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ORTHOPEDIC & SPORTS MEDICINE CENTER OF OREGON LLC
NPI 1891734877
Orthopaedic Surgery in Lake Oswego, OR

Active since June 05, 2006
17355 LOWER BOONES FERRY RD, STE 100A, LAKE OSWEGO, OR 97035(503) 224-8399(503) 224-5661 Get Directions Write a Review

NPPES record last updated: August 22, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Orthopedic & Sports Medicine Center Of Oregon Llc NPPES

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

ORTHOPEDIC & SPORTS MEDICINE CENTER OF OREGON LLC (NPI 1891734877) is a healthcare organization registered as an orthopaedic surgery in Lake Oswego, Oregon and active in the NPI registry since June 2006. The organization lists Kathy S Brown, Controller, as its authorized official.

NPPES Registry Identity

NPI1891734877
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameORTHOPEDIC & SPORTS MEDICINE CENTER OF OREGON LLC
Location Address17355 LOWER BOONES FERRY RD, STE 100ALake Oswego, OR 97035
Mailing Address17355 Lower Boones Ferry Rd, Ste 100aLake Oswego, OR 97035 · (503) 224-8399 · Fax (503) 224-5661
Phone(503) 224-8399
Fax(503) 224-5661
Organization SubpartNo
Authorized OfficialKathy S BrownController · (503) 936-5632
Enumeration DateJune 5, 2006
Last NPPES UpdateAugust 22, 2025
NPPES CertifiedAugust 18, 2025
✔ NPI 1891734877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
17355 LOWER BOONES FERRY RD, Lake Oswego, OR 97035
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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, Providence Health Plan, Regence BlueCross BlueShield of Oregon.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)

Orthopedic & Sports Medicine Center Of Oregon Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

11

Medicare enrollment records show 11 clinicians reassign Medicare billing to Orthopedic & Sports Medicine Center Of Oregon LLC, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 9 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 5

Orthopedic Surgery4
Occupational Therapist in Private Practice3
Podiatry2
Hand Surgery1
Sports Medicine1

Clinicians, nearest first (11)

Kenneth Hegewald, D.P.M.
Podiatry
NPI 1427344563
17355 LOWER BOONES FERRY RD STE 100A
Portland, OR 97035
(503) 224-8399
✔ PECOS✔ Accepts MedicareSame address
Derek Lamprecht, D.O.
Orthopedic Surgery
NPI 1235179656
17355 LOWER BOONES FERRY RD SUITE 100A
Lake Oswego, OR 97035
(503) 224-8399
✔ PECOS✔ Accepts MedicareSame address
Jennifer Maronek, OT
Occupational Therapist in Private Practice
NPI 1750915815
17355 LOWER BOONES FERRY RD STE 100A
Lake Oswego, OR 97035
(503) 224-8399
✔ Accepts MedicareSame address
Emily Nguyen, MD
Orthopedic Surgery
NPI 1225293285
17355 LOWER BOONES FERRY RD STE 100A
Portland, OR 97035
(503) 224-8399
✔ PECOS✔ Accepts MedicareSame address
Dominic Patillo, MD
Hand Surgery
NPI 1275649162
17355 LOWER BOONES FERRY RD STE 100A
Lake Oswego, OR 97035
(503) 256-5866
✔ PECOS✔ Accepts MedicareSame address
Charles Petit, M.D.
Sports Medicine
NPI 1356332720
17355 LOWER BOONES FERRY RD #100A
Lake Oswego, OR 97035
(503) 224-8399
✔ PECOS✔ Accepts MedicareSame address
Erica Liepelt, OTR, CHT
Occupational Therapist in Private Practice
NPI 1386791754
5331 SW MACADAM AVE SUITE 277
Portland, OR 97239
(503) 229-8300
6.5 mi
Kara Sundell, OTR/L, CHT
Occupational Therapist in Private Practice
NPI 1356326458
2330 NW FLANDERS ST STE G-1
Portland, OR 97210
(503) 224-9270
✔ Accepts Medicare8.8 mi
Andrew Bryan, MD
Orthopedic Surgery
NPI 1134482284
1515 NW 18TH AVE STE 300
Portland, OR 97209
(503) 224-8399
✔ PECOS✔ Accepts Medicare9.5 mi
Steven Dailey, M.D.
Orthopedic Surgery
NPI 1255751921
727 S WAHANNA RD
Seaside, OR 97138
(503) 717-7060
✔ PECOS✔ Accepts Medicare70 mi
Tobee Gunter, DPM
Podiatry
NPI 1508432790
1831 E QUEEN CREEK RD
Chandler, AZ 85286
(480) 917-2300
✔ PECOS✔ Accepts Medicare1,020 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 Orthopedic & Sports Medicine Center Of Oregon LLC's NPI number?

The NPI number for Orthopedic & Sports Medicine Center Of Oregon LLC is 1891734877. It was assigned to this organization in the NPPES registry on June 5, 2006.

Where is Orthopedic & Sports Medicine Center Of Oregon LLC located?

Orthopedic & Sports Medicine Center Of Oregon LLC is located at 17355 Lower Boones Ferry Rd Ste 100A, Lake Oswego, OR 97035. The listed phone number is (503) 224-8399.

What is Orthopedic & Sports Medicine Center Of Oregon LLC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Orthopedic & Sports Medicine Center Of Oregon LLC enrolled in Medicare?

Yes. Orthopedic & Sports Medicine Center Of Oregon LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Orthopedic & Sports Medicine Center Of Oregon LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 5 Medicare specialties reassign their Medicare billing to Orthopedic & Sports Medicine Center Of Oregon 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. The largest specialties are Orthopedic Surgery (4), Occupational Therapist in Private Practice (3) and Podiatry (2). Of these, 6 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Orthopedic & Sports Medicine Center Of Oregon LLC accept?

Health plans from BridgeSpan Health Company, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Orthopedic & Sports Medicine Center Of Oregon 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 Orthopedic & Sports Medicine Center Of Oregon LLC was last updated on August 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.