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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: October 18, 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, is affiliated with University Hospital S U N Y Health Science Center, 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
Phone(717) 262-9700
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
Open in Google Maps ↗

Other Identifiers 1

Medicaid01488917NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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 IDI20221025001143, I20221123000604
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Kenneth Novak reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ludwick Eye Center, Ltd
Same address
Ophthalmology
825 FIFTH AVE, SUITE 102
Chambersburg, PA 17201
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 11 clinicians in this Medicare group
NPI 1063499531 (717) 262-9700
Erie Retinal Surgery, Inc.
198 mi
Ophthalmology
300 STATE ST, SUITE 201
Erie, PA 16507
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 11 clinicians in this Medicare group
NPI 1457313868 (814) 456-4241
Ophthalmology Medical Service Group Inc
227 mi
Ophthalmology
750 E ADAMS ST
Syracuse, NY 13210
  • Reassigned Medicare billing, New York enrollment
  • 54 clinicians in this Medicare group
NPI 1225072051 (315) 464-8109
Ophthalmic Consultants Of Vermont PC
387 mi
Ophthalmologic Surgery
55 TIMBER LN
South Burlington, VT 05403
  • Reassigned Medicare billing, Vermont enrollment
  • 8 clinicians in this Medicare group
NPI 1255416053 (802) 864-2010

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 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.
148 services139 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
99 services69 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
71 services47 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.
46 services42 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.
30 services30 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.
27 services27 patients

Hospital Affiliations CMS Care Compare

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

University Hospital S U N Y Health Science Center

Acute Care Hospitals · Syracuse, NY
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number330241
Location750 East Adams StreetSyracuse, NY 13210 · Onondaga County
Emergency services Birthing friendly

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

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.

Which organizations bill Medicare for Kenneth Novak's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Novak reassigns Medicare benefits to 4 organizations: Ludwick Eye Center, Ltd (Chambersburg, PA), Erie Retinal Surgery, Inc. (Erie, PA), Ophthalmology Medical Service Group Inc (Syracuse, NY) and Ophthalmic Consultants Of Vermont PC (South Burlington, VT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kenneth Novak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Kenneth Novak affiliated with any hospitals?

According to CMS data, Kenneth Novak is affiliated with University Hospital S U N Y Health Science Center.

When was this NPI record last updated?

The NPPES record for Kenneth Novak was last updated on November 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.