PHILLIP A. HIGGINS MD
NPI 1306956594
Obstetrics & Gynecology in Rockford, IL

Active since August 30, 2006PECOS EnrolledAccepts Medicare Assignment
3401 N PERRYVILLE RD, ROCKFORD, IL 61114(815) 971-2000 Get Directions Write a Review

NPPES record last updated: January 21, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Phillip A. Higgins Md NPPES

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

PHILLIP A. HIGGINS MD (NPI 1306956594) is an individual obstetrics & gynecology provider in Rockford, Illinois, licensed in Illinois (036075329) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Florida College Of Medicine (1985).

NPPES Registry Identity

NPI1306956594
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NamePHILLIP A. HIGGINSCredential: MD
Location Address3401 N PERRYVILLE RDRockford, IL 61114-8011
Mailing Address3401 N Perryville RdRockford, IL 61114-8011 · (815) 971-2000
Sole ProprietorNo
Medical School CMSUniversity Of Florida College Of MedicineGraduated 1985
Enumeration DateAugust 30, 2006
Last NPPES UpdateJanuary 21, 2010
NPI 1306956594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in IL · 036075329
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

3401 N PERRYVILLE RD, Rockford, IL 61114

Other Identifiers 3

Medicare UPINE18776IL
Medicaid036075329IL
Medicare PIN610470IL

Accepted 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

Phillip A. 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 ID9830147636
PECOS Enrollment IDI20050108000017
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 61114 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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 20

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

Hospitalist
3401 N PERRYVILLE RD
ROCKFORD, IL 61114
Family Medicine
3401 N PERRYVILLE RD
ROCKFORD, IL 61114
Nurse Practitioner (Adult Health)
3401 N PERRYVILLE RD, SUITE 303
ROCKFORD, IL 61114
Physical Therapist
3401 N PERRYVILLE RD, PHYSICAL THERAPY DEPT
ROCKFORD, IL 61114
Otolaryngology
3401 N PERRYVILLE RD
ROCKFORD, IL 61114
Nurse Practitioner
3401 N PERRYVILLE RD
ROCKFORD, IL 61114
Phlebology
3401 N PERRYVILLE RD
ROCKFORD, IL 61114
Nurse Practitioner (Family)
3401 N PERRYVILLE RD
ROCKFORD, IL 61114

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 Phillip Higgins's NPI number?

The NPI number for Phillip Higgins is 1306956594. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Phillip Higgins located?

Phillip Higgins practices at 3401 N Perryville Rd, Rockford, IL 61114. The listed phone number is (815) 971-2000.

What is Phillip Higgins's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Phillip Higgins enrolled in Medicare?

Yes. Phillip 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 Phillip Higgins accept?

Health plans from Molina Healthcare and Oscar Health Maintenance Organization of Florida list Phillip 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.

When was this NPI record last updated?

The NPPES record for Phillip Higgins was last updated on January 21, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.