Dianna Odom, PA-C

NPI 1104417021ActiveIndividual· Physician Assistant· North Little Rock, AR

Physician Assistant (PA-C) in North Little Rock, Arkansas, trained at University of Arkansas College of Medicine (class of 2020). Their prescriptions cost Medicare Part D more than their services did: $140,465 for 998 claims, against $10,282 paid for services in 2024.

Overview

NPI	1104417021
Status	Active
Entity type	Individual
Credential	PA-C
Sole proprietor	No
NPI issued	Feb 2, 2021
Last updated in NPPES	Jul 2, 2024
Certified by provider	Jul 2, 2024

Specialties and licenses

Taxonomy	Code	License	State
Physician Assistant Primary	363A00000X	—	AR

About license numbers in NPPES

Exclusion screening

List	Result	Details
HHS-OIG LEIE · Oct 9, 2026	No match	Checked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026	No match	—
New York OMIG · Nov 10, 2026	No match	—
Ohio Medicaid · Nov 10, 2026	No match	—
Pennsylvania Medicheck · Nov 10, 2026	No match	—
Washington HCA · Nov 10, 2026	No match	—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)	Enrolled Practitioner - Physician Assistant (AR)
Accepts assignment	Yes (participating)

Medicare services in 2024

Medicare patients	81
Services billed	171 across 18 procedure codes
Paid by Medicare	$10,282

Part D prescriptions in 2024

Prescriptions (claims)	998 · 1,985 30-day fills
Patients	188
Total drug cost	$140,465
Generic share	83% of claims

Medicare sources and data years

Education and affiliations

Medical school	University of Arkansas College of Medicine
Graduation year	2020
Medicare specialty	Physician Assistant

Medical group

Oak Street Health Physicians Group of Arkansas PLLCNorth Little Rock, AR · 9 clinicians

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

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