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TYSON JAY HIGGINS M.D.
NPI 1417319799
Emergency Medicine in Provo, UT

Active since March 24, 2016PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: February 24, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 24, 2021, Mar 2, 2020, Mar 24, 2016 (3 updates tracked since 2016).

About Tyson Jay Higgins M.d. NPPES

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

TYSON JAY HIGGINS M.D. (NPI 1417319799) is an individual emergency medicine provider in Provo, Utah, licensed in Utah (12115660-1205) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, is affiliated with Utah Valley Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1417319799
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameTYSON JAY HIGGINSCredential: M.D.
Location Address1034 N 500 WProvo, UT 84604-3380
Mailing Address1777 E 1310 SSpanish Fork, UT 84660-9261 · (801) 580-9533
Phone(801) 357-7850
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateMarch 24, 2016
Last NPPES UpdateFebruary 24, 20213 updates tracked since enumeration
NPPES CertifiedFebruary 24, 2021
✔ NPI 1417319799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in UT · 12115660-1205✔ Licensed in NV · 19103
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1034 N 500 W, Provo, UT 84604
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11500 S Main StFort Worth, TX 76104-4917 · Phone (817) 702-3431
Location 23186 S Maryland PkwyLas Vegas, NV 89109-2317 · Phone (702) 961-5000

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tyson Jay Higgins 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 ID4082909148
PECOS Enrollment IDI20210302001983
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 Tyson Higgins reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Utah Valley Emergency Physicians Inc
0.1 mi
Emergency Medicine
1034 NORTH 500 WEST, ER DEPARTMENT
Provo, UT 84604
  • Reassigned Medicare billing, Utah enrollment
  • 59 clinicians in this Medicare group
NPI 1649204553 (877) 346-2211

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

Areas of Expertise CMS Part B claims 5

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
137 services136 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
125 services111 patients
Electrocardiogram (ecg) 1 to 3 leads with review by physician only 93042
An Electrocardiogram (ECG) is a non-invasive test that records the electrical activity of your heart. 1 to 3 leads or sensors are placed on your body to capture this data. A physician then reviews the results to evaluate your heart's health.
74 services74 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
29 services28 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
29 services29 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Utah Valley Hospital

Acute Care Hospitals · Provo, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460001
Location1034 North 500 WestProvo, UT 84604 · Utah County
Emergency services Birthing friendly

Orem Community Hospital

Acute Care Hospitals · Orem, UT
OwnershipVoluntary non-profit - Private
CMS Certification Number460043
Location331 North 400 WestOrem, UT 84057 · Utah County
Emergency services Birthing friendly

Spanish Fork Hospital

Acute Care Hospitals · Spanish Fork, UT
OwnershipVoluntary non-profit - Private
CMS Certification Number460062
Location765 East Market Place DriveSpanish Fork, UT 84660 · Utah County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84604 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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.

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.

IHC HEALTH SERVICES INC
Radiology (Diagnostic Radiology)
1034 N 500 W
PROVO, UT 84604
Utah County (801) 357-4423
JAMES TYNAN DALY DO
Hospitalist
1034 N 500 W
PROVO, UT 84604
Utah County (801) 357-7291
ADAM R KROMMENHOEK MD
Emergency Medicine (Emergency Medical Services)
1034 N 500 W
PROVO, UT 84604
Utah County (801) 373-7850
DR. CHRISTOPHER NATHAN JOHNSON MD
Emergency Medicine
1034 N 500 W
PROVO, UT 84604
Utah County (801) 357-7850
MARGARET MICHELE MAXFIELD CCC-SLP
Speech-Language Pathologist
1034 N 500 W
PROVO, UT 84604
Utah County (801) 357-7448
DARBY MELESSE HERRMANN OTR/L
Occupational Therapist
1034 N 500 W
PROVO, UT 84604
Utah County (801) 357-7850
MRS. HOLLY YORGASON DIETITIAN
Dietitian, Registered
1034 N 500 W
PROVO, UT 84604
Utah County No phone listed
BRENT L GRIFFIN MD
Psychiatry & Neurology (Psychiatry)
1034 N 500 W
PROVO, UT 84604
Utah County (801) 357-4542

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 Tyson Higgins's NPI number?

The NPI number for Tyson Higgins is 1417319799. It was assigned to this individual provider in the NPPES registry on March 24, 2016.

Where is Tyson Higgins located?

Tyson Higgins practices at 1034 N 500 W, Provo, UT 84604. The listed phone number is (801) 357-7850.

What is Tyson Higgins's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Tyson Higgins enrolled in Medicare?

Yes. Tyson 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.

Which organization bills Medicare for Tyson Higgins's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tyson Higgins reassigns Medicare benefits to Utah Valley Emergency Physicians Inc (Provo, UT). 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 Tyson Higgins's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tyson Higgins accept?

Health plans from Blue Cross and Blue Shield of Texas list Tyson 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.

Is Tyson Higgins affiliated with any hospitals?

According to CMS data, Tyson Higgins is affiliated with Utah Valley Hospital, Orem Community Hospital and Spanish Fork Hospital.

When was this NPI record last updated?

The NPPES record for Tyson Higgins was last updated on February 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.