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DONALD J HIGGINS M.D.
NPI 1467439554
Internal Medicine in Tulsa, OK

Active since December 29, 2005PECOS EnrolledAccepts Medicare Assignment
6600 S YALE AVE, STE 800, TULSA, OK 74136(918) 491-3900(918) 491-3915 Get Directions Write a Review

NPPES record last updated: June 24, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Donald J Higgins M.d. NPPES

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

DONALD J HIGGINS M.D. (NPI 1467439554) is an individual internal medicine provider in Tulsa, Oklahoma, licensed in Oklahoma (20105) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Saint Francis Hospital Muskogee, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (1989).

NPPES Registry Identity

NPI1467439554
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDONALD J HIGGINSCredential: M.D.
Location Address6600 S YALE AVE, STE 800Tulsa, OK 74136-3310
Mailing Address6600 S Yale Ave, Ste 1400Tulsa, OK 74136-3310 · (918) 488-6001 · Fax (918) 488-6010
Phone(918) 491-3900
Fax(918) 491-3915
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 1989
Enumeration DateDecember 29, 2005
Last NPPES UpdateJune 24, 2008
✔ NPI 1467439554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OK · 20105
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
6600 S YALE AVE, Tulsa, OK 74136
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Other Identifiers 1

Medicare UPINF40528OK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, CommunityCare, Mending Health.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

Donald J 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 ID7810038478
PECOS Enrollment IDI20100105000696
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 6

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.
387 services203 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.
175 services175 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.
38 services29 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.
22 services22 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
20 services17 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
19 services19 patients

Hospital Affiliations CMS Care Compare 3

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

Saint Francis Hospital Muskogee

Acute Care Hospitals · Muskogee, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370025
Location300 Rockefeller DriveMuskogee, OK 74401 · Muskogee County
Emergency services Birthing friendly

Saint Francis Hospital, Inc

Acute Care Hospitals · Tulsa, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370091
Location6161 South YaleTulsa, OK 74136 · Tulsa County
Emergency services Birthing friendly

Saint Francis Hospital South, LLC

Acute Care Hospitals · Tulsa, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370218
Location10501 East 91st Street SouthTulsa, OK 74133 · Tulsa County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74136 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
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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 5

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
8 suppliers12 claims33 services$6.77 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
3 suppliers12 claims12 services$60.39 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers11 claims62 services$1.58 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier24 claims24 services$12.79 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
1 supplier26 claims26 services$59.71 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 20

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

KATHLEEN HALBROOK C.S.F.A
Specialist/Technologist, Other (Surgical Assistant)
6600 S YALE AVE, SUITE 500
TULSA, OK 74136
Tulsa County (918) 855-3721
CHARLES BLAGOVICH
Nurse Practitioner (Family)
6600 S YALE AVE
TULSA, OK 74136
Tulsa County (740) 505-7569
GERARD J MCNULTY M.D.
Internal Medicine
6600 S YALE AVE, STE 900
TULSA, OK 74136
Tulsa County (918) 481-4944
MICHAEL E MADDOX D.O.
Family Medicine
6600 S YALE AVE, STE 850
TULSA, OK 74136
Tulsa County (918) 481-7700
MELISSA R GRAY PT
Physical Therapist
6600 S YALE AVE, SUITE 200
TULSA, OK 74136
Tulsa County (918) 488-6888
CHRISTOPHER WAYNE ABSHERE MD
Family Medicine
6600 S YALE AVE, STE 1400
TULSA, OK 74136
Tulsa County (918) 488-6001
DR. MOUTASIM HOMOD AL-SHAER M. D.
Hospitalist
6600 S YALE AVE, SUITE 1400
TULSA, OK 74136
Tulsa County (918) 488-6001
WARREN CLINIC INC
General Practice
6600 S YALE AVE, SUITE 1400
TULSA, OK 74136
Tulsa County (918) 488-6001

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 Donald Higgins's NPI number?

The NPI number for Donald Higgins is 1467439554. It was assigned to this individual provider in the NPPES registry on December 29, 2005.

Where is Donald Higgins located?

Donald Higgins practices at 6600 S Yale Ave Ste 800, Tulsa, OK 74136. The listed phone number is (918) 491-3900.

What is Donald Higgins's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Donald Higgins enrolled in Medicare?

Yes. Donald 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.

What insurance does Donald Higgins accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, CommunityCare and Mending Health list Donald 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 Donald Higgins affiliated with any hospitals?

According to CMS data, Donald Higgins is affiliated with Saint Francis Hospital Muskogee, Saint Francis Hospital, Inc and Saint Francis Hospital South, LLC.

When was this NPI record last updated?

The NPPES record for Donald Higgins was last updated on June 24, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.