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MARK M NOVOTNY O.D.
NPI 1063574176
Optometrist in Gainesville, GA

Active since December 14, 2006PECOS EnrolledAccepts Medicare Assignment
90.64/100
CMS Quality Rating
535 JESSE JEWELL PKWY SE, SUITE C, GAINESVILLE, GA 30501(770) 534-1711 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mark M Novotny O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK M NOVOTNY O.D. (NPI 1063574176) is an individual optometrist in Gainesville, Georgia, licensed in Georgia (OPT001945) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1063574176
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameMARK M NOVOTNYCredential: O.D.
Location Address535 JESSE JEWELL PKWY SE, SUITE CGainesville, GA 30501-3772
Mailing Address535 Jesse Jewell Pkwy Se, Suite CGainesville, GA 30501-3772 · (770) 534-1711
Phone(770) 534-1711
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateDecember 14, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1063574176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in GA · OPT001945
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
535 JESSE JEWELL PKWY SE, Gainesville, GA 30501
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Other Identifiers 3

Medicare ID-Type Unspecified41ZCDWSGA
Medicare UPINU86000GA
Medicaid00922501AGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mark M Novotny O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1456543693
PECOS Enrollment IDI20101007000074
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
385 services377 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
140 services140 patients
Microfluid analysis of tears 83861
Microfluid analysis of tears involves collecting a small tear sample to examine its composition. This procedure can help detect health issues like dry eye disease, inflammation, or other eye conditions. It's a non-invasive, painless method for monitoring eye health.
115 services58 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
115 services114 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
90 services78 patients
New patient problem focused exam of visual system 92002
A new patient problem-focused exam of the visual system is a basic evaluation of your eyes and vision. It includes checking your eye movements, visual acuity, and general eye health. It helps detect any potential issues early for timely treatment.
40 services40 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

90.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost68.82

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NORTH GEORGIA OPTICIANS, INC
Durable Medical Equipment & Medical Supplies
535 JESSE JEWELL PKWY SE, SUITE C
GAINESVILLE, GA 30501
Hall County (770) 534-1711
MRS. THERESA M PANTER APRN FNP-C
Nurse Practitioner (Family)
535 JESSE JEWELL PKWY SE
GAINESVILLE, GA 30501
Hall County (770) 534-1711
DR. CORY DUNCAN MD
Emergency Medicine
535 JESSE JEWELL PKWY SE, SUITE A
GAINESVILLE, GA 30501
Hall County (678) 923-6645
DR. JOSHUA DAVID LOVELOCK M.D.
Internal Medicine (Clinical Cardiac Electrophysiology)
535 JESSE JEWELL PKWY SE, SUITE C
GAINESVILLE, GA 30501
Hall County (770) 534-9014

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Novotny's NPI number?

The NPI number for Mark Novotny is 1063574176. It was assigned to this individual provider in the NPPES registry on December 14, 2006.

Where is Mark Novotny located?

Mark Novotny practices at 535 Jesse Jewell Pkwy SE Suite C, Gainesville, GA 30501. The listed phone number is (770) 534-1711.

What is Mark Novotny's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Mark Novotny enrolled in Medicare?

Yes. Mark Novotny is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mark Novotny accept?

Health plans from Alliant Health Plans, Inc., Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Mark Novotny as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mark Novotny was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.