PORTLAND PLASTIC SURGERY GROUP, LLC
NPI 1437573185
Plastic Surgery in Portland, OR

Q: What is Portland Plastic Surgery Group, LLC's NPI number?

The NPI number for Portland Plastic Surgery Group, LLC is 1437573185. It was assigned to this organization in the NPPES registry on February 14, 2014.

Q: What is Portland Plastic Surgery Group, LLC's specialty?

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

Active since February 14, 2014

1200 NW NAITO PKWY STE 310, PORTLAND, OR 97209(503) 292-9200(503) 292-9205 Get Directions Write a Review

NPPES record last updated: October 13, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Portland Plastic Surgery Group, Llc NPPES

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

PORTLAND PLASTIC SURGERY GROUP, LLC (NPI 1437573185) is a healthcare organization registered as a plastic surgery in Portland, Oregon and active in the NPI registry since February 2014. The organization lists Billi Jo Nowka, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1437573185

Entity TypeOrganization

Primary Taxonomy208200000X

Legal Business NamePORTLAND PLASTIC SURGERY GROUP, LLC

Location Address1200 NW NAITO PKWY STE 310Portland, OR 97209-2829

Mailing Address1200 Nw Naito Pkwy Ste 310Portland, OR 97209-2829 · (503) 292-9200 · Fax (503) 292-9205

Phone(503) 292-9200

Fax(503) 292-9205

Organization SubpartNo

Authorized OfficialBilli Jo NowkaOffice Manager · (503) 928-3001

Enumeration DateFebruary 14, 2014

Last NPPES UpdateOctober 13, 2015

✔ NPI 1437573185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

1200 NW NAITO PKWY STE 310, Portland, OR 97209

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Portland Plastic Surgery Group, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 4 clinicians reassign Medicare billing to Portland Plastic Surgery Group, LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Shannon Obrien, M.D.

Plastic and Reconstructive Surgery

NPI 1730380999

1200 NW NAITO PARKWAY SUITE 310
Portland, OR 97209

(503) 292-9200

✔ PECOS✔ Accepts MedicareSame address

Henry Zegzula, M.D.

Plastic and Reconstructive Surgery

NPI 1811968639

1200 NW NAITO PARKWAY SUITE 310
Portland, OR 97209

(503) 292-9200

✔ PECOS✔ Accepts MedicareSame address

Kyle Baltrusch, MD

Plastic and Reconstructive Surgery

NPI 1952741779

1200 NW NAITO PKWY STE 310
Portland, OR 97209

(503) 292-9200

✔ PECOS✔ Accepts MedicareSame address

Austin Hayes, MD

Plastic and Reconstructive Surgery

NPI 1376733212

18650 NW CORNELL RD STE 324
Hillsboro, OR 97124

(503) 297-9340

✔ PECOS9.4 mi

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 Portland Plastic Surgery Group, LLC's NPI number?

The NPI number for Portland Plastic Surgery Group, LLC is 1437573185. It was assigned to this organization in the NPPES registry on February 14, 2014.

Where is Portland Plastic Surgery Group, LLC located?

Portland Plastic Surgery Group, LLC is located at 1200 NW Naito Pkwy Ste 310, Portland, OR 97209. The listed phone number is (503) 292-9200.

What is Portland Plastic Surgery Group, LLC's specialty?

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

Is Portland Plastic Surgery Group, LLC enrolled in Medicare?

Yes. Portland Plastic Surgery Group, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Portland Plastic Surgery Group, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Plastic and Reconstructive Surgery, reassign their Medicare billing to Portland Plastic Surgery Group, LLC. 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. Of these, 2 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Portland Plastic Surgery Group, LLC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Portland Plastic Surgery Group, LLC 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 Portland Plastic Surgery Group, LLC was last updated on October 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.