THOMAS F. HIGGINS JR. M.D.
NPI 1477594075
Emergency Medicine in Cleveland, OH

Q: What is Thomas Higgins's NPI number?

The NPI number for Thomas Higgins is 1477594075. It was assigned to this individual provider in the NPPES registry on June 8, 2006.

Q: What is Thomas Higgins's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Thomas Higgins was last updated on June 28, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 08, 2006PECOS EnrolledAccepts Medicare Assignment

18101 LORAIN AVENUE, CLEVELAND CLINIC-FAIRVIEW HOSPITAL, EMERGENCY SERVICES, CLEVELAND, OH 44111(216) 476-7312 Get Directions Write a Review

NPPES record last updated: June 28, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Thomas F. Higgins Jr. M.d. NPPES

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

THOMAS F. HIGGINS JR. M.D. (NPI 1477594075) is an individual emergency medicine provider in Cleveland, Ohio, licensed in Ohio (35060340H) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Fairview Hospital, and is a graduate of Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University (1985).

NPPES Registry Identity

NPI1477594075

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameTHOMAS F. HIGGINS JR.Credential: M.D.

Location Address18101 LORAIN AVENUE, CLEVELAND CLINIC-FAIRVIEW HOSPITAL, EMERGENCY SERVICESCleveland, OH 44111-5612

Mailing Address18101 Lorain Avenue, Cleveland Clinic-fairview Hospital, Emergency ServicesCleveland, OH 44111-5612 · (216) 476-7312

Phone(216) 476-7312

Sole ProprietorYes

Medical School CMSClvlnd Clinic Lerner College Of Med Of Case Wstn Rsv UniversityGraduated 1985

Enumeration DateJune 8, 2006

Last NPPES UpdateJune 28, 2018

✔ NPI 1477594075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in OH · 35060340H

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

18101 LORAIN AVENUE, CLEVELAND CLINIC-FAIRVIEW HOSPITAL, Cleveland, OH 44111

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Other Identifiers 3

Medicaid0971579OH

Other942460636279OH · Caresource

Other930028837OH · Medicare Traverlers Rr-ga

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

Thomas F. Higgins Jr. 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 ID4284622838

PECOS Enrollment IDI20040504000054

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 3

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.

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

41 services41 patients

Telephone, internet, or electronic health record assessment and management with verbal and written report by consulting physician, 5-10 minutes 99446

This service involves a brief 5-10 minute consultation with a physician over the phone or internet. The doctor will assess your health concerns and provide a verbal and written report of their findings. This is a convenient way to receive medical advice from the comfort of your home.

20 services20 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

14 services14 patients

Hospital Affiliations CMS Care Compare 3

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

Fairview Hospital

Acute Care Hospitals · Cleveland, OH

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360077

Location18101 Lorain AvenueCleveland, OH 44111 · Cuyahoga County

Emergency services Birthing friendly

Cleveland Clinic

Acute Care Hospitals · Cleveland, OH

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360180

Location9500 Euclid AvenueCleveland, OH 44195 · Cuyahoga County

Emergency services Birthing friendly

Cleveland Clinic Avon Hospital

Acute Care Hospitals · Avon, OH

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360364

Location33300 Cleveland Clinic BlvdAvon, OH 44011 · Lorain County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44111 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

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Other Providers at the Same Location NPPES 16

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

DR. JACQUELINE DELA DOAMEKPOR M.D.

Emergency Medicine