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MADISON R HIGGINS PA-C
NPI 1114484946
Physician Assistant in Wilmington, NC

Active since February 28, 2019PECOS EnrolledAccepts Medicare Assignment
2800 ASHTON DR STE 100, WILMINGTON, NC 28412(910) 794-8892(910) 794-8895 Get Directions Write a Review

NPPES record last updated: April 6, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 6, 2021, May 29, 2020, Apr 16, 2019 and 2 more (5 updates tracked since 2019).

About Madison R Higgins Pa-c NPPES

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

MADISON R HIGGINS PA-C (NPI 1114484946) is an individual physician assistant in Wilmington, North Carolina, licensed in North Carolina (0010-10283) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS, is affiliated with Novant Health New Hanover Regional Medical Center, and is a graduate of University Of Kentucky College Of Medicine (2018).

NPPES Registry Identity

NPI1114484946
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMADISON R HIGGINSCredential: PA-C
Location Address2800 ASHTON DR STE 100Wilmington, NC 28412-2486
Mailing Address2800 Ashton Dr Ste 100Wilmington, NC 28412-2486 · (910) 794-8892 · Fax (910) 794-8895
Phone(910) 794-8892
Fax(910) 794-8895
Sole ProprietorNo
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 2018
Enumeration DateFebruary 28, 2019
Last NPPES UpdateApril 6, 20215 updates tracked since enumeration
NPPES CertifiedApril 6, 2021
✔ NPI 1114484946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in NC · 0010-10283✔ Licensed in KY · PA2222
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License PA2222 (KY)
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License PA2222 (KY)
2800 ASHTON DR STE 100, Wilmington, NC 28412
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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

Madison R Higgins Pa-c 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 ID7012259823
PECOS Enrollment IDI20200803000744
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.

Testing for presence of drug, by chemistry analyzers 80307
Chemistry analyzers are used to detect the presence of drugs in your system. This test involves taking a small sample of your blood or urine. The sample is then analyzed for specific substances. The results help in understanding your health condition better.
150 services100 patients
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms G0482
A definitive drug test identifies specific drugs in your system. Advanced methods like GC/MS (Gas Chromatography/Mass Spectrometry) and LC/MS (Liquid Chromatography/Mass Spectrometry) are used. These can distinguish between similar drugs, providing precise results.
108 services81 patients
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms G0483
A definitive drug test identifies specific drugs in your system. It uses advanced methods like gc/ms and lc/ms, which can distinguish between different types of drugs but not necessarily their 3D forms. This test offers detailed results to support your healthcare decisions.
34 services33 patients

Hospital Affiliations CMS Care Compare

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

Novant Health New Hanover Regional Medical Center

Acute Care Hospitals · Wilmington, NC
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340141
Location2131 S 17th St Box 9000Wilmington, NC 28402 · New Hanover County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28412 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

Other Providers at the Same Location NPPES

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

KATHERINE VICTORIA DENTON PA-C
Physical Medicine & Rehabilitation
2800 ASHTON DR STE 100
WILMINGTON, NC 28412
New Hanover County (910) 794-8892

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 Madison Higgins's NPI number?

The NPI number for Madison Higgins is 1114484946. It was assigned to this individual provider in the NPPES registry on February 28, 2019.

Where is Madison Higgins located?

Madison Higgins practices at 2800 Ashton Dr Ste 100, Wilmington, NC 28412. The listed phone number is (910) 794-8892.

What is Madison Higgins's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Madison Higgins enrolled in Medicare?

Yes. Madison 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 Madison Higgins accept?

Health plans from UnitedHealthcare list Madison 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 Madison Higgins affiliated with any hospitals?

According to CMS data, Madison Higgins is affiliated with Novant Health New Hanover Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Madison Higgins was last updated on April 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.