PETRA ZDENKOVA PSYD
NPI 1285034181
Psychologist - Clinical in Corvallis, OR

Active since August 27, 2014PECOS EnrolledAccepts Medicare Assignment
91.4/100
CMS Quality Rating
3640 NW SAMARITAN DR STE 220, CORVALLIS, OR 97330(541) 768-5300 Get Directions Write a Review

NPPES record last updated: December 30, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 30, 2022, Nov 4, 2020 (2 updates tracked since 2020).

About Petra Zdenkova Psyd NPPES

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

PETRA ZDENKOVA PSYD (NPI 1285034181) is an individual clinical provider in Corvallis, Oregon, licensed in Oregon (2747) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Albany, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1285034181
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NamePETRA ZDENKOVACredential: PSYD
Location Address3640 NW SAMARITAN DR STE 220Corvallis, OR 97330-3784
Mailing AddressPo Box 1188Corvallis, OR 97339-1188
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateAugust 27, 2014
Last NPPES UpdateDecember 30, 20222 updates tracked since enumeration
NPPES CertifiedDecember 30, 2022
✔ NPI 1285034181 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in OR · 2747
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
3640 NW SAMARITAN DR STE 220, Corvallis, OR 97330

Secondary Practice Location 1

Location 11700 Geary St SE Ste 200Albany, OR 97322-6842 · Phone (541) 812-5570

Other Identifiers 1

Other2747OR · License Number

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Petra Zdenkova Psyd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1456632934
PECOS Enrollment IDI20161220002343
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Petra Zdenkova reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cardiovascular Disease
3640 NW SAMARITAN DR STE 120
Corvallis, OR 97330
  • Reassigned Medicare billing, Oregon enrollment
  • 522 clinicians in this Medicare group
Pain Medicine
5234 SW PHILOMATH BLVD STE C
Corvallis, OR 97333
  • Reassigned Medicare billing, Oregon enrollment
  • Also billed through NPI 1508122763 (Oregon)
  • 416 clinicians in this Medicare group
Family Medicine
1086 7TH AVE SW STE 101
Albany, OR 97321
  • Reassigned Medicare billing, Oregon enrollment
  • 432 clinicians in this Medicare group
Rural Health
199 WEST HIGHWAY 20
Toledo, OR 97391
  • Reassigned Medicare billing, Oregon enrollment
  • 332 clinicians in this Medicare group
Urology
3100 NE 28TH ST STE B
Lincoln City, OR 97367
  • Reassigned Medicare billing, Oregon enrollment
  • 277 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97330 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
$166.64 typical visit price
range $54.96 – $166.64
Typical copayment $41.66 (range $13.74 – $41.66)
Most-billed visit code 99205
Established Patient
$97.16 typical visit price
range $17.68 – $136.19
Typical copayment $24.29 (range $4.42 – $34.04)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.4/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality95.63
Promoting Interoperability100
Improvement Activities40
Cost68.32

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.

Obstetrics & Gynecology
3640 NW SAMARITAN DR STE 220
CORVALLIS, OR 97330
Obstetrics & Gynecology
3640 NW SAMARITAN DR STE 220
CORVALLIS, OR 97330
Midwife
3640 NW SAMARITAN DR STE 220
CORVALLIS, OR 97330
Advanced Practice Midwife
3640 NW SAMARITAN DR STE 220
CORVALLIS, OR 97330
Midwife
3640 NW SAMARITAN DR STE 220
CORVALLIS, OR 97330
Obstetrics & Gynecology
3640 NW SAMARITAN DR STE 220
CORVALLIS, OR 97330
Obstetrics & Gynecology
3640 NW SAMARITAN DR STE 220
CORVALLIS, OR 97330
Obstetrics & Gynecology
3640 NW SAMARITAN DR STE 220
CORVALLIS, OR 97330

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 Petra Zdenkova's NPI number?

The NPI number for Petra Zdenkova is 1285034181. It was assigned to this individual provider in the NPPES registry on August 27, 2014.

Where is Petra Zdenkova located?

Petra Zdenkova practices at 3640 NW Samaritan Dr Ste 220, Corvallis, OR 97330. The listed phone number is (541) 768-5300.

What is Petra Zdenkova's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Petra Zdenkova enrolled in Medicare?

Yes. Petra Zdenkova is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Petra Zdenkova's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Petra Zdenkova reassigns Medicare benefits to 5 organizations: Good Samaritan Hospital Corvallis (Corvallis, OR), Mid-Valley Healthcare, Inc. (Corvallis, OR), Albany General Hospital (Albany, OR), Samaritan Pacific Health Services, Inc. (Toledo, OR) and Samaritan North Lincoln Hospital (Lincoln City, OR). Each 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 Petra Zdenkova's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Petra Zdenkova accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Petra Zdenkova as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Petra Zdenkova was last updated on December 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.