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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

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

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: July 26, 2026.

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

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, is affiliated with Saint Francis Hospital, Inc, and is a graduate of University Of Rochester School Of Medicine And Dentistry (1977).

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
Medical School CMSUniversity Of Rochester School Of Medicine And DentistryGraduated 1977
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
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.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. James Ray 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 ID143201285
PECOS Enrollment IDI20040601000106
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 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
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.
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

Hospital Affiliations CMS Care Compare 2

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

Saint Francis Hospital, Inc

Acute Care Hospitals · Tulsa, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370091
Location6161 South YaleTulsa, OK 74136 · Tulsa County
Emergency services Birthing friendly

Oklahoma Surgical Hospital, LLC

Acute Care Hospitals · Tulsa, OK
5/5 CMS rating
OwnershipPhysician
CMS Certification Number370210
Location2408 East 81st Street, Suite 300Tulsa, OK 74137 · Tulsa County
Emergency services

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
Quality100
Improvement Activities40
Cost24.37

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
HARVARD FAMILY PHYSICIANS P C
Family Medicine
7912 E 31ST CT, SUITE 220
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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does James Higgins accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list James 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 James Higgins affiliated with any hospitals?

According to CMS data, James Higgins is affiliated with Saint Francis Hospital, Inc and Oklahoma Surgical Hospital, LLC.

When was this NPI record last updated?

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