CARSON PAUL HIGGS MD
NPI 1437304243
Family Medicine in Austin, TX

Active since November 20, 2008PECOS EnrolledAccepts Medicare Assignment
4515 SETON CENTER PKWY, SUITE 220, AUSTIN, TX 78759(512) 338-8388(512) 406-6274 Get Directions Write a Review

NPPES record last updated: January 11, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Carson Paul Higgs Md NPPES

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

CARSON PAUL HIGGS MD (NPI 1437304243) is an individual family medicine provider in Austin, Texas, licensed in Texas (N0832) and active in the NPI registry since November 2008. He is enrolled in Medicare PECOS and is a graduate of University Of Texas Southwestern Medical School At Dallas (2006).

NPPES Registry Identity

NPI1437304243
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameCARSON PAUL HIGGSCredential: MD
Location Address4515 SETON CENTER PKWY, SUITE 220Austin, TX 78759-5290
Mailing Address4515 Seton Center Pkwy, Suite 215 - CredentialingAustin, TX 78759-5290 · (512) 407-8686 · Fax (512) 406-6216
Fax(512) 406-6274
Sole ProprietorNo
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 2006
Enumeration DateNovember 20, 2008
Last NPPES UpdateJanuary 11, 2016
NPI 1437304243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in TX · N0832
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.
4515 SETON CENTER PKWY, Austin, TX 78759

Other Identifiers 7

Medicaid201171003TX
Medicare PIN445469YKXVTX
Medicaid201171002TX
Medicare PIN445469YKXYTX
Medicare PINP01137349TX
Medicaid201171004TX
Medicaid201171005TX

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

Carson Paul Higgs 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 ID8921165655
PECOS Enrollment IDI20090325000471
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.

Areas of Expertise CMS Part B claims 16

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 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.
343 services189 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
167 services144 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
157 services143 patients
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.
148 services122 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.
105 services105 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
103 services70 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78759 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
$89.03 typical visit price
range $57.88 – $174.00
Typical copayment $22.25 (range $14.47 – $43.50)
Most-billed visit code 99203
Established Patient
$101.65 typical visit price
range $18.88 – $142.23
Typical copayment $25.41 (range $4.72 – $35.55)
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.

Referred Medical Equipment & Supplies CMS DME claims

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
3 suppliers16 claims39 services$4.06 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 13

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

Physician Assistant
4515 SETON CENTER PKWY, SUITE 175
AUSTIN, TX 78759
Psychiatry & Neurology (Psychiatry)
4515 SETON CENTER PKWY, 175
AUSTIN, TX 78759
Audiologist
4515 SETON CENTER PKWY, SUITE 100
AUSTIN, TX 78759
Internal Medicine
4515 SETON CENTER PKWY
AUSTIN, TX 78759
Pediatrics
4515 SETON CENTER PKWY, #220
AUSTIN, TX 78759
Pediatrics
4515 SETON CENTER PKWY, #220
AUSTIN, TX 78759
Psychiatry & Neurology (Psychiatry)
4515 SETON CENTER PKWY, SUITE 175
AUSTIN, TX 78759
Durable Medical Equipment & Medical Supplies
4515 SETON CENTER PKWY, STE 220
AUSTIN, TX 78759

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 Carson Higgs's NPI number?

The NPI number for Carson Higgs is 1437304243. It was assigned to this individual provider in the NPPES registry on November 20, 2008.

Where is Carson Higgs located?

Carson Higgs practices at 4515 Seton Center Pkwy Suite 220, Austin, TX 78759. The listed phone number is (512) 338-8388.

What is Carson Higgs's specialty?

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

Is Carson Higgs enrolled in Medicare?

Yes. Carson Higgs 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 Carson Higgs accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 4 other insurers list Carson 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 Carson Higgs was last updated on January 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.