JAMES B. HIGGS M.D
NPI 1457783383
Internal Medicine - Infectious Disease in Boston, MA

Active since August 02, 2013PECOS EnrolledAccepts Medicare Assignment
800 WASHINGTON ST, TUFTS MEDICAL CENTER, BOSTON, MA 02111(617) 636-8877 Get Directions Write a Review

NPPES record last updated: March 12, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 12, 2020, Sep 22, 2017, Sep 11, 2017 and 1 more (4 updates tracked since 2017).

About James B. Higgs M.d NPPES

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

JAMES B. HIGGS M.D (NPI 1457783383) is an individual infectious disease provider in Boston, Massachusetts, licensed in Massachusetts (1457783383) and active in the NPI registry since August 2013. He is enrolled in Medicare PECOS, is affiliated with Kent County Memorial Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1457783383
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameJAMES B. HIGGSCredential: M.D
Location Address800 WASHINGTON ST, TUFTS MEDICAL CENTERBoston, MA 02111
Mailing Address800 Washington St, Tufts Medical, Dept Infectious DiseaseBoston, MA 02111 · (617) 636-5000
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateAugust 2, 2013
Last NPPES UpdateMarch 12, 20204 updates tracked since enumeration
NPPES CertifiedMarch 12, 2020
NPI 1457783383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
Licenses Licensed in MA · 1457783383 Licensed in RI · MD16759
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD16759 (RI)
800 WASHINGTON ST, Boston, MA 02111

Secondary Practice Locations 2

Location 1101 Dudley StProvidence, RI 02905-2401 · Phone (401) 453-7950 · Fax (401) 453-7658
Location 2455 Toll Gate RdWarwick, RI 02886-2759 · Phone (401) 737-7010 · Fax (401) 736-4546

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

James B. Higgs 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 ID7810122355
PECOS Enrollment IDI20190730002306
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 4

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.
131 services81 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.
91 services71 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.
34 services32 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
30 services30 patients

Hospital Affiliations CMS Care Compare

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

Kent County Memorial Hospital

Acute Care Hospitals · Warwick, RI
3/5 CMS rating
OwnershipProprietary
CMS Certification Number410009
Location455 Toll Gate RdWarwick, RI 02886 · Kent County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02111 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
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
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.

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.

Internal Medicine (Gastroenterology)
800 WASHINGTON ST, BOX 233
BOSTON, MA 02111
Technician/Technologist (Optician)
800 WASHINGTON ST, BOX 450
BOSTON, MA 02111
Plastic Surgery
800 WASHINGTON ST
BOSTON, MA 02111
Internal Medicine
800 WASHINGTON ST
BOSTON, MA 02111
Internal Medicine (Infectious Disease)
800 WASHINGTON ST
BOSTON, MA 02111
Student in an Organized Health Care Education/Training Program
800 WASHINGTON ST
BOSTON, MA 02111
Psychiatry & Neurology (Psychiatry)
800 WASHINGTON ST
BOSTON, MA 02111
Student in an Organized Health Care Education/Training Program
800 WASHINGTON ST
BOSTON, MA 02111

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 James Higgs's NPI number?

The NPI number for James Higgs is 1457783383. It was assigned to this individual provider in the NPPES registry on August 2, 2013.

Where is James Higgs located?

James Higgs practices at 800 Washington St Tufts Medical Center, Boston, MA 02111. The listed phone number is (617) 636-8877.

What is James Higgs's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is James Higgs enrolled in Medicare?

Yes. James 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.

Is James Higgs affiliated with any hospitals?

According to CMS data, James Higgs is affiliated with Kent County Memorial Hospital.

When was this NPI record last updated?

The NPPES record for James Higgs was last updated on March 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.