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JOHN PATRICK HIGGINS MD
NPI 1154474872
Pathology - Anatomic Pathology & Clinical Pathology in Stanford, CA

Active since January 18, 2007PECOS EnrolledAccepts Medicare Assignment
76.5/100
CMS Quality Rating
300 PASTEUR DR RM L235, DEPARTMENT OF PATHOLOGY, STANFORD, CA 94305(650) 723-7211(650) 725-7409 Get Directions Write a Review

NPPES record last updated: March 13, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About John Patrick Higgins Md NPPES

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

JOHN PATRICK HIGGINS MD (NPI 1154474872) is an individual anatomic pathology & clinical pathology provider in Stanford, California, licensed in California (A60350) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Stanford University School Of Medicine (1994).

NPPES Registry Identity

NPI1154474872
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameJOHN PATRICK HIGGINSCredential: MD
Location Address300 PASTEUR DR RM L235, DEPARTMENT OF PATHOLOGYStanford, CA 94305-2200
Mailing Address300 Pasteur Dr Rm L235, Department Of PathologyStanford, CA 94305-2200 · (650) 723-7211 · Fax (650) 725-7409
Phone(650) 723-7211
Fax(650) 725-7409
Sole ProprietorNo
Medical School CMSStanford University School Of MedicineGraduated 1994
Enumeration DateJanuary 18, 2007
Last NPPES UpdateMarch 13, 2024
NPPES CertifiedMarch 13, 2024
✔ NPI 1154474872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License✔ Licensed in CA · A60350
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.
Also ListedPathology · Anatomic PathologyTaxonomy 207ZP0101X · License A60350 (CA)
300 PASTEUR DR RM L235, Stanford, CA 94305
Open in Google Maps ↗

Other Identifiers 1

Medicaid00A603500CA

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

John Patrick 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 ID345308854
PECOS Enrollment IDI20081027000604
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 15

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
1,043 services413 patients
Antibody evaluation, each additional single antibody stain procedure 88350
An antibody evaluation involves testing a sample of your body fluid (like blood) to identify specific antibodies. Each additional single antibody stain procedure is a separate test for another specific antibody. This helps in diagnosing various health conditions by understanding your body's immune response.
411 services51 patients
Special stained specimen slides to examine tissue including interpretation and report 88313
Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.
230 services80 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
160 services132 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
159 services55 patients
Surgical pathology consultation and report on referred slides prepared elsewhere 88321
A surgical pathology consultation involves reviewing slides prepared at a different lab to confirm or clarify a diagnosis. It's a second opinion to ensure accuracy. A report with findings and interpretations is then provided for your doctor's reference.
75 services72 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94305 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
$156.67 typical visit price
range $70.37 – $206.04
Typical copayment $39.16 (range $17.59 – $51.51)
Most-billed visit code 99204
Established Patient
$121.77 typical visit price
range $23.96 – $169.60
Typical copayment $30.44 (range $5.99 – $42.40)
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.

76.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.31
Promoting Interoperability100
Improvement Activities40
Cost43.95

Other Providers at the Same Location NPPES 13

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

VISESH ISRAEL RAVIKUMAR
Student in an Organized Health Care Education/Training Program
300 PASTEUR DR RM L235
STANFORD, CA 94305
Santa Clara County (650) 723-5252
BRENT THOMAS TAN M.D., PHD
Pathology (Anatomic Pathology)
300 PASTEUR DR RM L235, DEPARTMENT OF PATHOLOGY
STANFORD, CA 94305
Santa Clara County (650) 723-7211
DR. TERRI L HADDIX M.D.
Pathology (Anatomic Pathology)
300 PASTEUR DR RM L235, PATHOLOGY
STANFORD, CA 94305
Santa Clara County (650) 723-7211
YANG HU
Student in an Organized Health Care Education/Training Program
300 PASTEUR DR RM L235
STANFORD, CA 94305
Santa Clara County (650) 723-5252
QINGYU LI MD
Student in an Organized Health Care Education/Training Program
300 PASTEUR DR RM L235
STANFORD, CA 94305
Santa Clara County (650) 723-5252
OTTO HANNES VOGEL MD
Pathology (Anatomic Pathology)
300 PASTEUR DR RM L235, DEPARTMENT OF PATHOLOGY
STANFORD, CA 94305
Santa Clara County (650) 723-7211
DR. MICHAEL CLEARY MD
Pathology (Anatomic Pathology)
300 PASTEUR DR RM L235
STANFORD, CA 94305
Santa Clara County (650) 723-5471
DR. STEVEN ANDREW BAKER M.D. PH.D.
Pathology (Clinical Pathology)
300 PASTEUR DR RM L235
STANFORD, CA 94305
Santa Clara County (650) 493-5000

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 John Higgins's NPI number?

The NPI number for John Higgins is 1154474872. It was assigned to this individual provider in the NPPES registry on January 18, 2007.

Where is John Higgins located?

John Higgins practices at 300 Pasteur Dr Rm L235 Department Of Pathology, Stanford, CA 94305. The listed phone number is (650) 723-7211.

What is John Higgins's specialty?

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

Is John Higgins enrolled in Medicare?

Yes. John 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.

When was this NPI record last updated?

The NPPES record for John Higgins was last updated on March 13, 2024. 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.