TYLER RANDOLPH CLARK (MD) – Orthopaedic Hand Surgery Physician, NPI 1831453778
Orthopaedic Hand Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,024 ORTHOPEDIC SURGERY in CA
Provider Addresses for TYLER RANDOLPH CLARK (MD)
2625 Shadelands Dr
Walnut Creek, CA 94598
Phone: (925) 939-8585
Fax: (925) 933-2709
Type: Location
PO BOX 31396
WALNUT CREEK, CA 945988396
Phone: (925) 939-8585
Fax: (925) 933-2709
Type: Mailing
2625 SHADELANDS DR
WALNUT CREEK, CA 94598
Phone: (925) 939-8585
Fax: (925) 933-2709
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $202.
Total Amount is formed as General ($202) + Research ($0) + Ownership ($0) = $202.
Last reported payment date: 2024-08-09 • Largest payer in this snapshot: Smith+Nephew, Inc. ($42).
Total Amount
$202
General + Research + Ownership
Payments
9
Total payment records
General Amount
$202
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Smith+Nephew, Inc. | $42 |
| Endo Pharmaceuticals Inc. | $35 |
| Evolution Surgical, Inc | $33 |
| GlaxoSmithKline, LLC. | $30 |
| Globus Medical, Inc. | $26 |
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: 2019-11-06
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 |
|---|---|---|---|---|
| I20191106002070 | I | Orthopedic Surgery | CA | 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 |
|---|---|---|---|---|
| J0775 | Injection, collagenase, clostridium histolyticum, 0.01 mg | 2,880 | 29 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 604 | 378 | $0 |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 464 | 119 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 464 | 77 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 286 | 286 | $0 |
Insurance plans in this area (ZIP 94598)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CA | |
| Orthopedic Surgery | CA | |
| - | CA | |
| Physical Therapist In Private Practice | CA | |
| Physician Assistant | CA | |
| Osteopathic Manipulative Medicine, Family Practice, Sports Medicine | CA | |
| Hand Surgery, Orthopedic Surgery | CA | |
| Orthopedic Surgery | CA | |
| Occupational Therapist In Private Practice | CA | |
| Nurse Practitioner | CA |
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