MRS. MARY E ODEGAARD MD NPI 1942291349

NPI Information

  • NPI: 1942291349
  • Provider Name: MRS. MARY E ODEGAARD, MD
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 111 GROSSMAN DR
    FAMILY MEDICINE
    BRAINTREE, MA
    ZIP 02184
  • Phone: (781) 849-2560

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NPI Details

MRS. Mary E Odegaard, MD is a family medicine in Braintree, MA with 34 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MRS. Mary E Odegaard, MD NPI is 1942291349. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1992

The provider's business location address is:

111 GROSSMAN DR
FAMILY MEDICINE
BRAINTREE, MA
ZIP 02184-997
Phone: (781) 849-2560
Fax: (781) 849-2529

The NPI 1942291349 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Blood creatinine level (HCPCS:82565)
  • Blood test, lipids (cholesterol and triglycerides) (HCPCS:80061)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Hemoglobin a1c level (HCPCS:83036)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Blood test, thyroid stimulating hormone (tsh) (HCPCS:84443)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Blood potassium level (HCPCS:84132)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test (HCPCS:85027)
  • Liver enzyme (sgpt), level (HCPCS:84460)
  • Vitamin d-3 level (HCPCS:82306)
  • Cyanocobalamin (vitamin b-12) level (HCPCS:82607)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Automated urinalysis test (HCPCS:81003)
  • Bacterial colony count, urine (HCPCS:87086)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Blood test panel for electrolytes (sodium potassium, chloride, carbon dioxide) (HCPCS:80051)
  • Urine microalbumin (protein) level (HCPCS:82043)
  • Blood glucose (sugar) level (HCPCS:82947)
  • Creatinine level to test for kidney function or muscle injury (HCPCS:82570)
  • Blood sodium level (HCPCS:84295)
  • Ferritin (blood protein) level (HCPCS:82728)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count (HCPCS:85025)
  • Thyroxine (thyroid chemical), free (HCPCS:84439)
  • Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r (HCPCS:U0003)
  • Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within (HCPCS:U0005)
  • Calcium level, total (HCPCS:82310)
  • Urinalysis, manual test (HCPCS:81002)
  • Bacterial culture for aerobic isolates (HCPCS:87077)
  • Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution (HCPCS:87186)
  • Phosphate level (HCPCS:84100)
  • Fee covid-19 vac 13 res (HCPCS:0124A)
  • Red blood cell sedimentation rate, to detect inflammation, non-automated (HCPCS:85651)
  • Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit (HCPCS:G0438)
  • Parathormone (parathyroid hormone) level (HCPCS:83970)
  • Liver function blood test panel (HCPCS:80076)
  • Albumin (protein) level (HCPCS:82040)
  • Magnesium level (HCPCS:83735)
  • Psa (prostate specific antigen) measurement, total (HCPCS:84153)
  • Detection test by nucleic acid for human papillomavirus (hpv), high-risk types (HCPCS:87624)
  • Uric acid level, blood (HCPCS:84550)
  • Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision (HCPCS:G0145)
  • Prostate cancer screening; prostate specific antigen test (psa) (HCPCS:G0103)

The enumeration date for this NPI number is 11/3/2005 and was last updated on 10/23/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine81548MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
13552899OTHERCIGNA
2080078724OTHERRR MEDICARE
3ODJ16519OTHERMASSACHUSETTSBCBS
4081548OTHERTUFTS
570989OTHERMASSACHUSETTSHPHC
63155102MEDICAIDMASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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