ROBERT VICTOR HIGGINS MD
NPI 1063429322
Obstetrics & Gynecology - Gynecologic Oncology in Augusta, GA

Q: What is Robert Higgins's NPI number?

The NPI number for Robert Higgins is 1063429322. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Q: What is Robert Higgins's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecologic Oncology, with taxonomy code 207VX0201X.

Q: When was this NPI record last updated?

The NPPES record for Robert Higgins was last updated on November 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 August 01, 2006PECOS EnrolledAccepts Medicare Assignment

77.82/100

CMS Quality Rating

1120 15TH ST, AUGUSTA, GA 30912(706) 721-0211 Get Directions Write a Review

NPPES record last updated: November 28, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 3, 2023, Sep 25, 2020, Jul 16, 2020 and 35 more (38 updates tracked since 2018).

On this page

About Robert Victor Higgins Md NPPES

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

ROBERT VICTOR HIGGINS MD (NPI 1063429322) is an individual gynecologic oncology provider in Augusta, Georgia, licensed in North Carolina (27203) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Piedmont Augusta Hospital, and is a graduate of University Of North Carolina At Chapel Hill School Of Medicine (1978).

NPPES Registry Identity

NPI1063429322

Entity TypeIndividualMale

Primary Taxonomy207VX0201X

Provider Legal NameROBERT VICTOR HIGGINSCredential: MD

Location Address1120 15TH STAugusta, GA 30912-2776

Mailing Address3696 Wheeler RdAugusta, GA 30909-6520 · (706) 736-1830

Phone(706) 721-0211

Sole ProprietorNo

Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 1978

Enumeration DateAugust 1, 2006

Last NPPES UpdateNovember 28, 202338 updates tracked since enumeration

NPPES CertifiedNovember 28, 2023

✔ NPI 1063429322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · Gynecologic OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207VX0201X

License✔ Licensed in NC · 27203

Definition

An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.

1120 15TH ST, Augusta, GA 30912

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., BlueCross BlueShield of South Carolina, Molina Healthcare and more.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

Robert Victor Higgins Md 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 ID9638275126

PECOS Enrollment IDI20200527000002

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 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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

37 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.

30 services19 patients

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.

24 services20 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

18 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Piedmont Augusta Hospital

Acute Care Hospitals · Augusta, GA

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110028

Location1350 Walton WayAugusta, GA 30901 · Richmond County

Emergency services Birthing friendly

Au Medical Center

Acute Care Hospitals · Augusta, GA

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number110034

Location1120 15th StreetAugusta, GA 30912 · Richmond County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30912 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

$164.04 typical visit price

range $53.31 – $164.04

Typical copayment $41.01 (range $13.32 – $41.01)

Most-billed visit code 99205

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

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.

77.82/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

72.04

Promoting Interoperability

Improvement Activities

Cost

60.7

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

1 supplier11 claims11 services$14.45 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

1 supplier11 claims11 services$62.04 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 20

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

DR. TOYA HESTER KELLEY MD

Family Medicine

1120 15TH ST
AUGUSTA, GA 30912

Richmond County (706) 721-3157

DR. JACK BRADLEY ELLIS D.O.

Internal Medicine

1120 15TH ST
AUGUSTA, GA 30912

Richmond County (706) 721-8623

SAMI MOHAMMED ALSHEHRY

Student in an Organized Health Care Education/Training Program

1120 15TH ST, 1065
AUGUSTA, GA 30912

Richmond County (706) 721-2411

LUIS ALBERTO VELASQUEZ ZARATE M.D

Pathology (Anatomic Pathology & Clinical Pathology)

1120 15TH ST
AUGUSTA, GA 30912

Richmond County (706) 721-2771

DR. BRYAN RICHARD BROACH M.D.

Internal Medicine

1120 15TH ST
AUGUSTA, GA 30912

Richmond County (706) 721-8623

JANELLE MCGILL M.D.

Pediatrics

1120 15TH ST
AUGUSTA, GA 30912

Richmond County (706) 721-8623

DR. KAYLA ASHLEY SHAHBAZIAN DO

Internal Medicine

1120 15TH ST
AUGUSTA, GA 30912

Richmond County (706) 721-8623

ROSA MARIA LOPEZ RINCON

Anesthesiology

1120 15TH ST
AUGUSTA, GA 30912

Richmond County (706) 446-5836

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 Robert Higgins's NPI number?

The NPI number for Robert Higgins is 1063429322. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Where is Robert Higgins located?

Robert Higgins practices at 1120 15th St, Augusta, GA 30912. The listed phone number is (706) 721-0211.

What is Robert Higgins's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecologic Oncology, with taxonomy code 207VX0201X.

Is Robert Higgins enrolled in Medicare?

Yes. Robert Higgins 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.

What insurance does Robert Higgins accept?

Health plans from Alliant Health Plans, Inc., BlueCross BlueShield of South Carolina, Molina Healthcare and UnitedHealthcare list Robert Higgins as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Robert Higgins affiliated with any hospitals?

According to CMS data, Robert Higgins is affiliated with Piedmont Augusta Hospital and Au Medical Center.

When was this NPI record last updated?

The NPPES record for Robert Higgins was last updated on November 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.