DR. RON CLARK (M.D.) – Orthopaedic Surgery Physician, NPI 1073511598
Orthopaedic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
668 ORTHOPEDIC SURGERY in IN
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Provider Addresses for DR. RON CLARK (M.D.)
211, North Eddy Street, South Bend, Saint Joseph County, Indiana, 46617, United States
SOUTH BEND, IN 466172808
Phone: (574) 237-9294
Fax: (574) 237-9259
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $31.
Total Amount is formed as General ($31) + Research ($0) + Ownership ($0) = $31.
Last reported payment date: 2023-07-05 • Largest payer in this snapshot: Medtronic, Inc. ($18).
Total Amount
$31
General + Research + Ownership
Payments
2
Total payment records
General Amount
$31
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-07-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $18 |
| Bioventus LLC | $13 |
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: 2012-08-16
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 |
|---|---|---|---|---|
| I20120816000918 | I | Orthopedic Surgery | AZ | 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 |
|---|---|---|---|---|
| 20610 | Aspiration and/or injection of fluid from large joint | 669 | 301 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 569 | 336 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 464 | 286 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 256 | 256 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 125 | 111 | $0 |
Insurance plans in this area (ZIP 46617)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ORTHOPEDIC SURGERY | IN | 20610 | Aspiration and/or injection of large joint or joint capsule | 548 | 322 |
| ORTHOPEDIC SURGERY | IN | 27447 | Repair of knee joint | 36 | 34 |
| ORTHOPEDIC SURGERY | IN | 64721 | Release and/or relocation of median nerve of hand | 14 | 12 |
| ORTHOPEDIC SURGERY | IN | 73110 | X-ray of wrist, minimum of 3 views | 16 | 14 |
| ORTHOPEDIC SURGERY | IN | 73562 | X-ray of knee, 3 views | 145 | 131 |
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