Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1295922052 Individual Practitioner Female Practitioner

Dr. Jill Elisabeth Clark , MD

Colon & Rectal Surgery • Albuquerque, NM

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Jill Clark, MD is a certified Colon & Rectal Surgery practicing in Albuquerque, NM. With approximately 23 years of clinical experience since graduating from East Tennessee State University Quillen College Of Medicine in 2003, Dr. Clark delivers high-quality medical care to the local community at 715 DR MARTIN LUTHER KING JR AVE NE STE 301.

Dr. Clark is affiliated with Southwest Medical Associates, Llc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include diagnostic examination of the anus using an endoscope, established patient outpatient office visit, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

715 Dr Martin Luther King Jr Ave Ne Ste 301

Albuquerque, NM 871023668

Telephone 5057277090

Medicare Profile & Education

Medical School

East Tennessee State University Quillen College Of Medicine

Graduation Year

2003

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Colon & Rectal Surgery in Albuquerque, NM

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
23 Yrs +1.4 yrs vs City Avg
City Avg: 21.6 Yrs
State Avg: 17.3 Yrs
Regional Practice Density
8 Specialists

Practicing in Albuquerque, NM (9 Statewide)

Telehealth Adoption Rate
25.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
62.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Clark (23 Years) 23 Yrs
Albuquerque Specialty Average (21.6 Years) 21.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
46600 Diagnostic examination of the anus using an endoscope
29 27 $367.30 $143.10
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
28 19 $500.59 $188.62
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more
23 23 $609.97 $241.09
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
18 18 $461.95 $182.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
16 15 $356.79 $133.20
45380 Biopsy of large bowel using an endoscope
12 12 $541.84 $165.81

Medical Specialties & State Licenses

CMS Verified: 2025-06-27
Colon & Rectal Surgery Primary Specialty

NUCC Taxonomy Code: 208C00000X

State License WA 61161110

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1295922052 (UT)
Commercial Insurance / Payer ID State License
MD2024-1149 (NM)

Hospital & Practice Group Affiliations

Southwest Medical Associates, Llc

715 Dr Martin Luther King Jr Ave Ne, Albuquerque, NM 871023668

Phone: 5057277090

Secondary Practice Locations

1135 116th Ave Ne Ste 550

Bellevue, WA 980044623

Phone: 4256467400

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

10 Associated Practitioners
NPI 1093729006

Doctor of Medicine (M.D.)

Kacee Child

Nurse Practitioner

NPI 1114759966
NPI 1144617440
NPI 1194165662

Doctor of Osteopathic Medicine (D.O.)

Benjamin Clifford

Physician Assistant

NPI 1205436920
Teresa Casteel , FNP

Nurse Practitioner

NPI 1427183458

Family Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

18 Historical Events
📍
Updated Business Mailing Address June 27, 2025

Registered at 715 DR MARTIN LUTHER KING JR AVE NE STE 301, ALBUQUERQUE, NM 871023668 (Tel: 5057277090)

📍
Updated Practice Location October 28, 2024

Registered at 715 DR MARTIN LUTHER KING JR AVE NE STE 301, ALBUQUERQUE, NM 871023668 (Tel: 5057277090)

📍
Updated Practice Location August 10, 2021

Registered at 1135 116TH AVE NE STE 550, BELLEVUE, WA 980044623 (Tel: 4256467400)

📍
Updated Business Mailing Address August 10, 2021

Registered at 1035 116TH AVE NE, BELLEVUE, WA 980044604

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 10, 2021

Colon & Rectal Surgery (License #61161110 in WA)

NPI Profile Active January 12, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location January 12, 2018

Registered at 1250 E 3900 S, STE 320, SALT LAKE CITY, UT 841241348 (Tel: 8012631621)

📍
Updated Business Mailing Address January 12, 2018

Registered at 1250 E 3900 S, STE 320, SALT LAKE CITY, UT 841241348 (Tel: 8012631621)

👤
Provider Name / Credentials Updated January 12, 2018

Recorded as JILL CLARK, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 12, 2018

Colon & Rectal Surgery (License #73799221205 in UT)

📍
Updated Practice Location March 15, 2017

Registered at 1250 E 3900 S, STE 320, SALT LAKE CITY, UT 841241348 (Tel: 8012631621)

📍
Updated Business Mailing Address March 15, 2017

Registered at 1250 E 3900 S, STE 320, SALT LAKE CITY, UT 841241348 (Tel: 8012631621)

NPI Profile Active February 10, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location February 10, 2013

Registered at 1220 E 3900 S, STE 4I, SALT LAKE CITY, UT 841241377 (Tel: 8012631621)

📍
Updated Business Mailing Address February 10, 2013

Registered at 1220 E 3900 S, STE 4I, SALT LAKE CITY, UT 841241377 (Tel: 8012631621)

👤
Provider Name / Credentials Updated February 10, 2013

Recorded as JILL WALDRON, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 10, 2013

Colon & Rectal Surgery (License #73799221205 in UT)

🟢
Initial NPI Registration & Enumeration September 26, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Jill Clark. Be the first to share your experience!

Sign in to leave a review for Dr. Jill Clark

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1295922052
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 26, 2007
Last Update: June 27, 2025
Sole Proprietor: No

Mailing Address

715 Dr Martin Luther King Jr Ave Ne Ste 301

Albuquerque, NM 871023668

Phone: 5057277090

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.