EDWARD J NOVOTNY JR. MD
NPI 1851374078
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Seattle, WA

Active since November 22, 2005PECOS Enrolled
4800 SAND POINT WAY NE, NEUROLOGY, M/S B-5552, SEATTLE, WA 98105(206) 987-2078(206) 987-2649 Get Directions Write a Review

NPPES record last updated: July 23, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Edward J Novotny Jr. Md NPPES

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

EDWARD J NOVOTNY JR. MD (NPI 1851374078) is an individual neurology with special qualifications in child neurology provider in Seattle, Washington, licensed in Washington (MD60078540) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851374078
Entity TypeIndividualMale
Primary Taxonomy2084N0402X
Provider Legal NameEDWARD J NOVOTNY JR.Credential: MD
Location Address4800 SAND POINT WAY NE, NEUROLOGY, M/S B-5552Seattle, WA 98105-3901
Mailing Address4500 Sand Point Way Ne, Suite 100, M/s Cumg, Po Box 359300Seattle, WA 98105-3900 · (206) 987-8540 · Fax (206) 987-8415
Fax(206) 987-2649
Sole ProprietorNo
Enumeration DateNovember 22, 2005
Last NPPES UpdateJuly 23, 2012
✔ NPI 1851374078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0402X
License✔ Licensed in WA · MD60078540
Definition
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
Also ListedPsychiatry & Neurology · Clinical NeurophysiologyTaxonomy 2084N0600X · License MD60078540 (WA)
4800 SAND POINT WAY NE, Seattle, WA 98105

Other Identifiers 4

Medicaid001285578CT
Medicaid0008549560WA
Medicare ID-Type Unspecified30000159CT
Medicare UPIND88805

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Edward J Novotny Jr. Md 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Edward Novotny reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Trauma Surgery
4800 SAND POINT WAY NE
Seattle, WA 98105
  • Reassigned Medicare billing, Washington enrollment
  • Medicare enrollment name: The Association Of Chrmc And University Physicians
  • 1,443 clinicians in this Medicare group
Anesthesiology
701 5TH AVE, SUITE 700
Seattle, WA 98104
  • Reassigned Medicare billing, Washington enrollment
  • 4,364 clinicians in this Medicare group
Plastic Surgery
888 SWIFT BLVD
Richland, WA 99352
  • Reassigned Medicare billing, Washington enrollment
  • 454 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98105 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
$143.76 typical visit price
range $63.67 – $189.37
Typical copayment $35.94 (range $15.91 – $47.34)
Most-billed visit code 99204
Established Patient
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Anesthesiology
4800 SAND POINT WAY NE
SEATTLE, WA 98105
Speech-Language Pathologist
4800 SAND POINT WAY NE, MAIL STOP W-6839
SEATTLE, WA 98105
Pediatrics (Pediatric Critical Care Medicine)
4800 SAND POINT WAY NE, MB.10.620
SEATTLE, WA 98105
Pediatrics (Pediatric Infectious Diseases)
4800 SAND POINT WAY NE
SEATTLE, WA 98105
Nurse Practitioner (Pediatrics)
4800 SAND POINT WAY NE, MS O.7.720
SEATTLE, WA 98105
Nurse Practitioner (Family)
4800 SAND POINT WAY NE, MAILSTOP T-2108
SEATTLE, WA 98105
Otolaryngology (Pediatric Otolaryngology)
4800 SAND POINT WAY NE
SEATTLE, WA 98105
Specialist
4800 SAND POINT WAY NE
SEATTLE, WA 98105

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 Edward Novotny's NPI number?

The NPI number for Edward Novotny is 1851374078. It was assigned to this individual provider in the NPPES registry on November 22, 2005.

Where is Edward Novotny located?

Edward Novotny practices at 4800 Sand Point Way NE Neurology, M/S B-5552, Seattle, WA 98105. The listed phone number is (206) 987-2078.

What is Edward Novotny's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.

Is Edward Novotny enrolled in Medicare?

Yes. Edward Novotny is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Edward Novotny's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edward Novotny reassigns Medicare benefits to 3 organizations: Association Of Chmc And University Physicians (Seattle, WA), The Association Of University Physicians (Seattle, WA) and Kadlec Regional Medical Center (Richland, WA). 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 Edward Novotny's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Edward Novotny accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Edward 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.

When was this NPI record last updated?

The NPPES record for Edward Novotny was last updated on July 23, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.