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DOUGLAS HIGGS
NPI 1194861351
Emergency Medicine in Worcester, MA

Active since January 29, 2007PECOS EnrolledAccepts Medicare Assignment
281 LINCOLN ST, MED STAFF SVCS, WORCESTER, MA 01605(508) 334-8015 Get Directions Write a Review

NPPES record last updated: December 26, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Douglas Higgs NPPES

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

DOUGLAS HIGGS (NPI 1194861351) is an individual emergency medicine provider in Worcester, Massachusetts, licensed in Massachusetts (234204) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Hca Florida Memorial Hospital, and is a graduate of West Virginia University School Of Medicine (2003).

NPPES Registry Identity

NPI1194861351
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDOUGLAS HIGGS
Location Address281 LINCOLN ST, MED STAFF SVCSWorcester, MA 01605-2138
Mailing Address281 Lincoln St, Med Staff SvcsWorcester, MA 01605-2138 · (508) 334-8015
Phone(508) 334-8015
Sole ProprietorNo
Medical School CMSWest Virginia University School Of MedicineGraduated 2003
Enumeration DateJanuary 29, 2007
Last NPPES UpdateDecember 26, 2007
✔ NPI 1194861351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in MA · 234204
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.
281 LINCOLN ST, Worcester, MA 01605
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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 and accepts Medicare assignment

Douglas Higgs 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 ID6608949029
PECOS Enrollment IDI20250704000008
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

4

Medicare enrollment records show Douglas Higgs reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine Associates P.A., P.C.
371 mi
Emergency Medicine
3300 GALLOWS RD
Falls Church, VA 22042
  • Reassigned Medicare billing, Virginia enrollment
  • 1,294 clinicians in this Medicare group
NPI 1134117393 (703) 776-4001
Alexandria Springfield Emergency Physicians PC
474 mi
Emergency Medicine
100 FAIRVIEW DR
Franklin, VA 23851
  • Reassigned Medicare billing, Virginia enrollment
  • 219 clinicians in this Medicare group
NPI 1740529700 (844) 474-4019
Emergency Coverage, LLC
750 mi
Family Medicine
435 2ND ST
Newport, TN 37821
  • Reassigned Medicare billing, Virginia enrollment
  • 679 clinicians in this Medicare group
NPI 1427005008 (423) 625-2200
Paragon Emergency Services LLC
1,130 mi
Emergency Medicine
200 AVENUE F NE
Winter Haven, FL 33881
  • Reassigned Medicare billing, Florida enrollment
  • 1,065 clinicians in this Medicare group
NPI 1912101650 (863) 293-1121

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 3

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 moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
69 services68 patients
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.
56 services56 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
36 services36 patients

Hospital Affiliations CMS Care Compare

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

Hca Florida Memorial Hospital

Acute Care Hospitals · Jacksonville, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100179
Location3625 University Blvd SJacksonville, FL 32216 · Duval County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01605 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

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.

STACY AILEEN MEULENAERE OTR/L
Occupational Therapist
281 LINCOLN ST
WORCESTER, MA 01605
Worcester County (508) 334-1000
RACHEL NOONE PA-C
Physician Assistant
281 LINCOLN ST
WORCESTER, MA 01605
Worcester County (508) 334-6158
DR. THOMAS EVANS M.D.
Emergency Medicine
281 LINCOLN ST, MED STAFF SVCS
WORCESTER, MA 01605
Worcester County (508) 334-8015
RAJIV BALASURIYA M.D.
Family Medicine
281 LINCOLN ST, MEDICAL STAFF SVCS
WORCESTER, MA 01605
Worcester County (508) 334-8015
DR. DANIEL LEE M.D., PHD
Internal Medicine (Medical Oncology)
281 LINCOLN ST, MEDICAL STAFF SVCS
WORCESTER, MA 01605
Worcester County (508) 334-1131
MEGAN ELIZABETH KLEIN MS, CCC-SLP
Speech-Language Pathologist
281 LINCOLN ST
WORCESTER, MA 01605
Worcester County (508) 334-1000
ANKUR SHAH NARAIN MD
Orthopaedic Surgery
281 LINCOLN ST
WORCESTER, MA 01605
Worcester County (508) 334-1955
THOMAS MICHAEL CERVANTES
Plastic Surgery (Surgery of the Hand)
281 LINCOLN ST
WORCESTER, MA 01605
Worcester County (508) 334-1000

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 Douglas Higgs's NPI number?

The NPI number for Douglas Higgs is 1194861351. It was assigned to this individual provider in the NPPES registry on January 29, 2007.

Where is Douglas Higgs located?

Douglas Higgs practices at 281 Lincoln St Med Staff Svcs, Worcester, MA 01605. The listed phone number is (508) 334-8015.

What is Douglas Higgs's specialty?

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

Is Douglas Higgs enrolled in Medicare?

Yes. Douglas Higgs 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 Douglas Higgs's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Douglas Higgs reassigns Medicare benefits to 4 organizations: Emergency Medicine Associates P.A., P.C. (Falls Church, VA), Alexandria Springfield Emergency Physicians PC (Franklin, VA), Emergency Coverage, LLC (Newport, TN) and Paragon Emergency Services LLC (Winter Haven, FL). 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 Douglas Higgs's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Douglas Higgs affiliated with any hospitals?

According to CMS data, Douglas Higgs is affiliated with Hca Florida Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Douglas Higgs was last updated on December 26, 2007. 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.