Jacob Alexander Martin Novack, DO
NPI 1669096111ActiveIndividual· Urology· Port Huron, MI
Urology (DO) with McLaren Medical Group, practicing in Port Huron, Michigan. Part D covered 93 prescriptions written in 2024, 98% of them generic. Boston Scientific Corporation was the largest of 3 companies reporting payments in 2025, $2,143 in all, mostly travel and lodging. Lists Lake Huron Medical Center and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1669096111 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DO |
| Sole proprietor | No |
| NPI issued | Jun 1, 2020 |
| Last updated in NPPES | Oct 14, 2025 |
| Certified by provider | Oct 14, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Urology Primary | 208800000X | 5101028607 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Urology (MI) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 93 · 94 30-day fills |
|---|---|
| Patients | 59 |
| Total drug cost | $948.40 |
| Generic share | 98% of claims |
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Urology |
Medical group
- McLaren Medical GroupLansing, MI · 213 clinicians
Hospital affiliations
- Lake Huron Medical CenterPort Huron, MI
- McKenzie Health SystemSandusky, MI
- McLaren Port HuronPort Huron, MI
Industry payments (Open Payments)
- 2025$2,143 · 10 payments from 3 companies
- 2024$485.39 · 5 payments from 4 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Boston Scientific Corporation | $1,933 | 8 |
| Calyxo, Inc. | $132.63 | 1 |
| Ferring Pharmaceuticals Inc. | $76.56 | 1 |
What the 2025 payments were for
- Travel and Lodging$1,602 · 6 payments
- Food and Beverage$540.88 · 4 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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