TIMOTHY GEORGE NOVICK (M.D.) – Family Medicine Physician, NPI 1366500753

TIMOTHY GEORGE NOVICK (M.D.) is a healthcare provider. based in Grantsburg, Wisconsin. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 41604 (WI). The NPI Number for TIMOTHY GEORGE NOVICK (M.D.) is 1366500753

Main info

Male
43 Years Of Experience
Accepts Medicare Assignment
Name
TIMOTHY GEORGE NOVICK (M.D.)
NPI
1366500753
Phone
(715) 463-5317
Address
257 W SAINT GEORGE AVE
Enumeration Date
5 December 2006
Last Update Date
14 December 2012

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
7154635353
Graduation Year
1983 (43 years ago)
PAC ID
6103960141
Group Practice PAC ID
2163314931
Professional Enrollment ID
I20100215000526
Address ID
WI548407827GR257XXAVEX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,050 FAMILY PRACTICE in WI

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Provider Addresses for TIMOTHY GEORGE NOVICK (M.D.)

  • Burnett General Hospital, 257, West Saint George Avenue, Grantsburg, Burnett County, Wisconsin, 54840, United States

    GRANTSBURG, WI 548407827

    Phone: (715) 463-5317

    Fax: (715) 463-2753

    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 1 Open Payments records for all available years, with a total value of $1.

Total Amount is formed as General ($1) + Research ($0) + Ownership ($0) = $1.

Last reported payment date: 2023-01-17 • Largest payer in this snapshot: Sumitomo Pharma America, Inc. ($1).

Total Amount

$1

General + Research + Ownership

Payments

1

Total payment records

General Amount

$1

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-01-17

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: 2010-02-15

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
I20100215000526IFamily PracticeWITBD

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 minutes7727$0
99238Hospital discharge day management, 30 minutes or less2523$0
99239Hospital discharge day management, more than 30 minutes1716$0
View full utilization report →

Insurance plans in this area (ZIP 54840)

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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: 2163314931View full group profile
NameSpecialtyState
Nurse PractitionerOK
Nurse PractitionerWI
Certified Nurse Midwife (Cnm)WI
Nurse PractitionerMN
Hospitalist, Family PracticeSD
Nurse PractitionerWI
General SurgeryWI
Orthopedic SurgeryWI
Nurse PractitionerWI
Family Practice, Sports MedicineWI

Reviews

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Frequently asked questions

Where can patients find TIMOTHY GEORGE NOVICK (M.D.)'s NPI?
You can confirm TIMOTHY GEORGE NOVICK (M.D.) with NPI 1366500753; it appears in the national provider directory.
Is TIMOTHY GEORGE NOVICK (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is TIMOTHY GEORGE NOVICK (M.D.)?
The page reflects Family Medicine Physician for TIMOTHY GEORGE NOVICK (M.D.). Clinical services aligned with this taxonomy classification.
Does TIMOTHY GEORGE NOVICK (M.D.) practice in Wisconsin?
You will see Grantsburg, Wisconsin on file for TIMOTHY GEORGE NOVICK (M.D.) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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