DR. KENNETH D NOVAK MD
NPI 1720068455
Ophthalmology in Chambersburg, PA

Active since January 19, 2006PECOS EnrolledAccepts Medicare Assignment
90.25/100
CMS Quality Rating
825 5TH AVE STE 102, CHAMBERSBURG, PA 17201(717) 262-9700(717) 264-6522 Get Directions Write a Review

NPPES record last updated: November 2, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Kenneth D Novak Md NPPES

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

DR. KENNETH D NOVAK MD (NPI 1720068455) is an individual ophthalmology provider in Chambersburg, Pennsylvania, licensed in Pennsylvania (MD045722L) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Rochester School Of Medicine And Dentistry (1989).

NPPES Registry Identity

NPI1720068455
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. KENNETH D NOVAKCredential: MD
Location Address825 5TH AVE STE 102Chambersburg, PA 17201-4214
Mailing Address825 5th Ave Ste 102Chambersburg, PA 17201-4214 · (717) 262-9700 · Fax (717) 264-6522
Fax(717) 264-6522
Sole ProprietorNo
Medical School CMSUniversity Of Rochester School Of Medicine And DentistryGraduated 1989
Enumeration DateJanuary 19, 2006
Last NPPES UpdateNovember 2, 2022
NPPES CertifiedNovember 2, 2022
NPI 1720068455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in PA · MD045722L
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.

825 5TH AVE STE 102, Chambersburg, PA 17201

Other Identifiers 1

Medicaid01488917NY

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

Dr. Kenneth D Novak Md 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 ID5890747851
PECOS Enrollment IDI20221123000604
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

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.

Cataract surgery NAN11
Cataract surgery is a procedure to remove the lens of your eye when it becomes cloudy, which is called a cataract. A synthetic lens is then inserted to restore clear vision. The operation is typically done on an outpatient basis and is very safe and effective.
0 services452 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17201 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

90.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost67.5

Other Providers at the Same Location NPPES

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

Ophthalmology
825 5TH AVE STE 102
CHAMBERSBURG, PA 17201

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 Kenneth Novak's NPI number?

The NPI number for Kenneth Novak is 1720068455. It was assigned to this individual provider in the NPPES registry on January 19, 2006.

Where is Kenneth Novak located?

Kenneth Novak practices at 825 5th Ave Ste 102, Chambersburg, PA 17201. The listed phone number is (717) 262-9700.

What is Kenneth Novak's specialty?

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

Is Kenneth Novak enrolled in Medicare?

Yes. Kenneth Novak 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.

When was this NPI record last updated?

The NPPES record for Kenneth Novak was last updated on November 2, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.