DR. JAMES RAY HIGGINS M.D.
NPI 1194727164
Internal Medicine - Interventional Cardiology in Tulsa, OK

Q: What is James Higgins's NPI number?

The NPI number for James Higgins is 1194727164. It was assigned to this individual provider in the NPPES registry on August 10, 2005.

Q: What is James Higgins's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Q: When was this NPI record last updated?

The NPPES record for James Higgins was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.

Active since August 10, 2005PECOS Enrolled

77.31/100

CMS Quality Rating

7912 E 31ST CT, SUITE 320, TULSA, OK 74145(918) 496-8499(918) 496-0152 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 13, 2026, Sep 11, 2025 (2 updates tracked since 2025).

On this page

About Dr. James Ray Higgins M.d. NPPES

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

DR. JAMES RAY HIGGINS M.D. (NPI 1194727164) is an individual interventional cardiology provider in Tulsa, Oklahoma, licensed in Oklahoma (15552) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194727164

Entity TypeIndividualMale

Primary Taxonomy207RI0011X

Provider Legal NameDR. JAMES RAY HIGGINSCredential: M.D.

Location Address7912 E 31ST CT, SUITE 320Tulsa, OK 74145-1305

Mailing Address7912 E 31st Ct, Suite 320Tulsa, OK 74145-1305 · (918) 496-8499 · Fax (918) 496-0152

Phone(918) 496-8499

Fax(918) 496-0152

Sole ProprietorNo

Enumeration DateAugust 10, 2005

Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration

✔ NPI 1194727164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code207RI0011X

License✔ Licensed in OK · 15552

Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 15552 (OK)

Also ListedInternal Medicine · Clinical Cardiac ElectrophysiologyTaxonomy 207RC0001X · License 15552 (OK)

7912 E 31ST CT, Tulsa, OK 74145

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. James Ray Higgins M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show James Higgins reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Oklahoma Surgical Hospital, LLC

6.3 mi

General Acute Care Hospital

2408 E 81ST ST, STE 900
Tulsa, OK 74137

Reassigned Medicare billing, Oklahoma enrollment
7 clinicians in this Medicare group

NPI 1487651857 (918) 477-5100

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 7

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

2,817 services2,607 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

252 services240 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

228 services211 patients

Nuclear medicine studies of heart muscle at rest and with stress and spect 78452

Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.

199 services199 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

140 services136 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74145 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

$123.06 typical visit price

range $53.00 – $162.61

Typical copayment $30.76 (range $13.25 – $40.65)

Most-billed visit code 99204

Established Patient

$94.27 typical visit price

range $16.68 – $132.40

Typical copayment $23.56 (range $4.17 – $33.10)

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.

77.31/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

100

Improvement Activities

Cost

24.37

Reported Quality Measures

Appropriate Use of DXA Scans in Women Under 65 Years Who Do Not Meet the Risk Factor Profile for Osteoporotic Fracture

Lower rates are better for this measure.

0%149 patients

Closing the Referral Loop: Receipt of Specialist Report

96%23 patients5/55-star benchmark: 87%

Controlling High Blood Pressure

85%1,168 patients4/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

93%3,540 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

98%1,603 patients4/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

97%2,215 patients4/55-star benchmark: 98%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 100% · 1,431 patients

Patients screened: 100% · 1,431 patients

98%101 patients4/55-star benchmark: 100%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 1,656 patients

Patients totalRate: 1% · 1,656 patients

1%1,656 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

JESS T ROY D.O.

Family Medicine

7912 E 31ST CT, SUITE 220
TULSA, OK 74145

Tulsa County (918) 743-8200

DR. ROBERT M MAHAFFEY MD

Family Medicine

7912 E 31ST CT, SUITE 200
TULSA, OK 74145

Tulsa County (918) 743-8200

JON CHANNING CALVERT MD

Obstetrics & Gynecology

7912 E 31ST CT, STE 300
TULSA, OK 74145

Tulsa County (918) 743-8200

DR. LARISSA FAYE GIULIANO M.D.

Family Medicine

7912 E 31ST CT, SUITE 200
TULSA, OK 74145

Tulsa County (918) 743-8200

MR. STEVEN VANCE WHITE DDS

Dentist (General Practice)

7912 E 31ST CT, SUITE 120
TULSA, OK 74145

Tulsa County (918) 663-5538

DR. CASHEL PATRICK NEWHOUSE MD

Pediatrics

7912 E 31ST CT
TULSA, OK 74145

Tulsa County (918) 743-8200

JAMES R. HIGGINS, M.D.INC

Specialist

7912 E 31ST CT, SUITE 320
TULSA, OK 74145

Tulsa County (918) 496-8499

GRANT HUNTER MORGAN

Physician Assistant

7912 E 31ST CT
TULSA, OK 74145

Tulsa County (918) 743-8200

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 James Higgins's NPI number?

The NPI number for James Higgins is 1194727164. It was assigned to this individual provider in the NPPES registry on August 10, 2005.

Where is James Higgins located?

James Higgins practices at 7912 E 31st Ct Suite 320, Tulsa, OK 74145. The listed phone number is (918) 496-8499.

What is James Higgins's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is James Higgins enrolled in Medicare?

Yes. James Higgins is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for James Higgins's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Higgins reassigns Medicare benefits to Oklahoma Surgical Hospital, LLC (Tulsa, OK). The 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 James Higgins's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for James Higgins was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.