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DONALD EDWARD HIGGS MD
NPI 1104068550
Pathology - Anatomic Pathology & Clinical Pathology in Buffalo, NY

Active since April 01, 2009PECOS Enrolled
462 GRIDER ST, BUFFALO, NY 14215(716) 898-3000 Get Directions Write a Review

NPPES record last updated: April 1, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Donald Edward Higgs Md NPPES

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

DONALD EDWARD HIGGS MD (NPI 1104068550) is an individual anatomic pathology & clinical pathology provider in Buffalo, New York, licensed in New York (243716) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104068550
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameDONALD EDWARD HIGGSCredential: MD
Location Address462 GRIDER STBuffalo, NY 14215-3021
Mailing Address908 Niagara Falls Blvd, Suite 208North Tonawanda, NY 14120-2019 · (716) 692-3302 · Fax (716) 692-4342
Phone(716) 898-3000
Sole ProprietorNo
Enumeration DateApril 1, 2009
✔ NPI 1104068550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License✔ Licensed in NY · 243716
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
462 GRIDER ST, Buffalo, NY 14215
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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 (PECOS)

Donald Edward Higgs 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.

Medicare Billing Reassignment

Medicare enrollment records show Donald Higgs reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Olean General Hospital
61 mi
General Practice
500 MAIN ST
Olean, NY 14760
  • Reassigned Medicare billing, New York enrollment
  • 163 clinicians in this Medicare group
NPI 1033499017 (716) 375-6993

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14215 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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 20

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

MR. V. THOMAS CHAPIN PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
462 GRIDER ST
BUFFALO, NY 14215
Erie County (716) 898-3000
DR. JOHN JACOB HANNIBAL IV M.D.
Student in an Organized Health Care Education/Training Program
462 GRIDER ST
BUFFALO, NY 14215
Erie County (716) 898-4226
HMB PHARMACY MANAGEMENT LLC
Pharmacy (Community/Retail Pharmacy)
462 GRIDER ST, DRIVEWAY 3
BUFFALO, NY 14215
Erie County (716) 332-2866
SARAH MARIE THOMPSON PA-C
Physician Assistant
462 GRIDER ST
BUFFALO, NY 14215
Erie County (716) 698-5375
MATTHEW GARRETT ALBEN DO
Student in an Organized Health Care Education/Training Program
462 GRIDER ST
BUFFALO, NY 14215
Erie County (716) 898-5053
DANNY ISSAM BELMONA MD
Student in an Organized Health Care Education/Training Program
462 GRIDER ST
BUFFALO, NY 14215
Erie County (716) 898-3000
MR. KENNETH L DZIALAK COTA
Occupational Therapy Assistant
462 GRIDER ST
BUFFALO, NY 14215
Erie County (716) 898-3575
MS. ZENA SONDRA HYMAN NP
Nurse Practitioner (Adult Health)
462 GRIDER ST
BUFFALO, NY 14215
Erie County (716) 898-3000

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 Donald Higgs's NPI number?

The NPI number for Donald Higgs is 1104068550. It was assigned to this individual provider in the NPPES registry on April 1, 2009.

Where is Donald Higgs located?

Donald Higgs practices at 462 Grider St, Buffalo, NY 14215. The listed phone number is (716) 898-3000.

What is Donald Higgs's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Donald Higgs enrolled in Medicare?

Yes. Donald Higgs is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Donald Higgs's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Donald Higgs reassigns Medicare benefits to Olean General Hospital (Olean, NY). The 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 Donald Higgs's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Donald Higgs was last updated on April 1, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.