CLINTON RISDON
NPI 1245696178
Nurse Anesthetist, Certified Registered in Lubbock, TX

Active since January 07, 2016Accepts Medicare Assignment
3419 22ND ST, LUBBOCK, TX 79410(806) 796-3000(806) 796-3006 Get Directions Write a Review

NPPES record last updated: April 22, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 22, 2019, Jan 29, 2019 (2 updates tracked since 2019).

About Clinton Risdon NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLINTON RISDON (NPI 1245696178) is an individual nurse anesthetist, certified registered in Lubbock, Texas, licensed in Texas (AP129981) and active in the NPI registry since January 2016. He is affiliated with University Medical Center and is a graduate of Other (2015).

NPPES Registry Identity

NPI1245696178
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameCLINTON RISDON
Location Address3419 22ND STLubbock, TX 79410-1334
Mailing Address3419 22nd StLubbock, TX 79410-1334 · (806) 796-3000
Fax(806) 796-3006
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJanuary 7, 2016
Last NPPES UpdateApril 22, 20192 updates tracked since enumeration
✔ NPI 1245696178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in TX · AP129981
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
3419 22ND ST, Lubbock, TX 79410

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Clinton Risdon is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5991009508
PECOS Enrollment IDI20160202001101

Medicare Billing Reassignments

5

Medicare enrollment records show Clinton Risdon reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Podiatrist
3601 4TH ST
Lubbock, TX 79430
  • Reassigned Medicare billing, Texas enrollment
  • 685 clinicians in this Medicare group
Medical Specialty
5115 80TH ST
Lubbock, TX 79424
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: West Texas Digestive Disease Center P.A.
  • 13 clinicians in this Medicare group
Ophthalmology
12210 QUAKER AVE
Lubbock, TX 79424
  • Reassigned Medicare billing, Texas enrollment
  • 38 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
180 BEAR CREEK PKWY
Keller, TX 76248
  • Reassigned Medicare billing, Texas enrollment
  • 710 clinicians in this Medicare group
Anesthesiology
2000 E LAMAR BLVD, SUITE 400
Arlington, TX 76006
  • Reassigned Medicare billing, Texas enrollment
  • 1,164 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
15 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Medical Center

Acute Care Hospitals · Lubbock, TX
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450686
Location602 Indiana AvenueLubbock, TX 79415 · Lubbock County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79410 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
3419 22ND ST
LUBBOCK, TX 79410
Anesthesiology (Pain Medicine)
3419 22ND ST
LUBBOCK, TX 79410
Nurse Practitioner (Family)
3419 22ND ST
LUBBOCK, TX 79410
Nurse Practitioner (Family)
3419 22ND ST
LUBBOCK, TX 79410
Pain Medicine (Interventional Pain Medicine)
3419 22ND ST
LUBBOCK, TX 79410
Nurse Practitioner (Family)
3419 22ND ST
LUBBOCK, TX 79410
Nurse Practitioner (Family)
3419 22ND ST
LUBBOCK, TX 79410
Nurse Practitioner (Family)
3419 22ND ST
LUBBOCK, TX 79410

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clinton Risdon's NPI number?

The NPI number for Clinton Risdon is 1245696178. It was assigned to this individual provider in the NPPES registry on January 7, 2016.

Where is Clinton Risdon located?

Clinton Risdon practices at 3419 22nd St, Lubbock, TX 79410. The listed phone number is (806) 796-3000.

What is Clinton Risdon's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Clinton Risdon enrolled in Medicare?

Yes. Clinton Risdon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Clinton Risdon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Clinton Risdon reassigns Medicare benefits to 5 organizations: Texas Tech University Health Sciences Center Lubbock (Lubbock, TX), West Texas Digestive Disease Center, PA (Lubbock, TX), West Texas Eye PA (Lubbock, TX), Endo Sedation LLC (Keller, TX) and Northstar Anesthesia, PA (Arlington, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Clinton Risdon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Clinton Risdon accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Cigna Healthcare and UnitedHealthcare list Clinton Risdon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Clinton Risdon affiliated with any hospitals?

According to CMS data, Clinton Risdon is affiliated with University Medical Center.

When was this NPI record last updated?

The NPPES record for Clinton Risdon was last updated on April 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.