DR. MICHAEL T HIGGINS DDS
NPI 1487740353
Dentist - General Practice in Elmhurst, IL

Q: What is Michael Higgins's NPI number?

The NPI number for Michael Higgins is 1487740353. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Q: What is Michael Higgins's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: Is Michael Higgins enrolled in Medicare?

No. Michael Higgins has opted out of Medicare through March 5, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Michael Higgins was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 October 05, 2006Opted out of Medicare · through Mar 5, 2027

183 ADDISON, ELMHURST, IL 60126(630) 834-1698(630) 834-1890 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Michael T Higgins Dds NPPES

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

DR. MICHAEL T HIGGINS DDS (NPI 1487740353) is an individual general practice provider in Elmhurst, Illinois, licensed in Illinois (20079) and active in the NPI registry since October 2006. He has opted out of Medicare through March 5, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1487740353

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. MICHAEL T HIGGINSCredential: DDS

Location Address183 ADDISONElmhurst, IL 60126

Mailing Address183 AddisonElmhurst, IL 60126 · (630) 834-1698 · Fax (630) 834-1890

Phone(630) 834-1698

Fax(630) 834-1890

Sole ProprietorNo

Enumeration DateOctober 5, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1487740353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in IL · 20079

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

183 ADDISON, Elmhurst, IL 60126

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Dr. Michael T Higgins Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 5, 2017 through March 5, 2027.

Opt-Out Effective DateMarch 5, 2017

Opt-Out In Effect ThroughMarch 5, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60126 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

$93.02 typical visit price

range $59.81 – $181.38

Typical copayment $23.25 (range $14.95 – $45.34)

Most-billed visit code 99203

Established Patient

$74.38 typical visit price

range $19.15 – $147.12

Typical copayment $18.59 (range $4.78 – $36.78)

Most-billed visit code 99213

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

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

DR. JULIE ANN BACON DDS MS

Dentist (Periodontics)

183 ADDISON
ELMHURST, IL 60126

Dupage County (630) 832-1212

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 Michael Higgins's NPI number?

The NPI number for Michael Higgins is 1487740353. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Where is Michael Higgins located?

Michael Higgins practices at 183 Addison, Elmhurst, IL 60126. The listed phone number is (630) 834-1698.

What is Michael Higgins's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Michael Higgins enrolled in Medicare?

No. Michael Higgins has opted out of Medicare through March 5, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Michael Higgins accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Renaissance Dental list Michael 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.

When was this NPI record last updated?

The NPPES record for Michael Higgins was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.