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DESRAJ CLARK
NPI 1396109666
Orthopaedic Surgery in Fort Bliss, TX

Active since April 12, 2016PECOS Enrolled
18511 HIGHLANDER MEDICS ST, FORT BLISS, TX 79906(915) 742-0353 Get Directions Write a Review

NPPES record last updated: October 30, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Desraj Clark NPPES

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

DESRAJ CLARK (NPI 1396109666) is an individual orthopaedic surgery provider in Fort Bliss, Texas, licensed in Nebraska (30773) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396109666
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDESRAJ CLARK
Location Address18511 HIGHLANDER MEDICS STFort Bliss, TX 79906-5327
Mailing Address18511 Highlander Medics StFort Bliss, TX 79906-5327 · (915) 742-0353
Phone(915) 742-0353
Sole ProprietorNo
Enumeration DateApril 12, 2016
Last NPPES UpdateOctober 30, 2023
NPPES CertifiedOctober 30, 2023
✔ NPI 1396109666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in NE · 30773
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedMilitary Health Care ProviderTaxonomy 171000000X
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
18511 HIGHLANDER MEDICS ST, Fort Bliss, TX 79906
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Oscar Insurance Company, Wellmark of South Dakota, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Desraj Clark is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Desraj Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Acute Care Surgery Of South Dakota PC
857 mi
Orthopaedic Surgery
1635 CAREGIVER CIR
Rapid City, SD 57702
  • Reassigned Medicare billing, South Dakota enrollment
  • 87 clinicians in this Medicare group
NPI 1730797184 (916) 441-0400

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79906 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
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.

MS. ROCIO ERIKA SAMANIEGO
Social Worker (Clinical)
18511 HIGHLANDER MEDICS ST
FORT BLISS, TX 79906
El Paso County (915) 742-2800
DR. GEORGE CORTINAS PHARMD
Pharmacist
18511 HIGHLANDER MEDICS ST
FORT BLISS, TX 79906
El Paso County (214) 535-5955
DR. JAMESON EVERETT HOFFMAN DMD
Dentist (Orthodontics and Dentofacial Orthopedics)
18511 HIGHLANDER MEDICS ST
EL PASO, TX 79906
El Paso County (915) 742-9788
EUNICE SHIM
Military Health Care Provider
18511 HIGHLANDER MEDICS ST
FORT BLISS, TX 79906
El Paso County (915) 742-0576
DR. KATHRYN ANZOLA PT, DPT
Physical Therapist (Orthopedic)
18511 HIGHLANDER MEDICS ST
FORT BLISS, TX 79906
El Paso County (915) 742-0238
TIMOTHY ERIC HOELL PA-C
Physician Assistant
18511 HIGHLANDER MEDICS ST
FORT BLISS, TX 79906
El Paso County (915) 742-4248
WILLIAM D MCCLELLAND MD
General Practice
18511 HIGHLANDER MEDICS ST
FORT BLISS, TX 79906
El Paso County (915) 742-0576
DR. MICHAEL PATRICK AVILLION MD
Otolaryngology
18511 HIGHLANDER MEDICS ST
FORT BLISS, TX 79906
El Paso County (915) 742-2273

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 Desraj Clark's NPI number?

The NPI number for Desraj Clark is 1396109666. It was assigned to this individual provider in the NPPES registry on April 12, 2016.

Where is Desraj Clark located?

Desraj Clark practices at 18511 Highlander Medics St, Fort Bliss, TX 79906. The listed phone number is (915) 742-0353.

What is Desraj Clark's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Desraj Clark enrolled in Medicare?

Yes. Desraj Clark is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Desraj Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Desraj Clark reassigns Medicare benefits to Acute Care Surgery Of South Dakota PC (Rapid City, SD). The 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 Desraj Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Desraj Clark accept?

Health plans from Avera Health Plans, Oscar Insurance Company and Wellmark of South Dakota, Inc. list Desraj Clark 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.

When was this NPI record last updated?

The NPPES record for Desraj Clark was last updated on October 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.