CHARLES JUSTIN PETIT M.D.
NPI 1356332720
Orthopaedic Surgery - Sports Medicine in Lake Oswego, OR

Q: What is Charles Petit's NPI number?

The NPI number for Charles Petit is 1356332720. It was assigned to this individual provider in the NPPES registry on November 3, 2005.

Q: What is Charles Petit's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Q: When was this NPI record last updated?

The NPPES record for Charles Petit was last updated on August 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since November 03, 2005PECOS EnrolledAccepts Medicare Assignment

93.57/100

CMS Quality Rating

17355 LOWER BOONES FERRY RD, #100A, LAKE OSWEGO, OR 97035(503) 224-8399(503) 224-5661 Get Directions Write a Review

NPPES record last updated: August 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Charles Justin Petit M.d. NPPES

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

CHARLES JUSTIN PETIT M.D. (NPI 1356332720) is an individual sports medicine provider in Lake Oswego, Oregon, licensed in Oregon (MD29397) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Mid-columbia Medical Center, and maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1356332720

Entity TypeIndividualMale

Primary Taxonomy207XX0005X

Provider Legal NameCHARLES JUSTIN PETITCredential: M.D.

Location Address17355 LOWER BOONES FERRY RD, #100ALake Oswego, OR 97035-2839

Mailing Address17355 Lower Boones Ferry Rd, #100aLake Oswego, OR 97035-2839 · (503) 224-8399 · Fax (503) 224-5661

Phone(503) 224-8399

Fax(503) 224-5661

Sole ProprietorNo

Medical School CMSUniversity Of California, San Diego School Of MedicineGraduated 2003

Enumeration DateNovember 3, 2005

Last NPPES UpdateAugust 25, 2025

NPPES CertifiedAugust 18, 2025

✔ NPI 1356332720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207XX0005X

License✔ Licensed in OR · MD29397

Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License MD29397 (OR)

17355 LOWER BOONES FERRY RD, Lake Oswego, OR 97035

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Secondary Practice Location 1

Location 15050 NE Hoyt St Ste 668Portland, OR 97213-2990 · Phone (503) 224-8399

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, PacificSource Health Plans, Providence Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Charles Justin Petit M.d. 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 ID3274693379

PECOS Enrollment IDI20090821000364

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.

Areas of Expertise CMS Part B claims 19

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

294 services215 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

207 services125 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

108 services75 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

91 services69 patients

Aspiration and/or injection of fluid large joint using ultrasound guidance 20611

This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.

87 services73 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

80 services74 patients

X-ray of hip, 1 view 73501

An X-ray of the hip, 1 view, is a quick, painless test where a small amount of radiation is used to produce images of the hip joint. This helps in diagnosing conditions like arthritis or fractures. You'll be positioned so that the X-ray machine can capture the best image of your hip.

67 services48 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

65 services65 patients

X-ray of knee, 4 or more views 73564

An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.

64 services52 patients

X-ray of knee, 1-2 views 73560

An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.

38 services27 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

33 services33 patients

Prosthetic repair of shoulder joint, total shoulder 23472

Total shoulder prosthetic repair is a surgical procedure to replace a damaged shoulder joint with artificial components. It aims to relieve pain and restore mobility. The procedure involves replacing the ball (humeral head) and socket (glenoid) of the shoulder joint.

26 services25 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

24 services23 patients

Replacement of thigh bone and hip joint with prosthesis 27130

This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.

20 services19 patients

Shaving of part of shoulder bone and repair of ligament using an endoscope 29826

This procedure involves using a tiny camera, called an endoscope, to view and repair a damaged shoulder ligament. Simultaneously, a small portion of the shoulder bone is shaved to alleviate discomfort and improve movement. It's a minimally invasive technique that aids in a quicker recovery.

20 services19 patients

Anchoring of biceps tendon 23430

Anchoring of the biceps tendon is a surgical procedure aimed at restoring stability to your arm. The surgeon secures your biceps tendon to the bone using special anchors, which helps to reduce pain and improve arm function.

16 services15 patients

Removal of extensive shoulder joint tissue using an endoscope 29823

This procedure, known as arthroscopic debridement, involves using a small camera (endoscope) to view your shoulder joint. Damaged or unwanted tissue is then carefully removed. This minimally invasive technique aims to reduce pain and improve joint mobility.

