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JOHN G HIGHFILL M.D.
NPI 1356346548
Family Medicine in Pueblo, CO

Active since June 15, 2005PECOS EnrolledAccepts Medicare AssignmentCLIA 06D1035144 · Microscopy
916 INDIANA AVE, STE 110, PUEBLO, CO 81004(719) 566-9120(719) 566-9121 Get Directions Write a Review

NPPES record last updated: July 15, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About John G Highfill M.d. NPPES

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

JOHN G HIGHFILL M.D. (NPI 1356346548) is an individual family medicine provider in Pueblo, Colorado, licensed in Colorado (39397) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, holds a CLIA Microscopy certificate valid through December 20, 2026, and is a graduate of University Of Colorado School Of Medicine, Denver (1999).

NPPES Registry Identity

NPI1356346548
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJOHN G HIGHFILLCredential: M.D.
Location Address916 INDIANA AVE, STE 110Pueblo, CO 81004-3572
Mailing Address916 Indiana Ave, Suite 110Pueblo, CO 81004-3572 · (719) 566-9120
Phone(719) 566-9120
Fax(719) 566-9121
Sole ProprietorNo
Medical School CMSUniversity Of Colorado School Of Medicine, DenverGraduated 1999
Enumeration DateJune 15, 2005
Last NPPES UpdateJuly 15, 2010
✔ NPI 1356346548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CO · 39397
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
916 INDIANA AVE, Pueblo, CO 81004
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Other Identifiers 10

Other200180057CO · Pacificare
OtherP00111767CO · Railroad Medicare
Medicare ID-Type UnspecifiedC525798CO
Other200180057CO · Rocky Mountain Hmo
Medicaid86502751CO
Other200180057CO · Tax Id #
Medicare UPINH63910CO
Other080153127CO · Medicare Railroad
OtherHI657288CO · Bcbs
Other95999CO · Pacificare Ppo

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

John G Highfill M.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 ID6406843135
PECOS Enrollment IDI20040427000243
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 06D1035144

John G Highfill MD PLLC · Pueblo, CO
Active · expires Dec 20, 2026
CLIA Number06D1035144
Laboratory TypePhysician Office
Certificate Effective DateDecember 21, 2024
Certificate Expiration DateDecember 20, 2026
Laboratory DirectorJohn G. Highfill
Laboratory Phone(719) 566-9120
Laboratory LocationJohn G Highfill MD PLLC916 Indiana Avenue Suite 110, Pueblo, CO 81004
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Areas of Expertise CMS Part B claims 8

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.
213 services93 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
107 services53 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
85 services85 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
79 services79 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
56 services56 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
45 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 81004 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
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.

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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
41%148 patients2/55-star benchmark: 92%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
20%399 patients1/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
25%114 patients2/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
98%2,781 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
87%419 patients4/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
93%161 patients3/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
48%893 patients2/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
44%611 patients3/55-star benchmark: 88%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
57%893 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
5%893 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
22%893 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 15

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
8 suppliers25 claims59 services$6.05 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers15 claims16 services$1.00 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
5 suppliers23 claims23 services$80.43 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
5 suppliers24 claims65 services$32.56 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
2 suppliers14 claims14 services$51.98 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
5 suppliers23 claims23 services$17.13 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 10

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

DR. JAMES C KARN M.D.
Anesthesiology
916 INDIANA AVE, STE 120
PUEBLO, CO 81004
Pueblo County (719) 296-5841
FAMILY SUPPORT CENTER OF COLORADO, LLC
Clinic/Center (Adolescent and Children Mental Health)
916 INDIANA AVE
PUEBLO, CO 81004
Pueblo County (719) 540-2152
DR. JAMES A SALVATORE M.D.
Anesthesiology
916 INDIANA AVE, STE 120
PUEBLO, CO 81004
Pueblo County (719) 296-5841
CHRISTOPHER GERARD VIALPANDO M.D.
Family Medicine
916 INDIANA AVE, SUITE 110
PUEBLO, CO 81004
Pueblo County (719) 566-9120
FAMILY SUPPORT CENTER OF COLORADO, LLC
Clinic/Center (Adolescent and Children Mental Health)
916 INDIANA AVE
PUEBLO, CO 81004
Pueblo County (719) 540-2152
SARAH B FELT DO
Family Medicine
916 INDIANA AVE, SUITE 120
PUEBLO, CO 81004
Pueblo County (719) 562-1122
DR. BRIAN W. BELL M.D.
Anesthesiology
916 INDIANA AVE, STE 120
PUEBLO, CO 81004
Pueblo County (719) 296-5841
COMPREHENSIVE FAMILY CARE CENTER
Family Medicine
916 INDIANA AVE, SUITE 120
PUEBLO, CO 81004
Pueblo County (719) 562-1122

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 John Highfill's NPI number?

The NPI number for John Highfill is 1356346548. It was assigned to this individual provider in the NPPES registry on June 15, 2005.

Where is John Highfill located?

John Highfill practices at 916 Indiana Ave Ste 110, Pueblo, CO 81004. The listed phone number is (719) 566-9120.

What is John Highfill's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is John Highfill enrolled in Medicare?

Yes. John Highfill 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.

Does John Highfill hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 06D1035144) is associated with this NPI, valid through December 20, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for John Highfill was last updated on July 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.