Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1356352579 Individual Practitioner Male Practitioner

Dr. Nicholas Petrochko , MD

Surgery • Clackamas, OR

Professional Overview & Biography Verified Profile Summary

Dr. Nicholas Petrochko, MD is a registered healthcare professional specializing in Surgery in Clackamas, OR. Practice services are available at 9900 SE SUNNYSIDE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

9900 Se Sunnyside Rd

Clackamas, OR 970159777

Telephone 5036522880
Fax 5035718984
Associated Practice Facility / Clinic
🏢 Kaiser Foundation Hospitals Facility NPI 1275619215

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Clackamas, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 23.8 Yrs
State Avg: 23.3 Yrs
Regional Practice Density
17 Specialists

Practicing in Clackamas, OR (555 Statewide)

Telehealth Adoption Rate
5.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License TN MD010073

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
3013285 (TN)
Commercial Insurance / Payer ID Blue Cross Of Tennessee
2000698 (TN)
Commercial Insurance / Payer ID Aetna
4535569 (TN)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Daniel Lotspeich , MD

Internal Medicine

NPI 1003038332

Doctor of Medicine (M.D.)

Megan Kelly

Emergency Medicine

NPI 1003159716
Dr. Nicholas Leonard , MD

Emergency Medicine

NPI 1003929787

Doctor of Medicine (M.D.)

Dr. J. Nelson , MD

Personal Emergency Response Attendant

NPI 1013024843

Doctor of Medicine (M.D.)

Dr. Walter Robertson , MD

Internal Medicine - Cardiovascular Disease

NPI 1013071042

Doctor of Medicine (M.D.)

Karen Kellar , RT

Respiratory Therapist, Certified

NPI 1013236355

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active February 20, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location February 20, 2008

Registered at 9900 SE SUNNYSIDE RD, CLACKAMAS, OR 970159777 (Tel: 5036522880)

📍
Updated Business Mailing Address February 20, 2008

Registered at 9900 SE SUNNYSIDE RD, CLACKAMAS, OR 970159777 (Tel: 5036522880)

👤
Provider Name / Credentials Updated February 20, 2008

Recorded as NICHOLAS PETROCHKO, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 20, 2008

Surgery (License #MD010073 in TN)

🟢
Initial NPI Registration & Enumeration August 11, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1356352579
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 11, 2006
Last Update: February 20, 2008
Sole Proprietor: No

Mailing Address

9900 Se Sunnyside Rd

Clackamas, OR 970159777

Phone: 5036522880

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.