CHARLES JUSTIN PETIT M.D. NPI 1356332720

NPI Information

  • NPI: 1356332720
  • Provider Name: CHARLES JUSTIN PETIT, M.D.
  • Classification: Orthopaedic Surgery - 207X00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1515 NW 18TH AVE
    #300
    PORTLAND, OR
    ZIP 97209
  • Phone: (503) 224-8399

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NPI Details

Charles Justin Petit, M.D. is an orthopaedic surgery in Portland, OR with 22 years of experience. The provider is 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. Charles Justin Petit, M.D. NPI is 1356332720. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE
Graduation Year:2003

The provider's business location address is:

1515 NW 18TH AVE
#300
PORTLAND, OR
ZIP 97209-516
Phone: (503) 224-8399
Fax: (503) 224-5661

The NPI 1356332720 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Injection, methylprednisolone acetate, 40 mg (HCPCS:J1030)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Aspiration and/or injection of fluid large joint using ultrasound guidance (HCPCS:20611)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • X-ray of knee, 3 views (HCPCS:73562)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • Replacement of knee joint, both sides of knee (HCPCS:27447)
  • Replacement of thigh bone and hip joint with prosthesis (HCPCS:27130)
  • X-ray of hip, 1 view (HCPCS:73501)
  • Telephone medical discussion with physician, 11-20 minutes (HCPCS:99442)
  • Anchoring of biceps tendon (HCPCS:23430)
  • Shaving of part of shoulder bone and repair of ligament using an endoscope (HCPCS:29826)
  • Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
  • Hip replacement (HCPCS:NAN09)
  • Knee replacement (HCPCS:NAN06)
  • Lower limb (leg) arthroscopy (minimally invasive joint repair) (HCPCS:NAN15)
  • Upper limb (arm) arthroscopy (minimally invasive joint repair) (HCPCS:NAN17)

The enumeration date for this NPI number is 11/3/2005 and was last updated on 10/2/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207X00000XOrthopaedic Surgery46345COLORADONo
2207X00000XOrthopaedic SurgeryMD29397OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1CO301556MEDICARE PINCOLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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