13 services12 patients

X-ray of both hips, 2 views 73521

An X-ray of both hips, 2 views, is an imaging test that uses a small amount of radiation to create detailed pictures of your hip joints. This procedure helps to detect fractures, infections, or other abnormalities in the hip area. Two different angles will be captured for a comprehensive assessment.

13 services12 patients

Repair of shoulder rotator cuff using an endoscope 29827

This procedure, known as arthroscopic rotator cuff repair, helps fix tears in the shoulder's rotator cuff. An endoscope, a small camera, is used to view the shoulder inside. Using small tools, the surgeon repairs the torn tissue. This minimally invasive approach often leads to a quicker recovery.

11 services11 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mid-Columbia Medical Center

Acute Care Hospitals · The Dalles, OR

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number380001

Location1700 E 19th StreetThe Dalles, OR 97058 · Wasco County

Emergency services Birthing friendly

Legacy Good Samaritan Medical Center

Acute Care Hospitals · Portland, OR

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number380017

Location1015 NW 22nd Avenue, W121Portland, OR 97210 · Multnomah County

Emergency services Birthing friendly

Providence Portland Medical Center

Acute Care Hospitals · Portland, OR

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number380061

Location4805 NE Glisan StreetPortland, OR 97213 · Multnomah County

Emergency services Birthing friendly

Providence Hood River Memorial Hospital

Critical Access Hospitals · Hood River, OR

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number381318

Location810 12th StreetHood River, OR 97031 · Hood River County

Emergency services Birthing friendly

Skyline Hospital

Critical Access Hospitals · White Salmon, WA

OwnershipGovernment - Hospital District or Authority

CMS Certification Number501315

Location211 Skyline DriveWhite Salmon, WA 98672 · Klickitat County

Emergency services

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.

93.57/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

85.33

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf L3670

DME-Orthotic Devices · category DF000N

1 supplier18 claims18 services$80.30 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

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

EMILY C NGUYEN MD

Orthopaedic Surgery (Orthopaedic Surgery of the Spine)

17355 LOWER BOONES FERRY RD, STE 100A
PORTLAND, OR 97035

Clackamas County (503) 224-8399

DR. DEREK EDWARD LAMPRECHT D.O.

Orthopaedic Surgery (Sports Medicine)

17355 LOWER BOONES FERRY RD, SUITE 100A
LAKE OSWEGO, OR 97035

Clackamas County (503) 224-8399

DR. DOMINIC PATRICK PATILLO MD

Orthopaedic Surgery (Hand Surgery)

17355 LOWER BOONES FERRY RD, STE 100A
LAKE OSWEGO, OR 97035

Clackamas County (503) 256-5866

DR. KENNETH WEBSTER HEGEWALD D.P.M.

Podiatrist (Foot & Ankle Surgery)

17355 LOWER BOONES FERRY RD, STE 100A
PORTLAND, OR 97035

Clackamas County (503) 224-8399

KENDRA LAURY BLOSSER PA-C

Physician Assistant

17355 LOWER BOONES FERRY RD, STE 100A
LAKE OSWEGO, OR 97035

Clackamas County (503) 224-8399

JENNIFER MARONEK OT

Occupational Therapist

17355 LOWER BOONES FERRY RD, STE 100A
LAKE OSWEGO, OR 97035

Clackamas County (503) 224-8399

ORTHOPEDIC & SPORTS MEDICINE CENTER OF OREGON LLC

Orthopaedic Surgery

17355 LOWER BOONES FERRY RD, STE 100A
LAKE OSWEGO, OR 97035

Clackamas County (503) 224-8399

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 Charles Petit's NPI number?

The NPI number for Charles Petit is 1356332720. It was assigned to this individual provider in the NPPES registry on November 3, 2005.

Where is Charles Petit located?

Charles Petit practices at 17355 Lower Boones Ferry Rd #100a, Lake Oswego, OR 97035. The listed phone number is (503) 224-8399.

What is Charles Petit's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Charles Petit enrolled in Medicare?

Yes. Charles Petit 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.

What insurance does Charles Petit accept?

Health plans from BridgeSpan Health Company, PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Charles Petit 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.

Is Charles Petit affiliated with any hospitals?

According to CMS data, Charles Petit is affiliated with Mid-Columbia Medical Center, Legacy Good Samaritan Medical Center, Providence Portland Medical Center, Providence Hood River Memorial Hospital and Skyline Hospital.

When was this NPI record last updated?

The NPPES record for Charles Petit was last updated on August 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.