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JACOB ALEXANDER MARTIN NOVACK DO
NPI 1669096111
Urology in Port Huron, MI

Active since June 01, 2020PECOS EnrolledAccepts Medicare Assignment
1037 WATER ST STE 1, PORT HURON, MI 48060(248) 967-7000 Get Directions Write a Review

NPPES record last updated: October 14, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 9, 2025, Jun 1, 2020 (2 updates tracked since 2020).

About Jacob Alexander Martin Novack Do NPPES

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

JACOB ALEXANDER MARTIN NOVACK DO (NPI 1669096111) is an individual urology provider in Port Huron, Michigan, licensed in Michigan (5101028607) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS, is affiliated with Lake Huron Medical Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1669096111
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameJACOB ALEXANDER MARTIN NOVACKCredential: DO
Location Address1037 WATER ST STE 1Port Huron, MI 48060-4408
Mailing Address22644 Ridgeway StSaint Clair Shores, MI 48080-1476 · (586) 216-2615
Phone(248) 967-7000
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJune 1, 2020
Last NPPES UpdateOctober 14, 20252 updates tracked since enumeration
NPPES CertifiedOctober 14, 2025
✔ NPI 1669096111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in MI · 5101028607
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
1037 WATER ST STE 1, Port Huron, MI 48060
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Jacob Alexander Martin Novack Do 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 ID7315332046
PECOS Enrollment IDI20251009000897
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.

Hospital Affiliations CMS Care Compare 3

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

Lake Huron Medical Center

Acute Care Hospitals · Port Huron, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230031
Location2601 Electric AvenuePort Huron, MI 48060 · St. Clair County
Emergency services

Mclaren Port Huron

Acute Care Hospitals · Port Huron, MI
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230216
Location1221 Pine Grove AvePort Huron, MI 48060 · St. Clair County
Emergency services Birthing friendly

Mckenzie Health System

Critical Access Hospitals · Sandusky, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number231314
Location120 N Delaware StreetSandusky, MI 48471 · Sanilac County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48060 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

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 Jacob Novack's NPI number?

The NPI number for Jacob Novack is 1669096111. It was assigned to this individual provider in the NPPES registry on June 1, 2020.

Where is Jacob Novack located?

Jacob Novack practices at 1037 Water St Ste 1, Port Huron, MI 48060. The listed phone number is (248) 967-7000.

What is Jacob Novack's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Jacob Novack enrolled in Medicare?

Yes. Jacob Novack 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 Jacob Novack accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Jacob Novack 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 Jacob Novack affiliated with any hospitals?

According to CMS data, Jacob Novack is affiliated with Lake Huron Medical Center, Mclaren Port Huron and Mckenzie Health System.

When was this NPI record last updated?

The NPPES record for Jacob Novack was last updated on October 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.