Kenneth D Novak, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MD045722L Issued in PA

Practice address

825 5TH Ave Ste 102
Chambersburg, PA 17201-4214

Phone

(717) 262-9700

Fax

(717) 264-6522

NPI assigned

Jan 19, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VT, NY, PA3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 3

Specialty

Ophthalmology

Education

University of Rochester School of Medicine and Dentistry, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Erie Retinal Surgery, Inc.Group PAC ID 0941286595, 9 clinicians

Ophthalmology Medical Service Group IncGroup PAC ID 0446248033, 30 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

90.78 of 100Reported as group

Quality

94.99

Promoting interoperability

100

Improvement activities

40

Cost

74.29

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: knovak144281@direct.upstate.edu
• Direct secure messaging: kenneth.novak.p9@direct.omnieyeservices.nextgenshare.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: knovak@erieretinal.intellechartdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Erie Retinal Surgery, Inc.

  • Ophthalmology Physician
  • Erie, PA
  • NPI 1457313868
  Medicare reassignment Care Compare group NPD
• Ophthalmology Medical Service Group Inc

  • Ophthalmology Physician
  • Syracuse, NY
  • NPI 1225072051
  Medicare reassignment Care Compare group NPD
• Ludwick Eye Center, LTD

  • Ophthalmology Physician
  • Chambersburg, PA
  • NPI 1063499531
  Medicare reassignment NPD
• Ophthalmic Consultants of Vermont PC

  • Ophthalmologic Surgery Clinic/Center
  • South Burlington, VT
  • NPI 1255416053
  Medicare reassignment NPD
• Ludwick Laser & Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Chambersburg, PA
  • NPI 1205925278
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1720068455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 5TH AVE STE 102",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172014214",
            "telephone_number": "717-262-9700",
            "fax_number": "717-264-6522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 5TH AVE STE 102",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172014214",
            "telephone_number": "717-262-9700",
            "fax_number": "717-264-6522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVAK",
        "first_name": "KENNETH",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD045722L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01488917",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Katherine Norcross, MOT
• Norland Avenue Pharmacy, LLC
• Norland Avenue Pharmacy, LLC
• Norland Family Practice P.C.
• Tyler Thomas Norton, CSFA
• NTP Consultants, LLC
• Sarah Lynette Nulton, CRNP
• Nurse Therapy LLC
• Ikenna Nwachukwu, MD
• Jane Nkechi Nwafor, MD

• Ophthalmology Physician in Chambersburg, PA
• Providers in Chambersburg, PA by specialty
• Ophthalmology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.