RUSSELL PATRICK CLARK (MD) – Emergency Medicine Physician, NPI 1790787497
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
520 EMERGENCY MEDICINE in NV
Loading map...
Provider Addresses for RUSSELL PATRICK CLARK (MD)
Lyndon B Johnson Freeway, Inwood, Dallas, Dallas County, Texas, 75240, United States
STE 250
DALLAS, TX 752433405
Phone: (972) 915-3600
Fax: (972) 915-3636
Type: Mailing
6900 N PECOS RD
NORTH LAS VEGAS, NV 890864400
Phone: (702) 791-9000
Type: Mailing
MountainView Hospital, 3100, North Tenaya Way, Las Vegas, Clark County, Nevada, 89128, United States
LAS VEGAS, NV 891280436
Phone: (972) 915-3600
Fax: (972) 915-3636
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $124.
Total Amount is formed as General ($124) + Research ($0) + Ownership ($0) = $124.
Last reported payment date: 2024-04-20 • Largest payer in this snapshot: BTG International, Inc. ($124).
Total Amount
$124
General + Research + Ownership
Payments
1
Total payment records
General Amount
$124
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| BTG International, Inc. | $124 |
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: 2004-02-03
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 |
|---|---|---|---|---|
| I20040203001125 | I | Emergency Medicine | NV | 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 |
|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | 17 | 17 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 11 | 11 | $0 |
Insurance plans in this area (ZIP 75243)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | NV | |
| - | KY | |
| Emergency Medicine | NV | |
| Emergency Medicine | NV | |
| Emergency Medicine | WA | |
| Emergency Medicine | TX | |
| - | TX |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.