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JAY EDWARD HIGGS CSW
NPI 1386180123
Social Worker - Clinical in Paris, KY

Active since January 18, 2017PECOS Enrolled
60.28/100
CMS Quality Rating
269 E MAIN ST, PARIS, KY 40361(859) 253-1686 Get Directions Write a Review

NPPES record last updated: January 18, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jay Edward Higgs Csw NPPES

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

JAY EDWARD HIGGS CSW (NPI 1386180123) is an individual clinical provider in Paris, Kentucky and active in the NPI registry since January 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386180123
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameJAY EDWARD HIGGSCredential: CSW
Location Address269 E MAIN STParis, KY 40361-2126
Mailing Address269 E Main StParis, KY 40361-2126 · (859) 253-1686
Phone(859) 253-1686
Sole ProprietorNo
Enumeration DateJanuary 18, 2017
✔ NPI 1386180123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
269 E MAIN ST, Paris, KY 40361
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jay Edward Higgs Csw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Jay Higgs reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

New Vista Of The Bluegrass Inc
6.7 mi
Mental Health (Including Community Mental Health Center)
101 W CHESTNUT ST
Carlisle, KY 40311
  • Reassigned Medicare billing, Kentucky enrollment
  • 141 clinicians in this Medicare group
NPI 1720028798 (859) 253-1686

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40361 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
$0.00 typical visit price
range $52.76 – $162.27
Typical copayment $0.00 (range $13.19 – $40.56)
Most-billed visit code NA
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

60.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality18.81
Improvement Activities40
Cost99.79

Other Providers at the Same Location NPPES 13

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

MR. JOHN K LINEBERGER MS
Psychologist
269 E MAIN ST
PARIS, KY 40361
Bourbon County (859) 253-1686
MRS. COURTNEY S KRUSE MSW, CSW
Social Worker
269 E MAIN ST
PARIS, KY 40361
Bourbon County (859) 253-1686
LYNNE C SMITH LPCA
Counselor (Professional)
269 E MAIN ST
PARIS, KY 40361
Bourbon County (859) 253-1686
WHITNEY E FARRAR M.ED, LPCA
Counselor (Professional)
269 E MAIN ST
PARIS, KY 40361
Bourbon County (859) 987-6127
MRS. BRENDA M HEDGES RN, BSN
Registered Nurse (Psychiatric/Mental Health)
269 E MAIN ST
PARIS, KY 40361
Bourbon County (859) 253-1686
VICTORY A MOORE MA, CPRP
Case Manager/Care Coordinator
269 E MAIN ST
PARIS, KY 40361
Bourbon County (859) 253-1686
ROBERT S PARRISH RN
Registered Nurse (Psychiatric/Mental Health)
269 E MAIN ST
PARIS, KY 40361
Bourbon County (859) 253-1686
MR. RICHARD E HAMON LMFT
Marriage & Family Therapist
269 E MAIN ST
PARIS, KY 40361
Bourbon County (859) 253-1686

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 Jay Higgs's NPI number?

The NPI number for Jay Higgs is 1386180123. It was assigned to this individual provider in the NPPES registry on January 18, 2017.

Where is Jay Higgs located?

Jay Higgs practices at 269 E Main St, Paris, KY 40361. The listed phone number is (859) 253-1686.

What is Jay Higgs's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Jay Higgs enrolled in Medicare?

Yes. Jay Higgs is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jay Higgs's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jay Higgs reassigns Medicare benefits to New Vista Of The Bluegrass Inc (Carlisle, KY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jay Higgs's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jay Higgs accept?

Health plans from Anthem Blue Cross and Blue Shield list Jay Higgs 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 Jay Higgs was last updated on January 18, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.