PATRICK B. HIGDON M.D.
NPI 1003812785
Hospitalist in Corpus Christi, TX

Active since June 27, 2005PECOS EnrolledAccepts Medicare Assignment
95.11/100
CMS Quality Rating
805 MORGAN AVE, CORPUS CHRISTI, TX 78404(210) 762-3662(361) 730-2172 Get Directions Write a Review

NPPES record last updated: May 26, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 26, 2023, Aug 18, 2021 (2 updates tracked since 2021).

About Patrick B. Higdon M.d. NPPES

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

PATRICK B. HIGDON M.D. (NPI 1003812785) is an individual hospitalist provider in Corpus Christi, Texas, licensed in Texas (T8836) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Christus Spohn Hospital Corpus Christi, and maintains a secondary practice location in Virginia Beach.

NPPES Registry Identity

NPI1003812785
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NamePATRICK B. HIGDONCredential: M.D.
Location Address805 MORGAN AVECorpus Christi, TX 78404-2025
Mailing Address805 Morgan AveCorpus Christi, TX 78404-2025 · (210) 762-3662 · Fax (361) 730-2172
Fax(361) 730-2172
Sole ProprietorNo
Medical School CMSEastern Virginia Medical SchoolGraduated 1994
Enumeration DateJune 27, 2005
Last NPPES UpdateMay 26, 20232 updates tracked since enumeration
NPPES CertifiedMay 26, 2023
NPI 1003812785 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
Licenses Licensed in TX · T8836 Licensed in VA · 0101056188
Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 0101056188 (VA)
805 MORGAN AVE, Corpus Christi, TX 78404

Secondary Practice Location 1

Location 1100 Constitution Dr Ste 217Virginia Beach, VA 23462-6799 · Phone (757) 243-8552 · Fax (757) 243-8552

Other Identifiers 3

Other080180925VA · Rr Medicare
Medicaid5630592VA
Other291974VA · Anthem

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

Patrick B. Higdon M.d. 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 ID6800085903
PECOS Enrollment IDI20230517003627
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

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.

Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
16 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Christus Spohn Hospital Corpus Christi

Acute Care Hospitals · Corpus Christi, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450046
Location600 Elizabeth StreetCorpus Christi, TX 78404 · Nueces County
Emergency services Birthing friendly

Corpus Christi Medical Center,the

Acute Care Hospitals · Corpus Christi, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number450788
Location6629 Woodridge RoadCorpus Christi, TX 78414 · Nueces County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78404 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.31
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers21 claims21 services$14.85 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers25 claims25 services$68.41 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
805 MORGAN AVE
CORPUS CHRISTI, TX 78404
Family Medicine
805 MORGAN AVE
CORPUS CHRISTI, TX 78404
Family Medicine
805 MORGAN AVE
CORPUS CHRISTI, TX 78404

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 Patrick Higdon's NPI number?

The NPI number for Patrick Higdon is 1003812785. It was assigned to this individual provider in the NPPES registry on June 27, 2005.

Where is Patrick Higdon located?

Patrick Higdon practices at 805 Morgan Ave, Corpus Christi, TX 78404. The listed phone number is (210) 762-3662.

What is Patrick Higdon's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Patrick Higdon enrolled in Medicare?

Yes. Patrick Higdon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Patrick Higdon affiliated with any hospitals?

According to CMS data, Patrick Higdon is affiliated with Christus Spohn Hospital Corpus Christi and Corpus Christi Medical Center,the.

When was this NPI record last updated?

The NPPES record for Patrick Higdon was last updated on May 26, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.