Physician

Kenneth D Novak, MD

According to 2025 Medicare claims, Kenneth Novak, MD (NPI: 1720068455) practices ophthalmology in the Erie, PA market, with the plurality of this provider's patient population coming from Erie, PA. This provider's primary affiliated billing organization is ERIE RETINAL SURGERY, INC. (NPI: 1457313868; TIN: 251462552) and primary practice location at 16507-1427.

Novak's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 222 traditional Medicare patients, billed 527 HCPCS/CPT codes, and received $61,535 in Medicare payments. The top billing code was 66984 (Removal of cataract with insertion of prosthetic lens). Part D data shows 172 prescription claims across 66 beneficiaries totaling $9,736 in drug costs, led by Prednisolone Acetate (Prednisolone Acetate). 2019 DME data shows 11 claims. Open Payments data shows 1 records totaling $48. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has fallen sharply in recent years, from $394,126 to $61,535. Similarly, Part D prescription costs have fallen sharply in recent years, from $494,160 to $9,736. In contrast, DME billing represents a smaller volume and changed little.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	1,070	3,709	$394,126
2016	960	3,381	$358,614
2017	867	3,065	$315,440
2018	830	3,021	$312,911
2019	756	3,082	$317,553
2020	206	512	$34,002
2021	N/R	N/R	N/R
2022	N/R	N/R	N/R
2023	291	1,038	$167,109
2024	222	527	$61,535

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	865	4,250	$494,160
2016	809	3,955	$441,910
2017	830	3,847	$405,439
2018	806	3,912	$434,896
2019	907	3,829	$436,124
2020	402	1,399	$179,556
2021	25	35	$5,458
2022	N/R	N/R	N/R
2023	50	137	$11,149
2024	66	172	$9,736

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

Year	Patients	Claims	Payment
2015	68	68	$4,649
2016	22	22	$959
2017	24	24	$1,034
2018	35	35	$1,730
2019	11	11	$469
2020	N/R	N/R	N/R
2021	N/R	N/R	N/R
2022	N/R	N/R	N/R
2023	N/R	N/R	N/R
2024	N/R	N/R	N/R

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
66984	Removal of cataract with insertion of prosthetic lens	47	71	$391
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$108
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	139	148	$82
92012	Established patient problem focused exam of visual system	42	46	$65
92136	Measurement of corneal curvature and depth of eye	69	99	$27

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Prednisolone Acetate	Prednisolone Acetate	50	1,182	$1,505
Moxifloxacin	Moxifloxacin Hcl	35	552	$843
Diclofenac Sodium	Diclofenac Sodium	31	986	$324
Latanoprost	Latanoprost	15	816	$246

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	1	$48	Glaukos Corporation
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Kenneth D. Novak, MD?

Tedicare shows public-source Medicare data for Kenneth D. Novak, MD (NPI 1720068455), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Kenneth D. Novak, MD have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Kenneth D. Novak, MD?

Kenneth D. Novak, MD is linked to ERIE RETINAL SURGERY, INC. (billing NPI 1457313868) in the available physician profile data.

Does Kenneth D. Novak, MD have Open Payments data?

Kenneth D. Novak, MD has 1 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.