JOHN PATRICK HIGGINS MD
NPI 1396713657
Radiology - Diagnostic Radiology in Ville Platte, LA

Active since March 10, 2006PECOS Enrolled
800 E MAIN ST, VILLE PLATTE MEDICAL, VILLE PLATTE, LA 70586(337) 363-9485(337) 360-9680 Get Directions Write a Review

NPPES record last updated: May 17, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 17, 2017, Aug 30, 2016 (2 updates tracked since 2016).

About John Patrick Higgins Md NPPES

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

JOHN PATRICK HIGGINS MD (NPI 1396713657) is an individual diagnostic radiology provider in Ville Platte, Louisiana, licensed in Louisiana (MD011343) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396713657
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameJOHN PATRICK HIGGINSCredential: MD
Location Address800 E MAIN ST, VILLE PLATTE MEDICALVille Platte, LA 70586
Mailing Address241 North Second StEunice, LA 70535 · (337) 457-5740 · Fax (337) 457-5743
Fax(337) 360-9680
Sole ProprietorYes
Enumeration DateMarch 10, 2006
Last NPPES UpdateMay 17, 20172 updates tracked since enumeration
✔ NPI 1396713657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses✔ Licensed in LA · MD011343✔ Licensed in LA · 011343
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedRadiology · Body ImagingTaxonomy 2085B0100X · License 011343 (LA)
Also ListedRadiology · Nuclear RadiologyTaxonomy 2085N0904X · License 011343 (LA)
Also ListedRadiology · Vascular & Interventional RadiologyTaxonomy 2085R0204X · License 011343 (LA)
Also ListedRadiology · Diagnostic UltrasoundTaxonomy 2085U0001X · License 011343 (LA)
Also ListedGeneral PracticeTaxonomy 208D00000X · License MD.011343 (LA)
800 E MAIN ST, Ville Platte, LA 70586

Other Identifiers 3

Medicare ID-Type Unspecified5M652C111LA
Medicaid1189103LA
Medicare UPINB61939

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John Patrick Higgins Md 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 John Higgins reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Diagnostic Radiology
4231 HWY 1192
Marksville, LA 71351
  • Reassigned Medicare billing, Louisiana enrollment
  • 4 clinicians in this Medicare group

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 70586 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
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$67.06 typical visit price
range $16.64 – $133.62
Typical copayment $16.76 (range $4.16 – $33.40)
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 16

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

Pharmacist
800 E MAIN ST
VILLE PLATTE, LA 70586
Emergency Medicine
800 E MAIN ST
VILLE PLATTE, LA 70586
Psychiatric Unit
800 E MAIN ST
VILLE PLATTE, LA 70586
Emergency Medicine
800 E MAIN ST
VILLE PLATTE, LA 70586
Emergency Medicine
800 E MAIN ST
VILLE PLATTE, LA 70586
Physical Therapist
800 E MAIN ST
VILLE PLATTE, LA 70586
Anesthesiology
800 E MAIN ST
VILLE PLATTE, LA 70586
Radiology (Diagnostic Ultrasound)
800 E MAIN ST, VILLE PLATTE MEDICAL
VILLE PLATTE, LA 70586

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 Higgins's NPI number?

The NPI number for John Higgins is 1396713657. It was assigned to this individual provider in the NPPES registry on March 10, 2006.

Where is John Higgins located?

John Higgins practices at 800 E Main St Ville Platte Medical, Ville Platte, LA 70586. The listed phone number is (337) 363-9485.

What is John Higgins's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is John Higgins enrolled in Medicare?

Yes. John Higgins is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for John Higgins's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Higgins reassigns Medicare benefits to Radiology Specialty Group LLC (Marksville, LA). 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 John Higgins's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Higgins accept?

Health plans from HMO Louisiana list John 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 John Higgins was last updated on May 17, 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.