DR. MICHAEL L NOVAK (O.D.) – Corneal and Contact Management Optometrist, NPI 1265481212

DR. MICHAEL L NOVAK (O.D.) is a healthcare provider. based in Willmar, Minnesota. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 2543 (MN). The NPI Number for DR. MICHAEL L NOVAK (O.D.) is 1265481212

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHAEL L NOVAK (O.D.)
NPI
1265481212
Phone
(320) 235-2020
Address
1801 19TH AVE SW
Enumeration Date
8 May 2006
Last Update Date
16 January 2008

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
3202145755
Graduation Year
1995 (31 years ago)
PAC ID
0648250522
Group Practice PAC ID
6406756295
Professional Enrollment ID
I20040721001388
Address ID
MN562014946WI1801XSWXX400
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

879 OPTOMETRY in MN

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Provider Addresses for DR. MICHAEL L NOVAK (O.D.)

  • 1801, 19th Avenue Southwest, Willmar, Kandiyohi County, Minnesota, 56201, United States

    WILLMAR, MN 562014946

    Phone: (320) 235-2020

    Fax: (320) 214-5761

    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 $148.

Total Amount is formed as General ($148) + Research ($0) + Ownership ($0) = $148.

Last reported payment date: 2024-11-13 • Largest payer in this snapshot: Alcon Vision LLC ($86).

Total Amount

$148

General + Research + Ownership

Payments

7

Total payment records

General Amount

$148

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-13

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: 2004-07-21

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
I20040721001388IOptometryMNTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes655601$0
99213Established patient office or other outpatient visit, 20-29 minutes393219$0
92083Exam of visual field with extended testing113110$0
92133Imaging of optic nerve106105$0
92014Established patient complete exam of visual system4242$0
View full utilization report →

Insurance plans in this area (ZIP 56201)

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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: 6406756295View full group profile
NameSpecialtyState
O P T O M E T R YMN
O P T O M E T R YNC
O P T O M E T R YMN
O P H T H A L M O L O G YMN
O P T O M E T R YMN

Reviews

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Frequently asked questions

Is DR. MICHAEL L NOVAK (O.D.) listed with a National Provider Identifier?
Yes — DR. MICHAEL L NOVAK (O.D.) has NPI 1265481212 on file in the registry.
Active or inactive — what applies to DR. MICHAEL L NOVAK (O.D.)?
You should see DR. MICHAEL L NOVAK (O.D.) as active in CMS-hosted NPPES data.
What clinical focus is listed for DR. MICHAEL L NOVAK (O.D.)?
At a glance, DR. MICHAEL L NOVAK (O.D.) is tied to Corneal and Contact Management Optometrist. Clinical services aligned with this taxonomy classification.
Is DR. MICHAEL L NOVAK (O.D.) associated with Willmar?
Public fields place DR. MICHAEL L NOVAK (O.D.) around Willmar, Minnesota. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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