DR. MARK STANLEY HIGGINS M.D.
NPI 1043270648
Family Medicine in College Station, TX

Q: What is Mark Higgins's NPI number?

The NPI number for Mark Higgins is 1043270648. It was assigned to this individual provider in the NPPES registry on March 27, 2006.

Q: What is Mark Higgins's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Mark Higgins was last updated on January 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.

Active since March 27, 2006PECOS EnrolledAccepts Medicare Assignment

1700 UNIVERSITY DR E, COLLEGE STATION, TX 77840(409) 691-3300 Get Directions Write a Review

NPPES record last updated: January 24, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 24, 2022, May 7, 2020 (2 updates tracked since 2020).

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About Dr. Mark Stanley Higgins M.d. NPPES

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

DR. MARK STANLEY HIGGINS M.D. (NPI 1043270648) is an individual family medicine provider in College Station, Texas, licensed in Texas (H8128) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Baylor Scott & White Medical Center- College Stati, and is a graduate of University Of Texas Medical School At Houston (1989).

NPPES Registry Identity

NPI1043270648

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. MARK STANLEY HIGGINSCredential: M.D.

Location Address1700 UNIVERSITY DR ECollege Station, TX 77840-2661

Mailing AddressPo Box 844658Dallas, TX 75284-4658 · (254) 724-2111

Phone(409) 691-3300

Sole ProprietorNo

Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 1989

Enumeration DateMarch 27, 2006

Last NPPES UpdateJanuary 24, 20222 updates tracked since enumeration

NPPES CertifiedJanuary 24, 2022

✔ NPI 1043270648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in TX · H8128

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1700 UNIVERSITY DR E, College Station, TX 77840

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Other Identifiers 1

Other81X059TX · Blue Shield

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas.Insurance ›

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

Dr. Mark Stanley Higgins 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 ID7719941335

PECOS Enrollment IDI20041115000191

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 3

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

171 services143 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

150 services94 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

118 services118 patients

Hospital Affiliations CMS Care Compare

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

Baylor Scott & White Medical Center- College Stati

Acute Care Hospitals · College Station, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number670088

Location700 Scott & White DriveCollege Station, TX 77845 · Brazos County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77840 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

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.

Referred Medical Equipment & Supplies CMS DME claims 5

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

9 suppliers36 claims110 services$5.91 avg. paid by Medicare

Normal, low and high calibrator solution / chips A4256

DME-Other DME · category DE000N

3 suppliers18 claims18 services$2.94 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

4 suppliers24 claims41 services$1.11 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

2 suppliers23 claims1,260 services$0.10 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

5 suppliers19 claims19 services$21.93 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 20

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

SCOTT & WHITE CLINIC

Pediatrics