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

Q: 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.

Q: What is Clinton Risdon's specialty?

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

Q: 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.

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: August 09, 2026.

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

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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

Phone(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

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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

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.

AARON GRAPPE

Physician Assistant