DR. MASAYA HIGUCHI M.D.
NPI 1457544892
Family Medicine in Boston, MA

Q: What is Masaya Higuchi's NPI number?

The NPI number for Masaya Higuchi is 1457544892. It was assigned to this individual provider in the NPPES registry on August 20, 2007.

Q: What is Masaya Higuchi'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 Masaya Higuchi was last updated on July 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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 August 20, 2007PECOS EnrolledAccepts Medicare Assignment

165 CAMBRIDGE ST STE 502, BOSTON, MA 02114(617) 726-4600 Get Directions Write a Review

NPPES record last updated: July 17, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 17, 2026, Dec 8, 2020, Jul 17, 2018 (3 updates tracked since 2018).

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About Dr. Masaya Higuchi M.d. NPPES

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

DR. MASAYA HIGUCHI M.D. (NPI 1457544892) is an individual family medicine provider in Boston, Massachusetts, licensed in Massachusetts (275558) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS, is affiliated with Massachusetts General Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1457544892

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. MASAYA HIGUCHICredential: M.D.

Location Address165 CAMBRIDGE ST STE 502Boston, MA 02114

Mailing Address55 Fruit StBoston, MA 02114-2696 · (617) 726-4600

Phone(617) 726-4600

Sole ProprietorNo

Medical School CMSOtherGraduated 2005

Enumeration DateAugust 20, 2007

Last NPPES UpdateJuly 17, 20263 updates tracked since enumeration

NPPES CertifiedJuly 17, 2026

✔ NPI 1457544892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in MA · 275558✔ Licensed in KS · 036-129268

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.

165 CAMBRIDGE ST STE 502, Boston, MA 02114

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Secondary Practice Locations 2

Location 1520 N 4th StSpringfield, IL 62702-5238 · Phone (217) 757-8100 · Fax (217) 747-1351

Location 216 Clarke StLexington, MA 02421-4988 · Phone (617) 917-9362

Other Identifiers 1

Medicaid036129268IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health, Taro Health.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

Dr. Masaya Higuchi 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 ID6608023874

PECOS Enrollment IDI20180816001823

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 Reassignments

Medicare enrollment records show Masaya Higuchi reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The General Hospital Corporation

0.2 mi

General Acute Care Hospital

55 FRUIT ST, BULFINCH 360
Boston, MA 02114

Reassigned Medicare billing, Massachusetts enrollment
6,234 clinicians in this Medicare group

NPI 1023049236 (617) 726-2000

Massachusetts General Physicians Organization Inc

0.2 mi

Dermatology

55 FRUIT ST, BUL 2
Boston, MA 02114

Reassigned Medicare billing, Massachusetts enrollment
6,360 clinicians in this Medicare group

NPI 1801874573 (617) 724-0287

Brigham & Womens Physicians Organization Inc

2.8 mi

Internal Medicine

75 FRANCIS ST
Boston, MA 02115

Reassigned Medicare billing, Massachusetts enrollment
4,574 clinicians in this Medicare group

NPI 1033535497 (617) 732-5500

The Radiology Group Of New Jersey, LLC

220 mi

Multi-Specialty

651 WILLOW GROVE ST
Hackettstown, NJ 07840

Reassigned Medicare billing, New Jersey enrollment
429 clinicians in this Medicare group

NPI 1174010540 (908) 979-1621

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 12

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

341 services117 patients

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.

144 services109 patients

Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212

This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.

112 services27 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

69 services60 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

67 services65 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

36 services32 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

32 services29 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.

29 services29 patients

Telephone medical discussion with physician, 21-30 minutes 99443

This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.

21 services19 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

19 services19 patients

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.

16 services16 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

12 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Massachusetts General Hospital

Acute Care Hospitals · Boston, MA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220071

Location55 Fruit StreetBoston, MA 02114 · Suffolk County

Emergency services Birthing friendly

Massachusetts Eye And Ear Infirmary -

Acute Care Hospitals · Boston, MA

OwnershipVoluntary non-profit - Private

CMS Certification Number220075

Location243 Charles StreetBoston, MA 02114 · Suffolk County

Emergency services

Newton-Wellesley Hospital

Acute Care Hospitals · Newton, MA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220101

Location2014 Washington StreetNewton, MA 02462 · Middlesex County

Emergency services Birthing friendly

Brigham And Women's Hospital

Acute Care Hospitals · Boston, MA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220110

Location75 Francis StreetBoston, MA 02115 · Suffolk County

Emergency services Birthing friendly

Faulkner Hospital-Brigham And Women's

Acute Care Hospitals · Boston, MA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220119

Location1153 Centre StreetBoston, MA 02130 · Suffolk County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02114 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

$97.64 typical visit price

range $63.72 – $189.86

Typical copayment $24.41 (range $15.93 – $47.46)

Most-billed visit code 99203

Established Patient

$111.18 typical visit price

range $21.07 – $155.29

Typical copayment $27.79 (range $5.26 – $38.82)

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 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tape, non-waterproof, per 18 square inches A4450

DME-Medical/Surgical Supplies · category DA000N

1 supplier11 claims1,260 services$0.10 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

1 supplier16 claims16 services$31.33 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers19 claims19 services$58.05 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 2

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

HALEY S REDSTONE

Nurse Practitioner

165 CAMBRIDGE ST STE 502
BOSTON, MA 02114

Suffolk County (617) 726-4600

DEBORAH SULKI LEE

Internal Medicine (Geriatric Medicine)

165 CAMBRIDGE ST STE 502
BOSTON, MA 02114

Suffolk County (617) 726-4600

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 Masaya Higuchi's NPI number?

The NPI number for Masaya Higuchi is 1457544892. It was assigned to this individual provider in the NPPES registry on August 20, 2007.

Where is Masaya Higuchi located?

Masaya Higuchi practices at 165 Cambridge St Ste 502, Boston, MA 02114. The listed phone number is (617) 726-4600.

What is Masaya Higuchi's specialty?

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

Is Masaya Higuchi enrolled in Medicare?

Yes. Masaya Higuchi 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 organizations bill Medicare for Masaya Higuchi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Masaya Higuchi reassigns Medicare benefits to 4 organizations: The General Hospital Corporation (Boston, MA), Massachusetts General Physicians Organization Inc (Boston, MA), Brigham & Womens Physicians Organization Inc (Boston, MA) and The Radiology Group Of New Jersey, LLC (Hackettstown, NJ). Each 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 Masaya Higuchi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Masaya Higuchi accept?

Health plans from Oscar Health and Taro Health list Masaya Higuchi 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 Masaya Higuchi affiliated with any hospitals?

According to CMS data, Masaya Higuchi is affiliated with Massachusetts General Hospital, Massachusetts Eye And Ear Infirmary -, Newton-Wellesley Hospital, Brigham And Women's Hospital and Faulkner Hospital-Brigham And Women's.

When was this NPI record last updated?

The NPPES record for Masaya Higuchi was last updated on July 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.