ROMAN TOBIAS PETTIGREW DO
NPI 1043914419
Internal Medicine in Portland, OR

Active since March 29, 2023PECOS Enrolled
2801 N GANTENBEIN AVE, PORTLAND, OR 97227(503) 413-8407 Get Directions Write a Review

NPPES record last updated: May 28, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Roman Tobias Pettigrew Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROMAN TOBIAS PETTIGREW DO (NPI 1043914419) is an individual internal medicine provider in Portland, Oregon, licensed in Oregon (DO229970) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS and maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1043914419
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameROMAN TOBIAS PETTIGREWCredential: DO
Location Address2801 N GANTENBEIN AVEPortland, OR 97227-1623
Mailing Address5 Nasons Ct Ste 8Kennebunk, ME 04043-7293
Sole ProprietorYes
Enumeration DateMarch 29, 2023
Last NPPES UpdateMay 28, 2026
NPPES CertifiedMay 28, 2026
NPI 1043914419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in OR · DO229970
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

2801 N GANTENBEIN AVE, Portland, OR 97227

Secondary Practice Location 1

Location 11015 NW 22nd AvePortland, OR 97210-3025 · Phone (503) 413-8401

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Roman Tobias Pettigrew Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97227 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.16 typical visit price
range $58.99 – $176.88
Typical copayment $33.54 (range $14.74 – $44.22)
Most-billed visit code 99204
Established Patient
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics (Pediatric Critical Care Medicine)
2801 N GANTENBEIN AVE
PORTLAND, OR 97227
Pediatrics (Pediatric Critical Care Medicine)
2801 N GANTENBEIN AVE
PORTLAND, OR 97227
Nurse Practitioner (Pediatrics)
2801 N GANTENBEIN AVE, STE 2225
PORTLAND, OR 97227
Physical Medicine & Rehabilitation (Pediatric Rehabilitation Medicine)
2801 N GANTENBEIN AVE, SUITE 2225
PORTLAND, OR 97227
Pediatrics (Developmental - Behavioral Pediatrics)
2801 N GANTENBEIN AVE, SUITE 2225
PORTLAND, OR 97227
Hospitalist
2801 N GANTENBEIN AVE
PORTLAND, OR 97227
Obstetrics & Gynecology
2801 N GANTENBEIN AVE
PORTLAND, OR 97227
Pediatrics (Pediatric Infectious Diseases)
2801 N GANTENBEIN AVE
PORTLAND, OR 97227

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Roman Pettigrew's NPI number?

The NPI number for Roman Pettigrew is 1043914419. It was assigned to this individual provider in the NPPES registry on March 29, 2023.

Where is Roman Pettigrew located?

Roman Pettigrew practices at 2801 N Gantenbein Ave, Portland, OR 97227. The listed phone number is (503) 413-8407.

What is Roman Pettigrew's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Roman Pettigrew enrolled in Medicare?

Yes. Roman Pettigrew is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Roman Pettigrew was last updated on May 28, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.