DR. SUTTON HIGGINS MD
NPI 1205463932
Internal Medicine in Glenwood Springs, CO

Active since March 24, 2020PECOS EnrolledAccepts Medicare Assignment
1905 BLAKE AVE, GLENWOOD SPRINGS, CO 81601(970) 945-2840 Get Directions Write a Review

NPPES record last updated: January 14, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Sutton Higgins Md NPPES

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

DR. SUTTON HIGGINS MD (NPI 1205463932) is an individual internal medicine provider in Glenwood Springs, Colorado, licensed in Colorado (DR.0072451) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and is a graduate of Perelman School Of Med At The University Of Pennsylvania (2020).

NPPES Registry Identity

NPI1205463932
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. SUTTON HIGGINSCredential: MD
Location Address1905 BLAKE AVEGlenwood Springs, CO 81601-4288
Mailing Address1905 Blake AveGlenwood Springs, CO 81601-4288 · (952) 956-2266
Sole ProprietorNo
Medical School CMSPerelman School Of Med At The University Of PennsylvaniaGraduated 2020
Enumeration DateMarch 24, 2020
Last NPPES UpdateJanuary 14, 2024
NPPES CertifiedJanuary 14, 2024
NPI 1205463932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in CO · DR.0072451
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedPediatricsTaxonomy 208000000X · License DR.0072451 (CO)
1905 BLAKE AVE, Glenwood Springs, CO 81601

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. Sutton Higgins Md 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 ID6305269804
PECOS Enrollment IDI20240903000907
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 81601 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
$132.55 typical visit price
range $58.06 – $174.82
Typical copayment $33.13 (range $14.51 – $43.70)
Most-billed visit code 99204
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

Nurse Practitioner (Family)
1905 BLAKE AVE
GLENWOOD SPRINGS, CO 81601
Obstetrics & Gynecology
1905 BLAKE AVE, SUITE 203
GLENWOOD SPRINGS, CO 81601
Emergency Medicine
1905 BLAKE AVE, SUITE 101
GLENWOOD SPRINGS, CO 81601
Midwife
1905 BLAKE AVE, SUITE 203
GLENWOOD SPRINGS, CO 81601
Clinic/Center (Community Health)
1905 BLAKE AVE, SUITE 101
GLENWOOD SPRINGS, CO 81601
Advanced Practice Midwife
1905 BLAKE AVE, SUITE 203
GLENWOOD SPRINGS, CO 81601
Nurse Practitioner (Family)
1905 BLAKE AVE, SUITE 101
GLENWOOD SPRINGS, CO 81601
Nurse Practitioner (Family)
1905 BLAKE AVE, SUITE 101
GLENWOOD SPRINGS, CO 81601

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 Sutton Higgins's NPI number?

The NPI number for Sutton Higgins is 1205463932. It was assigned to this individual provider in the NPPES registry on March 24, 2020.

Where is Sutton Higgins located?

Sutton Higgins practices at 1905 Blake Ave, Glenwood Springs, CO 81601. The listed phone number is (970) 945-2840.

What is Sutton Higgins's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sutton Higgins enrolled in Medicare?

Yes. Sutton 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.

When was this NPI record last updated?

The NPPES record for Sutton Higgins was last updated on January 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.