EDWARD J JR. NOVOTNY (MD) – Neurology with Special Qualifications in Child Neurology Physician, NPI 1851374078
Neurology with Special Qualifications in Child Neurology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for EDWARD J JR. NOVOTNY (MD)
Springbrook Professional Center, 4500, Sand Point Way Northeast, Laurelhurst, Seattle, King County, Washington, 98105, United States
SUITE 100, M/S CUMG, PO BOX 359300
SEATTLE, WA 981053900
Phone: (206) 987-8540
Fax: (206) 987-8415
Type: Mailing
Seattle Children's Hospital, 4800, Sand Point Way Northeast, Laurelhurst, Seattle, King County, Washington, 98105, United States
NEUROLOGY, M/S B-5552
SEATTLE, WA 981053901
Phone: (206) 987-2078
Fax: (206) 987-2649
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 15 Open Payments records for all available years, with a total value of $1,578.
Total Amount is formed as General ($1,578) + Research ($0) + Ownership ($0) = $1,578.
Last reported payment date: 2024-12-07 • Largest payer in this snapshot: SK Life Science, Inc. ($397).
Total Amount
$1,578
General + Research + Ownership
Payments
15
Total payment records
General Amount
$1,578
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| SK Life Science, Inc. | $397 |
| Cadwell Industries, INC | $306 |
| JAZZ PHARMACEUTICALS INC. | $274 |
| UCB, Inc. | $254 |
| BIOCODEX, INC. | $156 |
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: 2009-08-17
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20090817000612 | I | Neurology | WA | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 98105)
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