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PETR MIKSOVSKY M.D.
NPI 1285647735
Obstetrics & Gynecology in Portland, OR

Active since August 15, 2006PECOS Enrolled
3550 N INTERSTATE AVE, KAISER PERMANENTE, DEPT. OF OBSTETRICS & GYNECOLOGY, PORTLAND, OR 97227(503) 285-9321 Get Directions Write a Review

NPPES record last updated: September 3, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Petr Miksovsky M.d. NPPES

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

PETR MIKSOVSKY M.D. (NPI 1285647735) is an individual obstetrics & gynecology provider in Portland, Oregon, licensed in Oregon (MD23779) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285647735
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NamePETR MIKSOVSKYCredential: M.D.
Location Address3550 N INTERSTATE AVE, KAISER PERMANENTE, DEPT. OF OBSTETRICS & GYNECOLOGYPortland, OR 97227-1196
Mailing Address3550 N Interstate Ave, Kaiser Permanente, Dept. Of Obstetrics & GynecologyPortland, OR 97227-1196
Phone(503) 285-9321
Sole ProprietorNo
Enumeration DateAugust 15, 2006
Last NPPES UpdateSeptember 3, 2008
✔ NPI 1285647735 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in OR · MD23779
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
3550 N INTERSTATE AVE, Portland, OR 97227
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Kaiser Permanente.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Petr Miksovsky M.d. 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
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
Most-billed visit code 99213
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.

JAMES PAUL BRYANT LCSW, CADC 3
Counselor
3550 N INTERSTATE AVE
PORTLAND, OR 97227
Multnomah County (503) 964-0000
ALISON D. ARMOUR PSYD
Psychologist (Clinical)
3550 N INTERSTATE AVE
PORTLAND, OR 97227
Multnomah County (503) 813-2000
MS. JESSICA A DUDLEY FNP
Nurse Practitioner (Family)
3550 N INTERSTATE AVE
PORTLAND, OR 97227
Multnomah County (503) 746-1575
DANAYA LEE HALL SWHNP
Nurse Practitioner
3550 N INTERSTATE AVE
PORTLAND, OR 97227
Multnomah County (800) 813-2000
MS. JANET LEE MUCKRIDGE RD LD
Dietitian, Registered
3550 N INTERSTATE AVE, NUTRITION DEPARTMENT EAST INTERSTATE
PORTLAND, OR 97227
Multnomah County (503) 286-6871
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
Pharmacy (Managed Care Organization Pharmacy)
3550 N INTERSTATE AVE
PORTLAND, OR 97227
Multnomah County (866) 279-6122
COURTNEY JOHNSON LCSW
Social Worker (Clinical)
3550 N INTERSTATE AVE
PORTLAND, OR 97227
Multnomah County (800) 813-2000
CHIA NENG VANG RPH
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
3550 N INTERSTATE AVE
PORTLAND, OR 97227
Multnomah County (866) 279-6122

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 Petr Miksovsky's NPI number?

The NPI number for Petr Miksovsky is 1285647735. It was assigned to this individual provider in the NPPES registry on August 15, 2006.

Where is Petr Miksovsky located?

Petr Miksovsky practices at 3550 N Interstate Ave Kaiser Permanente, Dept. Of Obstetrics & Gynecology, Portland, OR 97227. The listed phone number is (503) 285-9321.

What is Petr Miksovsky's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Petr Miksovsky enrolled in Medicare?

Yes. Petr Miksovsky is registered in the Medicare PECOS enrollment system.

What insurance does Petr Miksovsky accept?

Health plans from Kaiser Permanente list Petr Miksovsky 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 Petr Miksovsky was last updated on September 3, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.