TIMOTHY J HIGGINS M.D.
NPI 1174558175
Radiology - Diagnostic Radiology in Burlington, VT
About Timothy J Higgins M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TIMOTHY J HIGGINS M.D. (NPI 1174558175) is an individual diagnostic radiology provider in Burlington, Vermont, licensed in Vermont (042-0010917) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Univ. Of Vermont - Fletcher Allen Health Care, and is a graduate of Other (1994).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Timothy J Higgins M.d. 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.
Medicare Billing Reassignments
6Medicare enrollment records show Timothy Higgins reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Burlington, VT 05401
- Reassigned Medicare billing, Vermont enrollment
- 1,643 clinicians in this Medicare group
Plattsburgh, NY 12901
- Reassigned Medicare billing, New York and Vermont enrollments
- Also billed through NPI 1124189782 (Vermont)
- 675 clinicians in this Medicare group
Vergennes, VT 05491
- Reassigned Medicare billing, Vermont enrollment
- Also billed through NPI 1134457013 (Vermont)
- 243 clinicians in this Medicare group
Saint Albans, VT 05478
- Reassigned Medicare billing, Vermont enrollment
- 184 clinicians in this Medicare group
Elizabethtown, NY 12932
- Reassigned Medicare billing, New York and Vermont enrollments
- Also billed through NPI 1487923637 (New York)
- 219 clinicians in this Medicare group
Malone, NY 12953
- Reassigned Medicare billing, New York and Vermont enrollments
- Also billed through NPI 1568735660 (Vermont)
- 326 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Univ. Of Vermont - Fletcher Allen Health Care
Acute Care Hospitals · Burlington, VTPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 05401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
BURLINGTON, VT 05401
BURLINGTON, VT 05401
BURLINGTON, VT 05401
BURLINGTON, VT 05401
BURLINGTON, VT 05401
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 Timothy Higgins's NPI number?
The NPI number for Timothy Higgins is 1174558175. It was assigned to this individual provider in the NPPES registry on July 11, 2006.
Where is Timothy Higgins located?
Timothy Higgins practices at 111 Colchester Ave Fletcher Allen Health Care Diagnostic Radiology, Burlington, VT 05401. The listed phone number is (802) 827-2700.
What is Timothy Higgins's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Timothy Higgins enrolled in Medicare?
Yes. Timothy 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.
Which organizations bill Medicare for Timothy Higgins's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Higgins reassigns Medicare benefits to 6 organizations: University Of Vermont Medical Center Inc (Burlington, VT), Champlain Valley Physicians Hospital Medical Center (Plattsburgh, NY), Porter Hospital Inc (Vergennes, VT), Northwestern Medical Center, Inc. (Saint Albans, VT), Elizabethtown Community Hospital (Elizabethtown, NY) and 1 more organization, listed in the Medicare section above. Each 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 Timothy Higgins's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Timothy Higgins accept?
Health plans from Anthem Blue Cross and Blue Shield list Timothy 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 Timothy Higgins affiliated with any hospitals?
According to CMS data, Timothy Higgins is affiliated with Univ. Of Vermont - Fletcher Allen Health Care.
When was this NPI record last updated?
The NPPES record for Timothy Higgins was last updated on January 24, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.