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DR. JAY I NOVETSKY M.D.
NPI 1093797003
Ophthalmology in Sterling Heights, MI

Active since November 16, 2005PECOS Enrolled
90.65/100
CMS Quality Rating
44650 DELCO BLVD, STERLING HEIGHTS, MI 48313(586) 254-1770(586) 254-3515 Get Directions Write a Review

NPPES record last updated: January 6, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Jay I Novetsky M.d. NPPES

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

DR. JAY I NOVETSKY M.D. (NPI 1093797003) is an individual ophthalmology provider in Sterling Heights, Michigan, licensed in Michigan (042263) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093797003
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. JAY I NOVETSKYCredential: M.D.
Location Address44650 DELCO BLVDSterling Heights, MI 48313-1024
Mailing Address44650 Delco BlvdSterling Heights, MI 48313-1024 · (586) 254-1770 · Fax (586) 254-3515
Phone(586) 254-1770
Fax(586) 254-3515
Sole ProprietorYes
Enumeration DateNovember 16, 2005
Last NPPES UpdateJanuary 6, 2011
✔ NPI 1093797003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in MI · 042263
Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

44650 DELCO BLVD, Sterling Heights, MI 48313
Open in Google Maps ↗

Other Identifiers 4

Medicare ID-Type UnspecifiedOEO4593002MI
Other0500418MI · Bcbsm
Medicare UPINB47558MI
Medicaid3013728MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, 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 (PECOS)

Dr. Jay I Novetsky M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 7

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.
139 services139 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
42 services42 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
38 services38 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
21 services20 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
17 services17 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.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48313 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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.

90.65/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability100
Improvement Activities40
Cost68.86

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%87 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 9

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

DR. RICHARD M HOOK M.D.
Ophthalmology
44650 DELCO BLVD
STERLING HEIGHTS, MI 48313
Macomb County (586) 254-1770
DR. MARK N BERKOWITZ M.D.
Ophthalmology
44650 DELCO BLVD
STERLING HEIGHTS, MI 48313
Macomb County (586) 254-1770
DR. LAWRENCE M LOEWENTHAL M.D.
Ophthalmology
44650 DELCO BLVD
STERLING HEIGHTS, MI 48313
Macomb County (586) 254-1770
DR. KRISTEN M FINLAY O.D.
Optometrist
44650 DELCO BLVD
STERLING HEIGHTS, MI 48313
Macomb County (586) 254-1770
VISION INSTITUTE OF MICHIGAN SURGERY CENTER PC
Clinic/Center (Ambulatory Surgical)
44650 DELCO BLVD
STERLING HEIGHTS, MI 48313
Macomb County (586) 254-3391
VISION INSTITUTE OF MICHIGAN PC
Technician/Technologist (Optician)
44650 DELCO BLVD
STERLING HTS, MI 48313
Macomb County (586) 254-1770
SILVIA MATTI AGNP-C
Nurse Practitioner (Primary Care)
44650 DELCO BLVD
STERLING HEIGHTS, MI 48313
Macomb County (586) 254-7692
VISION INSTITUTE OF MICHIGAN PC
Technician/Technologist (Optician)
44650 DELCO BLVD
STERLING HTS, MI 48313
Macomb County (586) 254-1770

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 Jay Novetsky's NPI number?

The NPI number for Jay Novetsky is 1093797003. It was assigned to this individual provider in the NPPES registry on November 16, 2005.

Where is Jay Novetsky located?

Jay Novetsky practices at 44650 Delco Blvd, Sterling Heights, MI 48313. The listed phone number is (586) 254-1770.

What is Jay Novetsky's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Jay Novetsky enrolled in Medicare?

Yes. Jay Novetsky is registered in the Medicare PECOS enrollment system.

What insurance does Jay Novetsky accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 3 other insurers list Jay Novetsky 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 Jay Novetsky was last updated on January 6, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.