DR. HENRY J HIGBY MD
NPI 1174146237
Emergency Medicine in Grand Rapids, MI

Active since May 24, 2020PECOS EnrolledAccepts Medicare Assignment
96.27/100
CMS Quality Rating
100 MICHIGAN ST NE, GRAND RAPIDS, MI 49503(616) 267-1455(616) 391-1804 Get Directions Write a Review

NPPES record last updated: September 19, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 19, 2025, Jul 7, 2025, May 5, 2025 and 3 more (6 updates tracked since 2020).

About Dr. Henry J Higby Md NPPES

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

DR. HENRY J HIGBY MD (NPI 1174146237) is an individual emergency medicine provider in Grand Rapids, Michigan, licensed in Michigan (4301509119) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1174146237
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. HENRY J HIGBYCredential: MD
Location Address100 MICHIGAN ST NEGrand Rapids, MI 49503-2560
Mailing Address4100 Embassy Dr Se Ste 400Grand Rapids, MI 49546-2416 · (616) 988-8220
Fax(616) 391-1804
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMay 24, 2020
Last NPPES UpdateSeptember 19, 20256 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2025
NPI 1174146237 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in MI · 4301509119
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedAnesthesiologyTaxonomy 207L00000X · License 4301509119 (MI)
Also ListedPediatrics · Pediatric Emergency MedicineTaxonomy 2080P0204X · License 4301509119 (MI)
100 MICHIGAN ST NE, Grand Rapids, MI 49503

Accepted 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

Dr. Henry J Higby 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 ID5395167100
PECOS Enrollment IDI20230825003461
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

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Spectrum Health

Acute Care Hospitals · Grand Rapids, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230038
Location100 Michigan St NEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

Corewell Health Gerber Hospital

Critical Access Hospitals · Fremont, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number231338
Location212 S Sullivan StFremont, MI 49412 · Newaygo County
Emergency services Birthing friendly

Corewell Health Pennock Hospital

Critical Access Hospitals · Hastings, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number231339
Location1009 W Green StHastings, MI 49058 · Barry County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49503 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

96.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.89
Improvement Activities40

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.

Emergency Medicine (Emergency Medical Services)
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Emergency Medicine
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Emergency Medicine (Emergency Medical Services)
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Emergency Medicine (Emergency Medical Services)
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Physician Assistant
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Physician Assistant (Medical)
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Pediatrics (Pediatric Hematology-Oncology)
100 MICHIGAN ST NE, MC 109 ATTN JULIE L
GRAND RAPIDS, MI 49503
Pediatrics (Neonatal-Perinatal Medicine)
100 MICHIGAN ST NE, MC 845 ATTN
GRAND RAPIDS, MI 49503

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 Henry Higby's NPI number?

The NPI number for Henry Higby is 1174146237. It was assigned to this individual provider in the NPPES registry on May 24, 2020.

Where is Henry Higby located?

Henry Higby practices at 100 Michigan St NE, Grand Rapids, MI 49503. The listed phone number is (616) 267-1455.

What is Henry Higby's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Henry Higby enrolled in Medicare?

Yes. Henry Higby 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 Henry Higby accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Henry Higby 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 Henry Higby affiliated with any hospitals?

According to CMS data, Henry Higby is affiliated with Spectrum Health, Corewell Health Gerber Hospital and Corewell Health Pennock Hospital.

When was this NPI record last updated?

The NPPES record for Henry Higby was last updated on September 19, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.