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Active NPI 1982639738 Individual Practitioner Male Practitioner

Kenneth Franklin Odom , PA

Physician Assistant • Dothan, AL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Kenneth Odom, PA is a certified Physician Assistant practicing in Dothan, AL. With approximately 20 years of clinical experience since completing medical education in 2006, Kenneth Odom delivers high-quality medical care to the local community at 1500 ROSS CLARK CIR.

Kenneth Odom is affiliated with S.B.J.S. Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, methylprednisolone acetate, 1 mg, hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg, injection, triamcinolone acetonide, not otherwise specified, 10 mg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1500 Ross Clark Cir

Dothan, AL 363014754

Telephone 3347932663
Fax 3348362247
Associated Practice Facility / Clinic
🏢 Sbjs Pc Facility NPI 1134106065

Medicare Profile & Education

Medical School

Other

Graduation Year

2006

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Dothan, AL

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
20 Yrs +7.9 yrs vs City Avg
City Avg: 12.1 Yrs
State Avg: 9.6 Yrs
Regional Practice Density
35 Specialists

Practicing in Dothan, AL (1153 Statewide)

Telehealth Adoption Rate
2.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
78.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Odom (20 Years) 20 Yrs
Dothan Specialty Average (12.1 Years) 12.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
J1010 Injection, methylprednisolone acetate, 1 mg
1,120 14 $0.35 $0.13
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg
1,104 17 $20.31 $8.51
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg
440 65 $21.00 $0.96
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg
381 118 $18.00 $6.76
99213 Established patient office or other outpatient visit, typically 15 minutes
381 220 $88.00 $70.29
20610 Aspiration and/or injection of fluid from large joint
291 158 $132.02 $55.85
73560 X-ray of knee, 1-2 views
140 98 $91.00 $25.42
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
57 51 $125.00 $99.73
73502 X-ray of hip, 2-3 views
53 48 $90.00 $34.44
27447 Replacement of knee joint, both sides of knee
49 49 $2210.75 $153.31
73562 X-ray of knee, 3 views
48 33 $102.00 $27.67
J1885 Injection, ketorolac tromethamine, per 15 mg
46 23 $21.00 $0.63
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention
44 25 $25.00 $11.00
27130 Replacement of thigh bone and hip joint with prosthesis
24 24 $2266.96 $151.41
73030 X-ray of shoulder, minimum of 2 views
23 20 $103.00 $26.04
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose
22 15 $1735.00 $699.64
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
19 14 $64.00 $42.70
72100 X-ray of lower and sacral spine, 2-3 views
17 17 $139.00 $29.90
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
13 13 $186.00 $130.28

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License AL PA.504

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
003140733A (GA)
Medicaid State Provider ID
121885 (AL)
Medicaid State Provider ID
003140729A (GA)
Medicaid State Provider ID
009940319 (AL)
Commercial Insurance / Payer ID Medicare
0515580730 (AL)
Commercial Insurance / Payer ID Bcbs Of Al - Healthwest
511-09068 (AL)
Commercial Insurance / Payer ID Bcbs Of Al - Rcc
515-37977 (AL)

Hospital & Practice Group Affiliations

S.b.j.s. Pc

345 Healthwest Dr, Dothan, AL 363032053

Phone: 3347932663

S.b.j.s. Pc

1500 Ross Clark Cir, Dothan, AL 363014754

Phone: 3347932663

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Jennifer Echols , PA

Physician Assistant

NPI 1003206673

Physician Assistant

Leigh Money , ATC

Specialist/Technologist - Athletic Trainer

NPI 1043558455

Certified Athletic Trainer

NPI 1063484004

Doctor of Podiatric Medicine

Dr. Timothy Haley , MD

Orthopaedic Surgery

NPI 1073515730

Doctor of Medicine (M.D.)

Tiffany Hudmon , PTA

Physical Therapy Assistant

NPI 1073739884

Physical Therapist Assistant

Melissa Toombs , CRNP

Nurse Practitioner - Family

NPI 1104297415

Certified Registered Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 29, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location October 29, 2015

Registered at 1500 ROSS CLARK CIR, DOTHAN, AL 363014754 (Tel: 3347932663)

📍
Updated Business Mailing Address October 29, 2015

Registered at PO BOX 729, DOTHAN, AL 363020729 (Tel: 3347932663)

👤
Provider Name / Credentials Updated October 29, 2015

Recorded as KENNETH ODOM, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 29, 2015

Physician Assistant (License #PA.504 in AL)

🟢
Initial NPI Registration & Enumeration July 11, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1982639738
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 11, 2006
Last Update: October 29, 2015
Sole Proprietor: No

Mailing Address

Po Box 729

Dothan, AL 363020729

Phone: 3347932663

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.