CHARLES JUSTIN PETIT (M.D.) – Sports Medicine (Orthopaedic Surgery) Physician, NPI 1356332720
Sports Medicine (Orthopaedic Surgery) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
88 SPORTS MEDICINE in OR
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Provider Addresses for CHARLES JUSTIN PETIT (M.D.)
Northwest Center for Orthopedics and Rehabilitation, 1515, Northwest 18th Avenue, Northwest District, Portland, Metro, Multnomah County, Oregon, 97209, United States
#300
PORTLAND, OR 972092516
Phone: (503) 224-8399
Fax: (503) 224-5661
Type: Mailing
17355 LOWER BOONES FERRY RD
#100A
LAKE OSWEGO, OR 970352839
Phone: (503) 224-8399
Fax: (503) 224-5661
Type: Location
5050 NE Hoyt St Ste 668
Portland, OR 972132990
Phone: (503) 224-8399
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 26 Open Payments records for all available years, with a total value of $14,125.
Total Amount is formed as General ($14,125) + Research ($0) + Ownership ($0) = $14,125.
Last reported payment date: 2024-09-26 • Largest payer in this snapshot: Zimmer Biomet Holdings, Inc. ($9,443).
Total Amount
$14,125
General + Research + Ownership
Payments
26
Total payment records
General Amount
$14,125
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Zimmer Biomet Holdings, Inc. | $9,443 |
| Vericel Corporation | $3,927 |
| Shoulder Innovations, Inc. | $186 |
| Miach Orthopaedics, Inc. | $149 |
| Steelhead Surgical Inc | $131 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2009-08-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20090821000364 | I | Sports Medicine | OR | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 226 | 173 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 121 | 84 | $0 |
| 73030 | X-ray of shoulder, minimum of 2 views | 86 | 67 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 68 | 68 | $0 |
| 20611 | Aspiration and/or injection of fluid large joint using ultrasound guidance | 59 | 47 | $0 |
Insurance plans in this area (ZIP 97209)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ORTHOPEDIC SURGERY | OR | 20610 | Aspiration and/or injection of large joint or joint capsule | 72 | 35 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | OR | |
| Orthopedic Surgery | OR | |
| Orthopedic Surgery | OR | |
| Hand Surgery, Orthopedic Surgery | OR | |
| Physician Assistant | OR | |
| Occupational Therapist In Private Practice | OR | |
| Physician Assistant | OR | |
| P O D I A T R Y | OR | |
| Physician Assistant | OR | |
| Physician Assistant | OR |
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