Dianna Odom, PA-C
NPI 1104417021 · Physician Assistant · North Little Rock, AR
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Dianna Odom, PA-C is a Physician Assistant provider in North Little Rock, AR (NPI 1104417021).
Provider details
- NPI number
- 1104417021
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
5 yrs in NPPES registry
- Profile completeness28% of score
83% of core fields populated
- Practice footprint17% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
124 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Straightforward Medical Decision Making, If Using Time, 10 Minutes Or More99212 | 59 | $45 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 34 | $107 |
| New Patient Office Or Other Outpatient Visit With Straightforward Medical Decision Making, If Using Time, 15 Minutes Or More99202 | 19 | $58 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 12 | $108 |
Typical Medicare-allowed amounts for these services range $45–$108 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 25 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 53 | 45 |
| Gabapentin | 39 | 26 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 38 | 28 |
| Amlodipine Besylate | 31 | 22 |
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 27 | 26 |
| Carvedilol | 26 | 12 |
Practice location
Mailing address
Additional practice locations (2)
- 3140 Ar-5Bryant, AR 72019Phone: (501) 213-4500
- 1808 W Main StRussellville, AR 72801-2724Phone: (479) 968-2841
Registry dates
- Enumerated
- 2021-02-02
- Last updated
- 2024-07-02
- Certified
- 2024-07-02
Frequently asked questions
- What is Dianna Odom's NPI number?
- Dianna Odom's National Provider Identifier (NPI) is 1104417021, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Dianna Odom's specialty?
- Dianna Odom is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Dianna Odom located?
- Dianna Odom's practice location on file with NPPES is 2933 Lakewood Village Dr, North Little Rock, AR 72116-8033.
- What is Dianna Odom's phone number?
- The practice phone number listed in the NPPES registry for Dianna Odom is (501) 435-1417.
- Does Dianna Odom accept Medicare?
- Dianna Odom is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Dianna Odom's NPI active?
- Yes — Dianna Odom's NPI (1104417021) is active in the NPPES registry as of the last update on 2024-07-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.