NILA M NOVOTNY M.D.
NPI 1316934029
Otolaryngology in Columbus, NE

Active since September 29, 2005PECOS EnrolledAccepts Medicare Assignment
66.03/100
CMS Quality Rating
4508 38TH ST, SUITE #152, COLUMBUS, NE 68601(402) 563-4500(402) 563-3520 Get Directions Write a Review

NPPES record last updated: February 12, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Nila M Novotny M.d. NPPES

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

NILA M NOVOTNY M.D. (NPI 1316934029) is an individual otolaryngology provider in Columbus, Nebraska, licensed in Nebraska (17352) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS, is affiliated with Columbus Community Hospital, Inc, and is a graduate of University Of Nebraska College Of Medicine (1982).

NPPES Registry Identity

NPI1316934029
Entity TypeIndividualFemale
Primary Taxonomy207Y00000X
Provider Legal NameNILA M NOVOTNYCredential: M.D.
Location Address4508 38TH ST, SUITE #152Columbus, NE 68601-1668
Mailing Address4508 38th St, Suite #152Columbus, NE 68601-1668 · (402) 563-4500 · Fax (402) 563-3520
Fax(402) 563-3520
Sole ProprietorYes
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 1982
Enumeration DateSeptember 29, 2005
Last NPPES UpdateFebruary 12, 2018
NPI 1316934029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in NE · 17352
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
4508 38TH ST, Columbus, NE 68601

Other Identifiers 7

Other061181648-68601-A002NE · Triwest
Medicaid1538141593NE
Other04465NE · Blue Cross Of Nebraska
Medicaid06118164800NE
Medicaid10025979300NE
Other3891NE · Midlands Choice Ppo
Other040007717NE · Railroad Medicare #

Accepted 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

Nila M Novotny M.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 ID5799797692
PECOS Enrollment IDI20060614000152
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 10

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 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.
81 services69 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
55 services52 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
51 services51 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.
46 services40 patients
Exam of ear using a microscope 92504
An exam of the ear using a microscope allows a detailed view of the ear structures. This non-invasive procedure helps identify issues such as infections, blockages, or ear damage. It's a safe, quick, and painless way to evaluate ear health.
40 services28 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
35 services35 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Columbus Community Hospital, Inc

Acute Care Hospitals · Columbus, NE
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number280111
Location4600 38th StColumbus, NE 68601 · Platte County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68601 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
$121.35 typical visit price
range $52.69 – $160.21
Typical copayment $30.33 (range $13.17 – $40.05)
Most-billed visit code 99204
Established Patient
$66.00 typical visit price
range $16.90 – $131.25
Typical copayment $16.50 (range $4.22 – $32.81)
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.

66.03/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality96.46
Promoting Interoperability0
Improvement Activities40
Cost73.66

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers13 claims13 services$41.70 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

Pediatrics
4508 38TH ST, STE 165
COLUMBUS, NE 68601
Otolaryngology
4508 38TH ST, STE 152
COLUMBUS, NE 68601
Registered Nurse (Diabetes Educator)
4508 38TH ST
COLUMBUS, NE 68601
Orthopaedic Surgery
4508 38TH ST, SUITE 133
COLUMBUS, NE 68601
Internal Medicine (Hematology & Oncology)
4508 38TH ST, SUITE 120
COLUMBUS, NE 68601
Physician Assistant
4508 38TH ST, STE 133
COOLUMBUS, NE 68601
Orthopaedic Surgery
4508 38TH ST, SUITE 133
COLUMBUS, NE 68601
Podiatrist (Foot & Ankle Surgery)
4508 38TH ST, SUITE 133
COLUMBUS, NE 68601

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 Nila Novotny's NPI number?

The NPI number for Nila Novotny is 1316934029. It was assigned to this individual provider in the NPPES registry on September 29, 2005.

Where is Nila Novotny located?

Nila Novotny practices at 4508 38th St Suite #152, Columbus, NE 68601. The listed phone number is (402) 563-4500.

What is Nila Novotny's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Nila Novotny enrolled in Medicare?

Yes. Nila 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 Nila Novotny accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Blue Cross and Blue Shield of Nebraska and 2 other insurers list Nila 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.

Is Nila Novotny affiliated with any hospitals?

According to CMS data, Nila Novotny is affiliated with Columbus Community Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Nila Novotny was last updated on February 12, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.