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

Q: 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.

Q: What is Carson Higgs's specialty?

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

Q: 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.

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: October 25, 2026.

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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, is affiliated with North Austin Medical Center, 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

Phone(512) 338-8388

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

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Other Identifiers 7

Medicaid201171003TX

Medicare PIN445469YKXVTX

Medicaid201171002TX

Medicare PIN445469YKXYTX

Medicare PINP01137349TX

Medicaid201171004TX

Medicaid201171005TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Moda Health Plan, Inc., Sendero Health Plans, Local Nonprofit.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

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.

Medicare Billing Reassignment

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

Austin Regional Clinic, PA

5.9 mi

Family Medicine

6210 E US HWY 290, SUITE 420 - CREDENTIALING
Austin, TX 78723

Reassigned Medicare billing, Texas enrollment
461 clinicians in this Medicare group

NPI 1821157579 (512) 231-5516

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 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

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025

A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.

66 services53 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.

65 services64 patients

Prostate cancer screening; prostate specific antigen test (psa) G0103

Prostate cancer screening involves a simple blood test known as the Prostate Specific Antigen (PSA) test. This test measures the level of PSA in your blood. Higher than normal levels can be an early indication of prostate issues, including cancer. It's a key tool in early detection.

65 services65 patients

Blood test, thyroid stimulating hormone (tsh) 84443

A TSH blood test measures the level of thyroid stimulating hormone in your body. This hormone is produced by the pituitary gland and regulates how your thyroid works. It's a simple procedure where a small amount of blood is drawn from your arm for analysis.

60 services56 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

33 services33 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

33 services33 patients

Urine microalbumin (protein) level 82043

The urine microalbumin level test measures the amount of a protein called albumin in your urine. This test helps to detect early signs of kidney damage. High levels of albumin may suggest your kidneys aren't functioning properly. It's a simple, non-invasive test that involves providing a urine sample.

25 services25 patients

Creatinine level to test for kidney function or muscle injury 82570

A creatinine level test measures the amount of creatinine in your blood. This substance is a waste product from normal muscle use. Higher levels can indicate possible kidney dysfunction or muscle injury. This test helps monitor kidney health.

25 services25 patients

Vitamin d-3 level 82306

A Vitamin D-3 level test measures the amount of Vitamin D-3, a crucial nutrient, in your body. This test helps identify if your levels are too low or too high. Low levels may lead to bone weakness, while high levels could harm your kidneys. It's a simple blood test.

13 services12 patients

Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report G0403

An Electrocardiogram (ECG) with 12 leads is a non-invasive test that measures the electrical activity of your heart. It's performed during your initial physical examination to screen for heart conditions. The results are interpreted and compiled into a report for further evaluation.

13 services13 patients

Hospital Affiliations CMS Care Compare

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

North Austin Medical Center

Acute Care Hospitals · Austin, TX

4/5 CMS rating

OwnershipProprietary

CMS Certification Number450809

Location12221 Mopac Expressway NorthAustin, TX 78758 · Travis County

Emergency services Birthing friendly

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.

MS. ASHLEY BRANNON PA-C

Physician Assistant

4515 SETON CENTER PKWY, SUITE 175
AUSTIN, TX 78759

Travis County (512) 382-1933

SPECIALTY CLINIC OF AUSTIN PA

Psychiatry & Neurology (Psychiatry)

4515 SETON CENTER PKWY, 175
AUSTIN, TX 78759

Travis County (512) 302-1954

DENISE DESCOUZIS MA

Audiologist

4515 SETON CENTER PKWY, SUITE 100
AUSTIN, TX 78759

Travis County (512) 346-5562

DURRESHAHWAR KHURSHEED KHAN M.D.

Internal Medicine

4515 SETON CENTER PKWY
AUSTIN, TX 78759

Travis County (512) 338-8388

DEBORAH K. COUNTIE MD

Pediatrics

4515 SETON CENTER PKWY, #220
AUSTIN, TX 78759

Travis County (512) 338-8388

DR. MICHAEL JAMES GENNRICH M.D.

Pediatrics

4515 SETON CENTER PKWY, #220
AUSTIN, TX 78759

Travis County (512) 338-8388

DR. DIVYANSU DHIRENDRA PATEL M.D.

Psychiatry & Neurology (Psychiatry)

4515 SETON CENTER PKWY, SUITE 175
AUSTIN, TX 78759

Travis County (512) 382-1933

AUSTIN REGIONAL CLINIC, PA

Durable Medical Equipment & Medical Supplies

4515 SETON CENTER PKWY, STE 220
AUSTIN, TX 78759

Travis County (512) 338-8388

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.

Which organization bills Medicare for Carson Higgs's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carson Higgs reassigns Medicare benefits to Austin Regional Clinic, PA (Austin, TX). 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 Carson Higgs's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carson Higgs accept?

Health plans from Blue Cross and Blue Shield of Texas, Moda Health Plan, Inc. and Sendero Health Plans, Local Nonprofit 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.

Is Carson Higgs affiliated with any hospitals?

According to CMS data, Carson Higgs is affiliated with North Austin Medical Center.

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.