RYAN HIGGINS PA
NPI 1205482601
Physician Assistant in Turlock, CA

Q: What is Ryan Higgins's NPI number?

The NPI number for Ryan Higgins is 1205482601. It was assigned to this individual provider in the NPPES registry on August 13, 2019.

Q: What is Ryan Higgins's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Ryan Higgins was last updated on July 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since August 13, 2019PECOS EnrolledAccepts Medicare Assignment

95.23/100

CMS Quality Rating

1141 N OLIVE AVE, TURLOCK, CA 95380(866) 682-4842(866) 234-5550 Get Directions Write a Review

NPPES record last updated: July 17, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 17, 2020, Aug 13, 2019 (2 updates tracked since 2019).

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About Ryan Higgins Pa NPPES

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

RYAN HIGGINS PA (NPI 1205482601) is an individual physician assistant in Turlock, California, licensed in California (PA58213) and active in the NPI registry since August 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in Boiling Springs, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1205482601

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameRYAN HIGGINSCredential: PA

Location Address1141 N OLIVE AVETurlock, CA 95380-3365

Mailing Address737 W Childs AveMerced, CA 95341-6805 · (866) 682-4842

Phone(866) 682-4842

Fax(866) 234-5550

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateAugust 13, 2019

Last NPPES UpdateJuly 17, 20202 updates tracked since enumeration

NPPES CertifiedJuly 17, 2020

✔ NPI 1205482601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in CA · PA58213

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1141 N OLIVE AVE, Turlock, CA 95380

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Secondary Practice Location 1

Location 1110 S Main StBoiling Springs, NC 28017-9797 · Phone (704) 406-2017

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

Ryan Higgins Pa 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 ID7618391624

PECOS Enrollment IDI20200723002170

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 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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

379 services211 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

142 services137 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

63 services62 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95380 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

$90.32 typical visit price

range $58.87 – $176.60

Typical copayment $22.58 (range $14.71 – $44.15)

Most-billed visit code 99203

Established Patient

$73.16 typical visit price

range $19.28 – $144.60

Typical copayment $18.29 (range $4.82 – $36.15)

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.

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.

95.23/100

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

Scored as part of a group practice

Improvement Activities

Cost

70.46

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

10 suppliers46 claims77 services$5.21 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

8 suppliers20 claims23 services$0.98 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier11 claims11 services$0.47 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

4 suppliers12 claims1,560 services$0.08 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

4 suppliers11 claims11 services$26.09 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

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

GOLDEN VALLEY HEALTH CENTERS

Clinic/Center (Federally Qualified Health Center (FQHC))