitionerTXTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 77662)

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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: 3375440894View full group profile
NameSpecialtyState
Diagnostic RadiologyTX
P S Y C H I A T R YTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Family PracticeTX
Nurse PractitionerTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

What unique ID ties claims to BENJAMIN SCOTT ODOM (LPC/APRN)?
NPI 1831320456 is assigned to BENJAMIN SCOTT ODOM (LPC/APRN) under the national enumeration system.
Does this profile mean BENJAMIN SCOTT ODOM (LPC/APRN) is currently active?
Yes — BENJAMIN SCOTT ODOM (LPC/APRN) appears active in the national provider directory.
What does BENJAMIN SCOTT ODOM (LPC/APRN) treat or focus on?
Patients typically see BENJAMIN SCOTT ODOM (LPC/APRN) under the specialty Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does BENJAMIN SCOTT ODOM (LPC/APRN) practice in Texas?
You will see Vidor, Texas on file for BENJAMIN SCOTT ODOM (LPC/APRN) alongside any extra practice locations.
How can I contact BENJAMIN SCOTT ODOM (LPC/APRN)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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