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DR. JOSEPH A NOVOTNY M.D.
NPI 1881601144
Orthopaedic Surgery in Bloomington, IL

Active since August 01, 2006PECOS EnrolledAccepts Medicare Assignment
1111 TRINITY LANE, SUITE 111, BLOOMINGTON, IL 61704(309) 663-6461(309) 663-5711 Get Directions Write a Review

NPPES record last updated: October 27, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Joseph A Novotny M.d. NPPES

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

DR. JOSEPH A NOVOTNY M.D. (NPI 1881601144) is an individual orthopaedic surgery provider in Bloomington, Illinois, licensed in Illinois (036092322) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Osf Saint Elizabeth Mdl Ctr, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (1993).

NPPES Registry Identity

NPI1881601144
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. JOSEPH A NOVOTNYCredential: M.D.
Location Address1111 TRINITY LANE, SUITE 111Bloomington, IL 61704-3738
Mailing Address611 W. Park St, FapcUrbana, IL 61801
Phone(309) 663-6461
Fax(309) 663-5711
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 1993
Enumeration DateAugust 1, 2006
Last NPPES UpdateOctober 27, 2021
NPPES CertifiedOctober 6, 2021
✔ NPI 1881601144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in IL · 036092322
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
1111 TRINITY LANE, Bloomington, IL 61704
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Other Identifiers 1

Medicaid036092322IL

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. Joseph A 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 ID9032107313
PECOS Enrollment IDI20100923001394
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 Joseph Novotny reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Carle West Physician Group Inc
3.9 mi
Family Medicine
1302 FRANKLIN AVE STE 3400
Normal, IL 61761
  • Reassigned Medicare billing, Illinois enrollment
  • 698 clinicians in this Medicare group
NPI 1467074138 (309) 556-8295
Carle Eureka Hospital
24 mi
Critical Access
101 S MAJOR ST
Eureka, IL 61530
  • Reassigned Medicare billing, Illinois enrollment
  • 97 clinicians in this Medicare group
NPI 1184644023 (309) 467-2371
Osf Multi-Specialty Group
45 mi
Internal Medicine
8600 N STATE ROUTE 91
Peoria, IL 61615
  • Reassigned Medicare billing, Illinois enrollment
  • 2,944 clinicians in this Medicare group
NPI 1922445527 (309) 683-5050
Carle Health Medical Group
45 mi
Internal Medicine
611 W PARK ST
Urbana, IL 61801
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Carle Health Care Incorporated
  • 2,516 clinicians in this Medicare group
NPI 1154653947 (217) 383-8300

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
388 services50 patients
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.
189 services173 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.
156 services135 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
61 services54 patients
Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
56 services55 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.
34 services34 patients

Hospital Affiliations CMS Care Compare 5

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

Osf Saint Elizabeth Mdl Ctr

Acute Care Hospitals · Ottawa, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140110
Location1100 E Norris DriveOttawa, IL 61350 · La Salle County
Emergency services Birthing friendly

Carle Bromenn Medical Center

Acute Care Hospitals · Normal, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140127
Location1304 Franklin AvenueNormal, IL 61761 · Mc Lean County
Emergency services Birthing friendly

St Joseph Medical Center

Acute Care Hospitals · Bloomington, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140162
Location2200 E WashingtonBloomington, IL 61701 · Mc Lean County
Emergency services Birthing friendly

Warner Hospital And Health Services

Critical Access Hospitals · Clinton, IL
OwnershipGovernment - Local
CMS Certification Number141303
Location422 W White StClinton, IL 61727 · De Witt County
Emergency services

Carle Eureka Hospital

Critical Access Hospitals · Eureka, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141309
Location101 S Major StEureka, IL 61530 · Woodford County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61704 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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.

Other Providers at the Same Location NPPES 10

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

MCLEAN COUNTY ORTHOPEDICS, LTD
Orthopaedic Surgery
1111 TRINITY LANE, SUITE 111
BLOOMINGTON, IL 61704
McLean County (309) 663-6461
MS. NICHOLLE LEIGH EISFELDER MS,OT/L,CHT
Occupational Therapist (Hand)
1111 TRINITY LANE, SUITE 111
BLOOMINGTON, IL 61704
McLean County (309) 663-6461
LUCAS CASEY ARMSTRONG MD
Orthopaedic Surgery
1111 TRINITY LANE, SUITE 111
BLOOMINGTON, IL 61704
McLean County (309) 663-6461
DR. JOSEPH KAYSING NEWCOMER M.D.
Orthopaedic Surgery
1111 TRINITY LANE, SUITE 111
BLOOMINGTON, IL 61704
McLean County (309) 663-6461
MS. SARAH MICHELLE FOLLMER DPT
Physical Therapist
1111 TRINITY LANE, SUITE 111
BLOOMINGTON, IL 61704
McLean County (309) 663-6461
DR. MARK J HANSON M.D.
Orthopaedic Surgery
1111 TRINITY LANE, SUITE 111
BLOOMINGTON, IL 61704
McLean County (309) 663-6461
DR. WENDELL W BECTON M.D.
Family Medicine (Sports Medicine)
1111 TRINITY LANE, SUITE 111
BLOOMINGTON, IL 61704
McLean County (309) 663-6461
DR. JEROME W OAKEY M.D.
Orthopaedic Surgery (Hand Surgery)
1111 TRINITY LANE, SUITE 111
BLOOMINGTON, IL 61704
McLean County (309) 663-6461

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 Joseph Novotny's NPI number?

The NPI number for Joseph Novotny is 1881601144. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Where is Joseph Novotny located?

Joseph Novotny practices at 1111 Trinity Lane Suite 111, Bloomington, IL 61704. The listed phone number is (309) 663-6461.

What is Joseph Novotny's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Joseph Novotny enrolled in Medicare?

Yes. Joseph 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.

Which organizations bill Medicare for Joseph Novotny's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joseph Novotny reassigns Medicare benefits to 4 organizations: Carle West Physician Group Inc (Normal, IL), Carle Eureka Hospital (Eureka, IL), Osf Multi-Specialty Group (Peoria, IL) and Carle Health Medical Group (Urbana, IL). 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 Joseph Novotny's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Joseph Novotny affiliated with any hospitals?

According to CMS data, Joseph Novotny is affiliated with Osf Saint Elizabeth Mdl Ctr, Carle Bromenn Medical Center, St Joseph Medical Center, Warner Hospital And Health Services and Carle Eureka Hospital.

When was this NPI record last updated?

The NPPES record for Joseph Novotny was last updated on October 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.