Russell J Clark, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

MD2023-1644 Issued in NM

Practice address

5419 N Lovington Hwy Ste 31
Hobbs, NM 88240-9136

Phone

(575) 392-5191

Fax

(575) 492-1881

NPI assigned

May 16, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX, MT, NM3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 3

Specialty

Orthopedic Surgery

Education

Texas Tech University Health Science Center School of Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Covenant Medical GroupGroup PAC ID 6901889393, 228 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Covenant Health Hobbs Hospital Hospital, Hobbs, NM, CCN 320065
• Nor-Lea Hospital District Hospital, Lovington, NM, CCN 321305

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rclark459077@direct.mmc.mainehealth.org
• Direct secure messaging: rclark3123750@oc.providencedirect.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Covenant Medical Group

  • Family Medicine Physician
  • Lubbock, TX
  • NPI 1376598904

  NM, Orthopaedic Surgery

  Medicare reassignment Care Compare group NPD
• Brushy Creek Emergency Physicians PLLC

  • Emergency Medicine Physician
  • Round Rock, TX
  • NPI 1235773151

  Orthopaedic Surgery

  Medicare reassignment NPD
• Lake Travis Emergency Physicians, PLLC

  • Emergency Medicine Physician
  • Austin, TX
  • NPI 1851803688
  Medicare reassignment NPD
• Northern Montana Hospital

  • Critical Access Hospital
  • Havre, MT
  • NPI 1427059070
  Medicare reassignment NPD
• Covenant Medical Group

  • Rural Health Clinic/Center
  • Abernathy, TX
  • NPI 1538412895
  NPD
• Northern Montana Hospital

  • Critical Access Hospital
  • Havre, MT
  • NPI 1578536355
  NPD
• Northern Montana Hospital

  • Clinic/Center
  • Havre, MT
  • NPI 1669447967
  NPD
• East Coast Wound Care P C

  • Specialist
  • Yonkers, NY
  • NPI 1275582181
  NPD (past)
• The Sylacauga Health Care Authority

  • General Acute Care Hospital
  • Sylacauga, AL
  • NPI 1386853125
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Covenant Hospital Hobbs

  • General Acute Care Hospital
  • Hobbs, NM
  • NPI 1215534466
  Care Compare affiliation
• Nor-Lea Hospital District

  • Critical Access Hospital
  • Lovington, NM
  • NPI 1881630036
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1740232156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 NASHVILLE AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101105",
            "telephone_number": "806-725-5228",
            "fax_number": "806-723-6532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5419 N LOVINGTON HWY STE 31",
            "city": "HOBBS",
            "state": "NM",
            "postal_code": "882409136",
            "telephone_number": "575-392-5191",
            "fax_number": "575-492-1881"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "598 Cactus St",
            "address_purpose": "LOCATION",
            "city": "Giddings",
            "state": "TX",
            "postal_code": "789421437",
            "country_code": "US",
            "telephone_number": "979-242-2387",
            "fax_number": "979-242-2206",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3101 Highway 71 E Ste 202",
            "address_purpose": "LOCATION",
            "city": "Bastrop",
            "state": "TX",
            "postal_code": "786025157",
            "country_code": "US",
            "telephone_number": "979-242-2387",
            "fax_number": "979-242-2206",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Two St. Mark's Place",
            "address_2": "Ste 110",
            "address_purpose": "LOCATION",
            "city": "La Grange",
            "state": "TX",
            "postal_code": "78945",
            "country_code": "US",
            "telephone_number": "979-242-2387",
            "fax_number": "979-242-2206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARK",
        "first_name": "RUSSELL",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "L8016",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "L8016",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NM",
            "license": "MD2023-1644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "191836903",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TX",
            "identifier": "8EH759",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yvonne L Chavez, M.S.SLP-CCC
• Douglas E Cheek, PA-C
• Rama Chenault
• City of Hobbs
• Marie E Claire, DDS
• Claudio Caycedo DDS, PA
• Camren Clay
• Gabriela Clay
• Michael Austin Clemons, PHARMD
• Savannah De'Nee Cleveland

• Orthopaedic Surgery Physician in Hobbs, NM
• Providers in Hobbs, NM by specialty
• Orthopaedic Surgery Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.