KEVIN D NOWICKI (MD) – Sports Medicine (Neuromusculoskeletal Medicine) Physician, NPI 1154313021

KEVIN D NOWICKI (MD) is a healthcare provider. based in Clermont, Florida. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials MD. They hold a License No. ME0062806 (FL). The NPI Number for KEVIN D NOWICKI (MD) is 1154313021

Main info

Male
37 Years Of Experience
Accepts Medicare Assignment
Name
KEVIN D NOWICKI (MD)
NPI
1154313021
Phone
(352) 242-0404
Address
2020 OAKLEY SEAVER DR
Enumeration Date
17 August 2005
Last Update Date
20 November 2013

Doctor Profile

Medical School Name
UNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE
Secondary Phone
3526933378
Graduation Year
1989 (37 years ago)
PAC ID
7214011170
Group Practice PAC ID
1759290992
Professional Enrollment ID
I20080301000116
Address ID
FL321632017TH2953XTRLX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,916 ORTHOPEDIC SURGERY in FL

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Provider Addresses for KEVIN D NOWICKI (MD)

  • 2020, Oakley Seaver Drive, Clermont, Lake County, Florida, 34711, United States

    CLERMONT, FL 34711

    Phone: (352) 242-0404

    Fax: (352) 242-5278

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $505.

Total Amount is formed as General ($505) + Research ($0) + Ownership ($0) = $505.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Arthrex, Inc. ($317).

Total Amount

$505

General + Research + Ownership

Payments

7

Total payment records

General Amount

$505

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-03-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080301000116IOrthopedic SurgeryFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J1030Injection, methylprednisolone acetate, 40 mg626232$0
99213Established patient office or other outpatient visit, 20-29 minutes574329$0
20610Aspiration and/or injection of fluid from large joint492258$0
99214Established patient office or other outpatient visit, 30-39 minutes411298$0
73030X-ray of shoulder, minimum of 2 views265214$0
View full utilization report →

Insurance plans in this area (ZIP 34711)

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Provider's Procedures

KEVIN D NOWICKI (MD) performs procedures in ORTHOPEDIC SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ORTHOPEDIC SURGERYFL20610Aspiration and/or injection of large joint or joint capsule423207

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1759290992View full group profile
NameSpecialtyState
Orthopedic SurgeryFL
Internal MedicineFL
Family PracticeFL
Physician AssistantVA
Physician AssistantFL
Family PracticeFL
Internal MedicineFL
Family PracticeFL
Physician AssistantFL
N E U R O S U R G E R YFL

Reviews

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Frequently asked questions

What is the registry number for KEVIN D NOWICKI (MD)?
The registry entry for KEVIN D NOWICKI (MD) shows NPI 1154313021.
Is KEVIN D NOWICKI (MD) currently accepting referrals based on NPI status?
Registry metadata lists KEVIN D NOWICKI (MD) as active.
What type of care does KEVIN D NOWICKI (MD) provide?
KEVIN D NOWICKI (MD)'s profile centers on Sports Medicine (Neuromusculoskeletal Medicine) Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to KEVIN D NOWICKI (MD)?
KEVIN D NOWICKI (MD) shows a connection to Clermont, Florida in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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