DR. WILLIAM J HIGGINS MD
NPI 1043233182
Internal Medicine in Cold Spring, NY

Active since July 26, 2006PECOS Enrolled
100/100
CMS Quality Rating
1756 ROUTE 9D, COLD SPRING, NY 10516(845) 809-5661(845) 809-5663 Get Directions Write a Review

NPPES record last updated: January 16, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 16, 2026, Feb 9, 2024, Dec 6, 2021 and 1 more (4 updates tracked since 2021).

About Dr. William J Higgins Md NPPES

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

DR. WILLIAM J HIGGINS MD (NPI 1043233182) is an individual internal medicine provider in Cold Spring, New York, licensed in New York (173685) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043233182
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. WILLIAM J HIGGINSCredential: MD
Location Address1756 ROUTE 9DCold Spring, NY 10516-2619
Mailing Address2649 Strang Blvd Ste 304Yorktown Heights, NY 10598-2938 · (646) 745-6369 · Fax (646) 697-7865
Fax(845) 809-5663
Sole ProprietorNo
Enumeration DateJuly 26, 2006
Last NPPES UpdateJanuary 16, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 16, 2026
NPI 1043233182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NY · 173685
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1756 ROUTE 9D, Cold Spring, NY 10516

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. William J Higgins Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10516 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
$141.77 typical visit price
range $61.88 – $187.05
Typical copayment $35.44 (range $15.47 – $46.76)
Most-billed visit code 99204
Established Patient
$108.56 typical visit price
range $19.92 – $151.94
Typical copayment $27.14 (range $4.98 – $37.98)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.8
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 5

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

Internal Medicine (Cardiovascular Disease)
1756 ROUTE 9D, SUITE 102
COLD SPRING, NY 10516
Internal Medicine
1756 ROUTE 9D
COLD SPRING, NY 10516
Internal Medicine
1756 ROUTE 9D, CAROLYN LAHEY PAVILION
COLD SPRING, NY 10516
Family Medicine
1756 ROUTE 9D
COLD SPRING, NY 10516
Internal Medicine
1756 ROUTE 9D
COLD SPRING, NY 10516

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 William Higgins's NPI number?

The NPI number for William Higgins is 1043233182. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Where is William Higgins located?

William Higgins practices at 1756 Route 9D, Cold Spring, NY 10516. The listed phone number is (845) 809-5661.

What is William Higgins's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is William Higgins enrolled in Medicare?

Yes. William Higgins is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for William Higgins was last updated on January 16, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.