DR. CHARLES S JR. CLARK (M.D.) – Orthopaedic Surgery Physician, NPI 1114921913
Orthopaedic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. CHARLES S JR. CLARK (M.D.)
Ruinas Jesuíticas de Corpus Christi, Avenida Prefectura Naval Argentina, Municipio de Corpus Christi, Departamento San Ignacio, Misiones, 3327, Argentina
CORPUS CHRISTI, TX 784666770
Phone: (361) 883-2000
Fax: (361) 561-1354
Type: Mailing
6118, Parkway Drive, South Side, Corpus Christi, Nueces County, Texas, 78414, United States
CORPUS CHRISTI, TX 784142455
Phone: (361) 883-2000
Fax: (361) 561-1354
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2010-03-04
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 |
|---|---|---|---|---|
| I20100304000289 | I | Orthopedic Surgery | TX | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 78466)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ORTHOPEDIC SURGERY | TX | 20610 | Aspiration and/or injection of large joint or joint capsule | 316 | 193 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | TX | |
| Nurse Practitioner | TX | |
| Orthopedic Surgery | TX | |
| Orthopedic Surgery | TX | |
| - | TX | |
| Pediatric Medicine | TX | |
| Nurse Practitioner | TX |
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