Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Derek R McClusky, MD

Individual provider Surgery Physician · NPI 1184694903

Mr. Derek R McClusky, MD is a General Surgery in Ruston, Louisiana. Graduated from University of Texas Medical Branch at Galveston in 1999, 27 years ago. Practices with Green Clinic LLC, a 29-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
27
Trained at
University of Texas Medical Branch at Galveston
Licensed in
LA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1200 S Farmerville St
Ruston, LA 71270-5941
Phone: (318) 255-3690
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 25752 (LA)

Record details

NPI number1184694903
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 24, 2006
Last updated in NPPESOctober 15, 2009

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolUNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Graduated 1999 (27 years in practice)
Group practice Green Clinic Llc — 29 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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