Mark Petroff, M.D.
Mark Petroff, M.D. is a Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician in Lake Oswego, OR, registered under NPI 1528068129.
Getting there
The practice address on file is 17720 JEAN WAY SUITE100, Lake Oswego, OR 97035. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| MD15996 | OR | Plastic Surgery Within the Head and Neck… primary |
This provider holds licence MD15996 issued in OR. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Plastic And Reconstructive Surgery
- PAC ID
- 3173419850
Medicare enrolment is recorded as approved under the provider type Practitioner - Plastic And Reconstructive Surgery. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Plastic Surgery Within the Head and Neck covers
A plastic surgeon with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgery is practiced, there are many additional procedures which interface with them. NUCC Health Care Provider Taxonomy, code 2082S0099X
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1528068129 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Jul 26, 2005 |
| Last updated | Mar 7, 2023 |
| Status | Active |
| Sole proprietor | No |
| Credential | M.D. |
| Practice address |
17720 JEAN WAY SUITE100 Lake Oswego, OR 97035 (503) 635-4886 Fax (503) 635-1655 |
| Other identifiers |
MD15996
· STATE LICENSE (OR) 069609 (OR) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 5 | 2 | 8 | 0 | 6 | 8 | 1 | 2 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 5 | 4 | 8 | 0 | 6 | 7 | 1 | 4 |
Sum = 61 · next multiple of 10 = 70 · check digit = 9 · actual last digit = 9
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.