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PROVIDER PROFILE · NPI 1720068455

Kenneth NovakMD

OphthalmologyChambersburg, PAI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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PRESCRIBING · PART D · 2024
Total Rx claims
131
Beneficiaries
—
Total drug cost
$3K
Distinct drugs
4
Brand share
26.7%
Top prescribed drugs
Prednisolone Acetate50 claims
Moxifloxacin Hcl35 claims
Diclofenac Sodium31 claims
Latanoprost15 claims
QUALITY · MIPS · 2024
Final MIPS score
90.8
Quality
95.0
Cost
74.3
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.66%
Group
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
414
Unique beneficiaries
—
Total services
483
Distinct HCPCS
10
Medicare payment
$59K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 810 Ophthalmology providers in PA — bottom quintile (cohort median 1,854).
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$48
Payment records
1
By payment type
Food and Beverage$48
REFERRAL NETWORK

Where Kenneth Novak's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 26 inbound referrers · 0 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
MVHS INC2731,113
CENTREX CLINICAL LABORATORIES INC187795
KARIKEHALLI, SHRIDEVI64402
SUMNER, MARK3091
Tamim Khaliqi
Anesthesiology · Cortland, NY
2478
Melany Rookstool
Anesthesiology · Indianapolis, IN
2458
KNAPP, PATRICK2470
Nancy Shaheen
Diagnostic Radiology · New Hartford, NY
1837
Brian Gaffney
Cardiology · Utica, NY
1840
Fred Talarico
Cardiology · Utica, NY
1842
Thomas Socash
Family Practice · Old Forge, NY
15160
Thor Markwood
Cardiology · Utica, NY
1433
Refers patients to
Outbound — where patients go next
No outbound pairs above the suppression threshold.
Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.