RUSSELL J CLARK (MD) – Orthopaedic Surgery Physician, NPI 1740232156

RUSSELL J CLARK (MD) is a healthcare provider. based in La grange, Texas. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials MD. They hold a License No. L8016 (TX). The NPI Number for RUSSELL J CLARK (MD) is 1740232156

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
RUSSELL J CLARK (MD)
NPI
1740232156
Phone
(979) 242-2387
Address
TWO ST. MARK'S PLACE
Enumeration Date
16 May 2006
Last Update Date
29 April 2025

Doctor Profile

Medical School Name
TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Secondary Phone
5753925191
Graduation Year
2002 (24 years ago)
PAC ID
6204832967
Group Practice PAC ID
6901889393
Professional Enrollment ID
I20240117000670
Address ID
NM882409136HO5419XHWYX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness75
Years active:20State licenses:2Digital endpointsOther names

2,189 ORTHOPEDIC SURGERY in TX

Provider Addresses for RUSSELL J CLARK (MD)

  • TWO ST. MARK'S PLACE

    STE 110

    LA GRANGE, TX 78945

    Phone: (979) 242-2387

    Fax: (979) 242-2206

    Type: Mailing

  • Two St. Mark's Place

    Ste 110

    La Grange, TX 78945

    Phone: (979) 242-2387

    Fax: (979) 242-2206

    Type: Location

  • 598 Cactus St

    Giddings, TX 789421437

    Phone: (979) 242-2387

    Fax: (979) 242-2206

    Type: Location

  • 3101 Highway 71 E Ste 202

    Bastrop, TX 786025157

    Phone: (979) 242-2387

    Fax: (979) 242-2206

    Type: Location

  • 2215 NASHVILLE AVE

    LUBBOCK, TX 794101105

    Phone: (806) 725-5228

    Fax: (806) 723-6532

    Type: Mailing

  • 5419 N LOVINGTON HWY STE 31

    HOBBS, NM 882409136

    Phone: (575) 392-5191

    Fax: (575) 492-1881

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 15 Open Payments records for all available years, with a total value of $1,087.

Total Amount is formed as General ($1,087) + Research ($0) + Ownership ($0) = $1,087.

Last reported payment date: 2024-11-13 • Largest payer in this snapshot: Stryker Corporation ($973).

Total Amount

$1,087

General + Research + Ownership

Payments

15

Total payment records

General Amount

$1,087

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-13

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2024-01-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20061020000090IOrthopedic SurgeryTXTBD
I20230109000371IOrthopedic SurgeryMTTBD
I20240117000670IOrthopedic SurgeryNMTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J3300Injection, triamcinolone acetonide, preservative free, 1 mg1,96045$0
20610Aspiration and/or injection of fluid from large joint5642$0
99204New patient office or other outpatient visit, 45-59 minutes3636$0
99214Established patient office or other outpatient visit, 30-39 minutes3228$0
99213Established patient office or other outpatient visit, 20-29 minutes1714$0
View full utilization report →

Insurance plans in this area (ZIP 78945)

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Provider's Procedures

RUSSELL J CLARK (MD) performs procedures in ORTHOPEDIC SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ORTHOPEDIC SURGERYNY20610Aspiration and/or injection of large joint or joint capsule264186

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6901889393View full group profile

Reviews

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Frequently asked questions

Is there an official ID for RUSSELL J CLARK (MD) in U.S. healthcare records?
The official identifier for RUSSELL J CLARK (MD) is NPI 1740232156.
Active or inactive — what applies to RUSSELL J CLARK (MD)?
You should see RUSSELL J CLARK (MD) as active in CMS-hosted NPPES data.
What expertise is attributed to RUSSELL J CLARK (MD)?
RUSSELL J CLARK (MD)'s specialty line reads Orthopaedic Surgery Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for RUSSELL J CLARK (MD)?
Travel planning: use La Grange, Texas as the reference point for RUSSELL J CLARK (MD), then confirm.
Does RUSSELL J CLARK (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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