Charles Justin Petit, MD in Lake Oswego, OR

Charles Justin Petit, MD is a medicare enrolled "Orthopaedic Surgery - Sports Medicine" physician in Lake Oswego, Oregon. He went to University Of California, San Diego School Of Medicine and graduated in 2003 and has 22 years of diverse experience with area of expertise as Sports Medicine. He is a member of the group practice Orthopedic And Sports Medicine Center Of Oregon Llc and his current practice location is 17355 Lower Boones Ferry Rd, #100a, Lake Oswego, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 224-8399.

Charles Justin Petit is licensed to practice in Oregon (license number MD29397) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1356332720.

Contact Information

	Charles Justin Petit, MD
	17355 Lower Boones Ferry Rd, #100a, Lake Oswego, OR 97035-2839
	(503) 224-8399
	(503) 224-5661

Map and Direction

Physician's Profile

Full Name	Charles Justin Petit
Gender	Male
Speciality	Sports Medicine
Experience	22 Years
Location	17355 Lower Boones Ferry Rd, Lake Oswego, Oregon
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Charles Justin Petit attended and graduated from University Of California, San Diego School Of Medicine in 2003

NPI Data:

NPI Number: 1356332720
Provider Enumeration Date: 11/03/2005
Last Update Date: 08/25/2025

Medicare PECOS Information:

PECOS PAC ID: 3274693379
Enrollment ID: I20090821000364

Medical Identifiers

Medical identifiers for Charles Justin Petit such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356332720	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207XX0005X	Orthopaedic Surgery - Sports Medicine	MD29397 (Oregon)	Primary
207X00000X	Orthopaedic Surgery	MD29397 (Oregon)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Legacy Good Samaritan Medical Center	Portland, OR	Hospital
Providence Portland Medical Center	Portland, OR	Hospital
Providence St Vincent Medical Center	Portland, OR	Hospital
Skyline Hospital	White salmon, WA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Orthopedic And Sports Medicine Center Of Oregon Llc	3678537602	14

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Charles Justin Petit allows following entities to bill medicare on his behalf.

Entity Name	Orthopedic & Sports Medicine Center Of Oregon Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891734877 PECOS PAC ID: 3678537602 Enrollment ID: O20041118000526

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Charles Justin Petit is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Charles Justin Petit, MD 17355 Lower Boones Ferry Rd, #100a, Lake Oswego, OR 97035-2839 Ph: (503) 224-8399	Charles Justin Petit, MD 17355 Lower Boones Ferry Rd, #100a, Lake Oswego, OR 97035-2839 Ph: (503) 224-8399

Reviews and Comments

Orthopaedic Surgery Doctors in Lake Oswego, OR

Stephen Fuller, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 16001 Quarry Rd, Lake Oswego, OR 97035 Phone: 503-635-1055
Ms. Marilyn Louise Yodlowski, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 16001 Quarry Rd, Lake Oswego, OR 97035 Phone: 503-635-1604 Fax: 503-635-6659
Dr. Derek Edward Lamprecht, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 17355 Lower Boones Ferry Rd, Suite 100a, Lake Oswego, OR 97035 Phone: 503-224-8399 Fax: 503-224-5661
Dr. Dominic Patrick Patillo, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 17355 Lower Boones Ferry Rd, Ste 100a, Lake Oswego, OR 97035 Phone: 503-256-5866 Fax: 503-254-0656
Dr. Michael Raymond Marble, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 5226 Dawn Ave, Lake Oswego, OR 97035 Phone: 503-620-2933 Fax: 503-620-8652
Stephen J Wallace, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4103 Mercantile Dr, Lake Oswego, OR 97035 Phone: 503-850-9940 Fax: 503-850-6709

Charles Justin Petit, MD - Medicare Sports Medicine in Lake Oswego, OR