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Dr. Jacob Alexander Martin Novack , DO

Urology • Port Huron, MI

Active NPI 1669096111 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

1037 Water St Ste 1
Port Huron, MI 480604408

Call 2489677000 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1037 Water St Ste 1

Port Huron, MI 480604408

Telephone 2489677000
Organization at the Same NPPES Address or Phone
Henry Ford Health Macomb Oakland Hospital Facility NPI 1215139233

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Mclaren Medical Group. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2020

30-day fills

69 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$295 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.

Open Payments general payments, program year 2025

All general payments: $2,142.61 across 10 records.

By nature of payment

  • Travel and Lodging: $1,601.73 across 6 records.
  • Food and Beverage: $540.88 across 4 records.

Reporting-company totals

  • Boston Scientific Corporation: $1,933.42 across 8 records.
  • Calyxo, Inc.: $132.63 across 1 record.
  • Ferring Pharmaceuticals Inc.: $76.56 across 1 record.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

6 years (graduated 2020)

CMS Doctors and Clinicians data list 2020 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2020

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Novack has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Novack as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Port Huron and Michigan

Billing and prescribing volume is not a quality rating.

Medicare Part D prescriptions

Fewer Part D prescriptions than 85% of clinicians listed under Urology in Michigan (2024, 306 clinicians with data). Median for this group: 993. Middle half: 276 to 2,029.

Too few clinicians listed under Urology in Port Huron have Medicare Part D data for 2024 to compare.

Part D drug cost

A lower Part D drug cost than 90% of clinicians listed under Urology in Michigan (2024, 306 clinicians with data). Median for this group: $96,872. Middle half: $12,312 to $356,913.

Too few clinicians listed under Urology in Port Huron have Medicare Part D data for 2024 to compare.

6 active clinicians are listed under Urology with a practice address in Port Huron, MI (446 in Michigan).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments · Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $2,142.61.

Manufacturer Payment Nature Product Type Amount ($)
Boston Scientific Corporation
Travel and Lodging
In-kind items and services
AMS 700 General $737.21
Boston Scientific Corporation
Travel and Lodging
In-kind items and services
AMS 700 General $358.69
Boston Scientific Corporation
Travel and Lodging
In-kind items and services
AMS 700 General $358.69
Boston Scientific Corporation
Food and Beverage
In-kind items and services
AMS 700 General $241.69
Calyxo, Inc.
Food and Beverage
In-kind items and services
CVAC ASPIRATION SYSTEM General $132.63
Boston Scientific Corporation
Food and Beverage
In-kind items and services
AMS 700 General $90.00
Ferring Pharmaceuticals Inc.
Food and Beverage
In-kind items and services
ADSTILADRIN General $76.56
Boston Scientific Corporation
Travel and Lodging
In-kind items and services
AMS 700 General $67.87
Boston Scientific Corporation
Travel and Lodging
In-kind items and services
AMS 700 General $54.30
Boston Scientific Corporation
Travel and Lodging
In-kind items and services
AMS 700 General $24.97

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D · Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Cephalexin Cephalexin 39 149 $71.78 38
Ketorolac Tromethamine Ketorolac Tromethamine 18 56 $171.24 18
Tamsulosin Hcl Tamsulosin Hcl 12 360 $52.24 12

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-10-14
Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

License # reported to NPPES MI 5101028607

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Michigan Department of Licensing and Regulatory Affairs.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - UROLOGY

Medicare Enrollment ID

I20251009000897

Enrollment State Jurisdiction

MI

PECOS Control ID

7315332046

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Mclaren Medical Group

1037 Water St, Port Huron, MI 480604408

Phone: 8109844194

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

5 listed
NPI 1972513265

Doctor of Osteopathic Medicine (D.O.)

Dr. Elizabeth Marcuz , DO

Emergency Medicine

NPI 1093001075

Doctor of Osteopathic Medicine (D.O.)

Tina Moran , ACNP

Nurse Practitioner - Acute Care

NPI 1407042930
Mincy Thomas

Registered Nurse

NPI 1558685701
Dr. Lisa Wargo , DNP

Nurse Practitioner - Acute Care

NPI 1003288226

Doctor of Nursing Practice

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 14, 2025

Urology (license number reported to NPPES: MI 5101028607)

📍
Updated Practice Location July 09, 2025

Registered at 1037 WATER ST STE 1, PORT HURON, MI 480604408 (Tel: 2489677000)

📍
Updated Business Mailing Address July 09, 2025

Registered at 22644 RIDGEWAY ST, SAINT CLAIR SHORES, MI 480801476 (Tel: 5862162615)

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NPI Profile Active June 01, 2020

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) June 01, 2020

Registered at 27351 DEQUINDRE RD, MADISON HEIGHTS, MI 480713487 (Tel: 2489677000)

📍
Business Mailing Address (Initial Record) June 01, 2020

Registered at 26460 BELANGER ST, ROSEVILLE, MI 480663162 (Tel: 5862162615)

👤
Provider Name / Credentials (Initial Record) June 01, 2020

Recorded as JACOB NOVACK, DO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 01, 2020

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration June 01, 2020

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1669096111
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 01, 2020
Last Update: October 14, 2025
Sole Proprietor: No

Other Urology Specialists in Port Huron

Healthcare providers in Port Huron

Mailing Address

22644 Ridgeway St

Saint Clair Shores, MI 480801476

Phone: 5862162615

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.