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MR. KELCY HIGA M.D.
NPI 1023465630
Emergency Medicine in Tucson, AZ

Active since May 24, 2016PECOS EnrolledAccepts Medicare Assignment
3950 S COUNTRY CLUB RD, STE. 200, TUCSON, AZ 85714(520) 626-5582(520) 626-2819 Get Directions Write a Review

NPPES record last updated: May 21, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. Kelcy Higa M.d. NPPES

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

MR. KELCY HIGA M.D. (NPI 1023465630) is an individual emergency medicine provider in Tucson, Arizona, licensed in Arizona (R75733) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS, is affiliated with Hilo Medical Center, and is a graduate of University Of Hawaii John A. Burns School Of Medicine (2016).

NPPES Registry Identity

NPI1023465630
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameMR. KELCY HIGACredential: M.D.
Location Address3950 S COUNTRY CLUB RD, STE. 200Tucson, AZ 85714-2099
Mailing Address3950 S Country Club Rd, Ste. 200Tucson, AZ 85714-2099 · (520) 626-5582 · Fax (520) 626-2819
Phone(520) 626-5582
Fax(520) 626-2819
Sole ProprietorYes
Medical School CMSUniversity Of Hawaii John A. Burns School Of MedicineGraduated 2016
Enumeration DateMay 24, 2016
Last NPPES UpdateMay 21, 2025
NPPES CertifiedMay 21, 2025
✔ NPI 1023465630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in AZ · R75733✔ Licensed in HI · MD-20274
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.
3950 S COUNTRY CLUB RD, Tucson, AZ 85714
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Kelcy Higa 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 ID7719267202
PECOS Enrollment IDI20190924003917
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Kelcy Higa reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Honokaa Hospital & Skilled Nursing
2,868 mi
Critical Access
45-547 PLUMERIA ST
Honokaa, HI 96727
  • Reassigned Medicare billing, Hawaii enrollment
  • 45 clinicians in this Medicare group
NPI 1164506317 (808) 775-7211
Kau Hospital
2,896 mi
Critical Access
1 KAMANI STREET
Pahala, HI 96777
  • Reassigned Medicare billing, Hawaii enrollment
  • 208 clinicians in this Medicare group
NPI 1982276127 (808) 932-4200
Hawaii Emergency Physicians Associated Inc
2,962 mi
Emergency Medicine
407 ULUNIU ST, 4TH FLOOR
Kailua, HI 96734
  • Reassigned Medicare billing, Hawaii enrollment
  • 206 clinicians in this Medicare group
NPI 1801843198 (808) 261-3326

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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.
204 services193 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
149 services131 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.
79 services75 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
68 services67 patients

Hospital Affiliations CMS Care Compare

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

Hilo Medical Center

Acute Care Hospitals · Hilo, HI
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number120005
Location1190 Waianuenue AvenueHilo, HI 96720 · Hawaii County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85714 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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 19

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

PHILIPP LORENZ HANNAN M.D.
Emergency Medicine
3950 S COUNTRY CLUB RD
TUCSON, AZ 85714
Pima County (520) 626-5582
JASMINE BAHIEH AFLATOONI DNP
Nurse Practitioner (Psychiatric/Mental Health)
3950 S COUNTRY CLUB RD
TUCSON, AZ 85714
Pima County (520) 670-3909
PIMA COUNTY
Public Health or Welfare
3950 S COUNTRY CLUB RD, SUITE 3460
TUCSON, AZ 85714
Pima County (520) 243-7833
ROBERT G MCATEE MD
Emergency Medicine
3950 S COUNTRY CLUB RD
TUCSON, AZ 85714
Pima County (520) 626-5536
PIMA COUNTY HEALTH DEPT
Public Health or Welfare
3950 S COUNTRY CLUB RD, ROOM 1357
TUCSON, AZ 85714
Pima County (520) 243-7797
HOLLY TALLMAN MD
Emergency Medicine
3950 S COUNTRY CLUB RD
TUCSON, AZ 85714
Pima County (520) 626-5582
DR. LISA CARYN GOLDBERG M.D.
Emergency Medicine
3950 S COUNTRY CLUB RD
TUCSON, AZ 85714
Pima County (520) 626-5582
DR. SUSAN K HADLEY MD
Family Medicine
3950 S COUNTRY CLUB RD, SUITE 130
TUCSON, AZ 85714
Pima County (520) 878-8592

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 Kelcy Higa's NPI number?

The NPI number for Kelcy Higa is 1023465630. It was assigned to this individual provider in the NPPES registry on May 24, 2016.

Where is Kelcy Higa located?

Kelcy Higa practices at 3950 S Country Club Rd Ste. 200, Tucson, AZ 85714. The listed phone number is (520) 626-5582.

What is Kelcy Higa's specialty?

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

Is Kelcy Higa enrolled in Medicare?

Yes. Kelcy Higa 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.

Which organizations bill Medicare for Kelcy Higa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelcy Higa reassigns Medicare benefits to 3 organizations: Honokaa Hospital & Skilled Nursing (Honokaa, HI), Kau Hospital (Pahala, HI) and Hawaii Emergency Physicians Associated Inc (Kailua, HI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelcy Higa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Kelcy Higa affiliated with any hospitals?

According to CMS data, Kelcy Higa is affiliated with Hilo Medical Center.

When was this NPI record last updated?

The NPPES record for Kelcy Higa was last updated on May 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.