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DANIEL SMITH HIGGINSON M.D.
NPI 1043472152
Radiology - Radiation Oncology in New York, NY

Active since June 30, 2008PECOS EnrolledAccepts Medicare Assignment
96.04/100
CMS Quality Rating
1275 YORK AVE # 22, NEW YORK, NY 10065(646) 888-3630 Get Directions Write a Review

NPPES record last updated: June 22, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Daniel Smith Higginson M.d. NPPES

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

DANIEL SMITH HIGGINSON M.D. (NPI 1043472152) is an individual radiation oncology provider in New York, New York, licensed in New York (265434) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS and is a graduate of Johns Hopkins University School Of Medicine (2007).

NPPES Registry Identity

NPI1043472152
Entity TypeIndividualMale
Primary Taxonomy2085R0001X
Provider Legal NameDANIEL SMITH HIGGINSONCredential: M.D.
Location Address1275 YORK AVE # 22New York, NY 10065-6007
Mailing Address1275 York Ave # 22New York, NY 10065-6007 · (646) 888-3630
Phone(646) 888-3630
Sole ProprietorYes
Medical School CMSJohns Hopkins University School Of MedicineGraduated 2007
Enumeration DateJune 30, 2008
Last NPPES UpdateJune 22, 2015
✔ NPI 1043472152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0001X
License✔ Licensed in NY · 265434
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 150392 (NC)
1275 YORK AVE # 22, New York, NY 10065
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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

Daniel Smith Higginson 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 ID446566483
PECOS Enrollment IDI20150904001583, I20201209002264
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 6

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.

Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy G6002
Stereoscopic x-ray guidance is a technique used in radiation therapy. It involves taking multiple X-ray images from different angles to create a 3D picture of the area to be treated. This helps accurately pinpoint the exact location for radiation delivery, ensuring the therapy is as effective as possible.
68 services46 patients
Design and construction of complex radiation treatment device 77334
The design and construction of a complex radiation treatment device is a process where a specialized instrument is created. This device targets harmful cells with high-energy rays to destroy or damage them, while minimizing impact on healthy cells. This aids in treating conditions like cancer.
40 services32 patients
Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy G6002
Stereoscopic x-ray guidance is a technique used in radiation therapy. It involves taking multiple X-ray images from different angles to create a 3D picture of the area to be treated. This helps accurately pinpoint the exact location for radiation delivery, ensuring the therapy is as effective as possible.
27 services18 patients
Design and construction of complex radiation treatment device 77334
The design and construction of a complex radiation treatment device is a process where a specialized instrument is created. This device targets harmful cells with high-energy rays to destroy or damage them, while minimizing impact on healthy cells. This aids in treating conditions like cancer.
19 services18 patients
Complex radiation therapy planning 77263
Complex radiation therapy planning is a process to determine the most effective way to deliver radiation to a specific area in your body. It involves detailed imaging to map your body's structure, allowing for precise targeting of cancer cells while sparing healthy tissue.
14 services12 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.
13 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10065 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
$198.19 typical visit price
range $65.69 – $198.19
Typical copayment $49.54 (range $16.42 – $49.54)
Most-billed visit code 99205
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
Most-billed visit code 99213
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.

96.04/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality92.55
Improvement Activities40

Other Providers at the Same Location NPPES 2

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

DR. JUSTIN HASELTINE M.D.
Radiology (Therapeutic Radiology)
1275 YORK AVE # 22
NEW YORK, NY 10065
New York County (212) 639-6800
LAMIAA ABDALLAH M.D.
Radiology (Radiation Oncology)
1275 YORK AVE # 22
NEW YORK, NY 10065
New York County (212) 639-6800

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 Daniel Higginson's NPI number?

The NPI number for Daniel Higginson is 1043472152. It was assigned to this individual provider in the NPPES registry on June 30, 2008.

Where is Daniel Higginson located?

Daniel Higginson practices at 1275 York Ave # 22, New York, NY 10065. The listed phone number is (646) 888-3630.

What is Daniel Higginson's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

Is Daniel Higginson enrolled in Medicare?

Yes. Daniel Higginson 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.

When was this NPI record last updated?

The NPPES record for Daniel Higginson was last updated on June 22, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.