DR. LEESA RAE NOVOTNY (MD) – Family Medicine Physician, NPI 1225483563

DR. LEESA RAE NOVOTNY (MD) is a healthcare provider. based in Montevideo, Minnesota. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 64617 (MN). The NPI Number for DR. LEESA RAE NOVOTNY (MD) is 1225483563

Main info

Female
Sole Proprietor
11 Years Of Experience
Name
DR. LEESA RAE NOVOTNY (MD)
NPI
1225483563
Phone
(320) 269-8877
Address
824 N 11TH ST
Enumeration Date
24 April 2016
Last Update Date
29 December 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3202698877
Graduation Year
2015 (11 years ago)
PAC ID
9931480340
Group Practice PAC ID
4284539453
Professional Enrollment ID
I20190826002202
Address ID
MN562651629MO824XXSTXX400

Contacts

Secure Messaging
llarson298384@direct.centracare.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness85
Years active:10State licenses:1Other namesUpdated within 12 months

3,075 FAMILY PRACTICE in MN

Provider Addresses for DR. LEESA RAE NOVOTNY (MD)

  • Chippewa County-Montevideo Hospital, 824, North 11th Street, Montevideo, Chippewa County, Minnesota, 56265, United States

    MONTEVIDEO, MN 56265

    Phone: (320) 269-8877

    Fax: (320) 269-8186

    Type: Mailing

  • 1304 E Lincoln Ave

    Montevideo, MN 562652019

    Phone: (320) 339-2199

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $34.

Total Amount is formed as General ($34) + Research ($0) + Ownership ($0) = $34.

Last reported payment date: 2024-02-22 • Largest payer in this snapshot: Novo Nordisk Inc ($18).

Total Amount

$34

General + Research + Ownership

Payments

2

Total payment records

General Amount

$34

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-22

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: 2019-08-26

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
I20190826002202IFamily PracticeMNTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes5737$0
View full utilization report →

Insurance plans in this area (ZIP 56265)

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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: 4284539453View full group profile
NameSpecialtyState
Hospitalist, Internal MedicineCT
-MN
Nurse PractitionerMN
Physician AssistantMN
Nurse PractitionerMN
-MN
Nurse PractitionerMN
Family Practice, Internal MedicineMN
Certified Nurse Midwife (Cnm)MN
General SurgeryMN

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What identifier follows DR. LEESA RAE NOVOTNY (MD) across health systems?
The NPI 1225483563 uniquely identifies DR. LEESA RAE NOVOTNY (MD) in U.S. healthcare data.
Is DR. LEESA RAE NOVOTNY (MD)'s NPI status active today?
Active status means DR. LEESA RAE NOVOTNY (MD)'s NPI record is not deactivated in the public file.
What services align with DR. LEESA RAE NOVOTNY (MD)'s listing?
DR. LEESA RAE NOVOTNY (MD)'s public classification highlights Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. LEESA RAE NOVOTNY (MD)?
DR. LEESA RAE NOVOTNY (MD) is associated with Montevideo, Minnesota in the same public data insurers reference.
Who maintains DR. LEESA RAE NOVOTNY (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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