BRIAN NORIO HIGA O.D.
NPI 1295885804
Optometrist in Hemet, CA

Q: What is Brian Higa's NPI number?

The NPI number for Brian Higa is 1295885804. It was assigned to this individual provider in the NPPES registry on January 12, 2007.

Q: What is Brian Higa's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Brian Higa was last updated on December 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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 January 12, 2007PECOS EnrolledAccepts Medicare Assignment

220 S LYON AVE, SUITE E, HEMET, CA 92543(951) 929-3773 Get Directions Write a Review

NPPES record last updated: December 15, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Brian Norio Higa O.d. NPPES

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

BRIAN NORIO HIGA O.D. (NPI 1295885804) is an individual optometrist in Hemet, California, licensed in California (10130T) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of University Of California - School Of Optometry (1993).

NPPES Registry Identity

NPI1295885804

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameBRIAN NORIO HIGACredential: O.D.

Location Address220 S LYON AVE, SUITE EHemet, CA 92543-3851

Mailing Address220 S Lyon Ave, Suite EHemet, CA 92543-3851 · (951) 929-3773

Phone(951) 929-3773

Sole ProprietorYes

Medical School CMSUniversity Of California - School Of OptometryGraduated 1993

Enumeration DateJanuary 12, 2007

Last NPPES UpdateDecember 15, 2008

✔ NPI 1295885804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in CA · 10130T

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

220 S LYON AVE, Hemet, CA 92543

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Other Identifiers 5

Medicare PINSD0101300CA

MedicaidSD0101300CA

Other02121CA · Medical Eye Services

Other9V12058CA · Inland Empire Health Plan

Medicare NSC5524960001CA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas 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

Brian Norio Higa O.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 ID1557329463

PECOS Enrollment IDI20041223000168

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 2

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.

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.

42 services27 patients

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92543 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

$136.04 typical visit price

range $59.60 – $179.42

Typical copayment $34.01 (range $14.90 – $44.85)

Most-billed visit code 99204

Established Patient

$74.08 typical visit price

range $19.37 – $146.42

Typical copayment $18.52 (range $4.84 – $36.60)

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.

Other Providers at the Same Location NPPES

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

DR. WILLIAM DANIEL CULLINS D.C.

Chiropractor

220 S LYON AVE, SUITE C
HEMET, CA 92543

Riverside County (951) 925-7609

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 Brian Higa's NPI number?

The NPI number for Brian Higa is 1295885804. It was assigned to this individual provider in the NPPES registry on January 12, 2007.

Where is Brian Higa located?

Brian Higa practices at 220 S Lyon Ave Suite E, Hemet, CA 92543. The listed phone number is (951) 929-3773.

What is Brian Higa's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Brian Higa enrolled in Medicare?

Yes. Brian Higa 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 Brian Higa accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, BlueCross BlueShield of Tennessee and Providence Health Plan list Brian Higa 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.

When was this NPI record last updated?

The NPPES record for Brian Higa was last updated on December 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.