TIMOTHY J HIGGINS M.D.
NPI 1174558175
Radiology - Diagnostic Radiology in Burlington, VT

Active since July 11, 2006PECOS EnrolledAccepts Medicare Assignment
111 COLCHESTER AVE, FLETCHER ALLEN HEALTH CARE DIAGNOSTIC RADIOLOGY, BURLINGTON, VT 05401(802) 827-2700 Get Directions Write a Review

NPPES record last updated: January 24, 2008. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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

NPI1174558175
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameTIMOTHY J HIGGINSCredential: M.D.
Location Address111 COLCHESTER AVE, FLETCHER ALLEN HEALTH CARE DIAGNOSTIC RADIOLOGYBurlington, VT 05401
Mailing Address61 Fire Pond RdCharlotte, VT 05445-9357 · (802) 425-2564
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateJuly 11, 2006
Last NPPES UpdateJanuary 24, 2008
✔ NPI 1174558175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in VT · 042-0010917
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
111 COLCHESTER AVE, Burlington, VT 05401

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.

PECOS PAC ID5092754499
PECOS Enrollment IDI20050531000045, I20240319000342
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.

Medicare Billing Reassignments

6

Medicare 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.

Internal Medicine
111 COLCHESTER AVE
Burlington, VT 05401
  • Reassigned Medicare billing, Vermont enrollment
  • 1,643 clinicians in this Medicare group
General Acute Care Hospital
75 BEEKMAN ST
Plattsburgh, NY 12901
  • Reassigned Medicare billing, New York and Vermont enrollments
  • Also billed through NPI 1124189782 (Vermont)
  • 675 clinicians in this Medicare group
Advanced Practice Midwife
20 ARMORY LN
Vergennes, VT 05491
  • Reassigned Medicare billing, Vermont enrollment
  • Also billed through NPI 1134457013 (Vermont)
  • 243 clinicians in this Medicare group
General Acute Care Hospital
133 FAIRFIELD ST
Saint Albans, VT 05478
  • Reassigned Medicare billing, Vermont enrollment
  • 184 clinicians in this Medicare group
General Practice
75 PARK STREET
Elizabethtown, NY 12932
  • Reassigned Medicare billing, New York and Vermont enrollments
  • Also billed through NPI 1487923637 (New York)
  • 219 clinicians in this Medicare group
Critical Access
133 PARK ST
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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
280 services236 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
209 services203 patients
X-ray of abdomen, 1 view 74018
An X-ray of the abdomen, 1 view, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the structures in your abdomen, such as the stomach, liver, and intestines. This can help identify issues like blockages, infections, or injuries.
61 services48 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
34 services31 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
30 services26 patients
X-ray of pelvis, 1-2 views 72170
An X-ray of the pelvis, 1-2 views, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the lower part of your torso. These images help to detect any abnormalities or injuries in your hip bones and surrounding structures.
25 services25 patients

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, VT
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number470003
Location111 Colchester AveBurlington, VT 05401 · Chittenden County
Emergency services Birthing friendly

Physician 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.

New Patient
$85.89 typical visit price
range $55.80 – $168.48
Typical copayment $21.47 (range $13.95 – $42.12)
Most-billed visit code 99203
Established Patient
$69.56 typical visit price
range $18.08 – $137.84
Typical copayment $17.39 (range $4.52 – $34.46)
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 20

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

Internal Medicine (Pulmonary Disease)
111 COLCHESTER AVE, UVM MEDICAL CENTER, DEPT OF INTERNAL MEDICINE, 222WP2
BURLINGTON, VT 05401
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
111 COLCHESTER AVE
BURLINGTON, VT 05401
Radiology (Diagnostic Radiology)
111 COLCHESTER AVE
BURLINGTON, VT 05401
Pediatrics
111 COLCHESTER AVE
BURLINGTON, VT 05401
Student in an Organized Health Care Education/Training Program
111 COLCHESTER AVE
BURLINGTON, VT 05401
Student in an Organized Health Care Education/Training Program
111 COLCHESTER AVE
BURLINGTON, VT 05401
Pathology (Clinical Laboratory Director, Non-physician)
111 COLCHESTER AVE
BURLINGTON, VT 05401
Nurse Practitioner
111 COLCHESTER AVE
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.