CAROLE T BIGGIN NP
NPI 1104857515
Nurse Practitioner in Seaford, NY

Active since July 05, 2006PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
850 HICKSVILLE RD, SUITE 104, SEAFORD, NY 11783(516) 798-0141(516) 798-0694 Get Directions Write a Review

NPPES record last updated: June 9, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Carole T Biggin Np NPPES

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

CAROLE T BIGGIN NP (NPI 1104857515) is an individual nurse practitioner in Seaford, New York, licensed in New York (F301276-1) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of State University Of New York At Stony Brook, School Of Medicine (1992).

NPPES Registry Identity

NPI1104857515
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameCAROLE T BIGGINCredential: NP
Location Address850 HICKSVILLE RD, SUITE 104Seaford, NY 11783-1300
Mailing Address850 Hicksville Rd, Ste 104Seaford, NY 11783-1300 · (516) 798-0141 · Fax (516) 798-0694
Fax(516) 798-0694
Sole ProprietorNo
Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 1992
Enumeration DateJuly 5, 2006
Last NPPES UpdateJune 9, 2015
NPI 1104857515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in NY · F301276-1
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
850 HICKSVILLE RD, Seaford, NY 11783

Other Identifiers 2

Medicare PIN92N951NY
Medicare UPINS95012NY

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

Carole T Biggin Np 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 ID5890779888
PECOS Enrollment IDI20040616001298
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 2

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 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.
55 services26 patients
Blood glucose (sugar) level 82947
A blood glucose level test measures the amount of sugar in your blood. It's often used to monitor and manage conditions like diabetes. High or low levels can indicate a health issue. The test is usually done by pricking your finger for a small blood sample.
50 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11783 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 4

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
33 suppliers134 claims442 services$6.44 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
4 suppliers23 claims23 services$2.94 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
22 suppliers62 claims110 services$1.15 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
11 suppliers190 claims191 services$191.20 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.

Nurse Practitioner (Adult Health)
850 HICKSVILLE RD, SUITE 104
SEAFORD, NY 11783
Family Medicine
850 HICKSVILLE RD, SUITE 110
SEAFORD, NY 11783
Dietitian, Registered
850 HICKSVILLE RD, SUITE 104
SEAFORD, NY 11783
Internal Medicine (Cardiovascular Disease)
850 HICKSVILLE RD
SEAFORD, NY 11783
Dietitian, Registered
850 HICKSVILLE RD, SUITE 104
SEAFORD, NY 11783
Internal Medicine
850 HICKSVILLE RD, SUITE 110
SEAFORD, NY 11783
Internal Medicine (Cardiovascular Disease)
850 HICKSVILLE RD, SUITE 104
SEAFORD, NY 11783
Internal Medicine (Cardiovascular Disease)
850 HICKSVILLE RD, SUITE 104
SEAFORD, NY 11783

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 Carole Biggin's NPI number?

The NPI number for Carole Biggin is 1104857515. It was assigned to this individual provider in the NPPES registry on July 5, 2006.

Where is Carole Biggin located?

Carole Biggin practices at 850 Hicksville Rd Suite 104, Seaford, NY 11783. The listed phone number is (516) 798-0141.

What is Carole Biggin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Carole Biggin enrolled in Medicare?

Yes. Carole Biggin 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 Carole Biggin was last updated on June 9, 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.