RUSSELL PATRICK CLARK MD
NPI 1790787497
Emergency Medicine in North Las Vegas, NV

Q: What is Russell Clark's NPI number?

The NPI number for Russell Clark is 1790787497. It was assigned to this individual provider in the NPPES registry on August 11, 2005.

Q: What is Russell Clark's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Russell Clark was last updated on June 19, 2024. 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.

Active since August 11, 2005PECOS EnrolledAccepts Medicare Assignment

6900 N PECOS RD, NORTH LAS VEGAS, NV 89086(702) 791-9000 Get Directions Write a Review

NPPES record last updated: June 19, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Russell Patrick Clark Md NPPES

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

RUSSELL PATRICK CLARK MD (NPI 1790787497) is an individual emergency medicine provider in North Las Vegas, Nevada, licensed in Nevada (10404) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Boulder City Hospital, and is a graduate of Tulane University School Of Medicine (1996).

NPPES Registry Identity

NPI1790787497

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameRUSSELL PATRICK CLARKCredential: MD

Location Address6900 N PECOS RDNorth Las Vegas, NV 89086-4400

Mailing Address6900 N Pecos RdNorth Las Vegas, NV 89086-4400 · (702) 791-9000

Phone(702) 791-9000

Sole ProprietorNo

Medical School CMSTulane University School Of MedicineGraduated 1996

Enumeration DateAugust 11, 2005

Last NPPES UpdateJune 19, 2024

NPPES CertifiedJune 19, 2024

✔ NPI 1790787497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in NV · 10404

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

6900 N PECOS RD, North Las Vegas, NV 89086

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Other Identifiers 1

Medicaid100504837NV

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

Russell Patrick Clark Md 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 ID3870486905

PECOS Enrollment IDI20040203001125

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.

Areas of Expertise CMS Part B claims 2

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

12 services12 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Boulder City Hospital

Critical Access Hospitals · Boulder City, NV

OwnershipVoluntary non-profit - Private

CMS Certification Number291309

Location901 Adams BlvdBoulder City, NV 89005 · Clark County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89086 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

$88.51 typical visit price

range $57.07 – $173.24

Typical copayment $22.12 (range $14.26 – $43.31)

Most-billed visit code 99203

Established Patient

$100.60 typical visit price

range $18.27 – $140.96

Typical copayment $25.15 (range $4.56 – $35.24)

Most-billed visit code 99214

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.

DR. JAMES HSIANG WANG MD

Radiology (Vascular & Interventional Radiology)