MARK A. PETROFF, MD PC
NPI 1144365941
Plastic Surgery in Lake Oswego, OR

Q: What is Mark A. Petroff, MD PC's NPI number?

The NPI number for Mark A. Petroff, MD PC is 1144365941. It was assigned to this organization in the NPPES registry on February 20, 2007. The provider is doing business as Petroff Center.

Q: What is Mark A. Petroff, MD PC's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Active since February 20, 2007

17720 JEAN WAY, #100, LAKE OSWEGO, OR 97035(503) 635-4886(503) 635-1655 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

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About Mark A. Petroff, Md Pc NPPES

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

MARK A. PETROFF, MD PC (NPI 1144365941), doing business as Petroff Center, is a healthcare organization registered as a plastic surgery in Lake Oswego, Oregon and active in the NPI registry since February 2007. The organization lists Krista Lee Bradley, Clinic Administrator, as its authorized official.

NPPES Registry Identity

NPI1144365941

Entity TypeOrganization

Primary Taxonomy208200000X

Legal Business NameMARK A. PETROFF, MD PC

Location Address17720 JEAN WAY, #100Lake Oswego, OR 97035-5574

Mailing Address17720 Jean Way, #100Lake Oswego, OR 97035-5574 · (503) 635-4886 · Fax (503) 635-1655

Phone(503) 635-4886

Fax(503) 635-1655

Organization SubpartNo

Authorized OfficialKrista Lee BradleyClinic Administrator · (503) 607-1300

Enumeration DateFebruary 20, 2007

Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration

✔ NPI 1144365941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208200000X

Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Also ListedPlastic Surgery · Plastic Surgery Within the Head and NeckTaxonomy 2082S0099X

17720 JEAN WAY, Lake Oswego, OR 97035

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Other Names 1

Doing Business AsPetroff Center

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mark A. Petroff, Md Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Mark A. Petroff, MD PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mark Petroff, M.D.

Plastic and Reconstructive Surgery

NPI 1528068129

17720 JEAN WAY SUITE100
Lake Oswego, OR 97035

(503) 635-4886

✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Mark A. Petroff, MD PC's NPI number?

The NPI number for Mark A. Petroff, MD PC is 1144365941. It was assigned to this organization in the NPPES registry on February 20, 2007. The provider is doing business as Petroff Center.

Where is Mark A. Petroff, MD PC located?

Mark A. Petroff, MD PC is located at 17720 Jean Way #100, Lake Oswego, OR 97035. The listed phone number is (503) 635-4886.

What is Mark A. Petroff, MD PC's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Mark A. Petroff, MD PC enrolled in Medicare?

Yes. Mark A. Petroff, MD PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mark A. Petroff, MD PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Plastic and Reconstructive Surgery) reassigns their Medicare billing to Mark A. Petroff, MD PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mark A. Petroff, MD PC was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.