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THOMAS HIGGINS JR. MD
NPI 1487755088
Emergency Medicine in Wichita, KS

Active since September 26, 2006PECOS EnrolledAccepts Medicare Assignment
90.67/100
CMS Quality Rating
550 N HILLSIDE ST, WICHITA, KS 67214(316) 962-2000(303) 306-7753 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 17, 2018, Dec 28, 2017, Nov 15, 2017 (3 updates tracked since 2017).

About Thomas Higgins Jr. Md NPPES

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

THOMAS HIGGINS JR. MD (NPI 1487755088) is an individual emergency medicine provider in Wichita, Kansas, licensed in Kansas (0432725) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Via Christi Hospital Pittsburg Inc, and maintains a secondary practice location in Las Vegas.

NPPES Registry Identity

NPI1487755088
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameTHOMAS HIGGINS JR.Credential: MD
Location Address550 N HILLSIDE STWichita, KS 67214-4910
Mailing AddressPo Box 5607Denver, CO 80217-5607 · (303) 306-7783 · Fax (303) 306-7753
Phone(316) 962-2000
Fax(303) 306-7753
Sole ProprietorNo
Medical School CMSUniversity Of Nevada School Of MedicineGraduated 1995
Enumeration DateSeptember 26, 2006
Last NPPES UpdateMarch 17, 20183 updates tracked since enumeration
✔ NPI 1487755088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in KS · 0432725✔ Licensed in NV · 9369
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.
550 N HILLSIDE ST, Wichita, KS 67214
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Secondary Practice Location 1

Location 11800 W Charleston BlvdLas Vegas, NV 89102-2329 · Phone (330) 493-4443 · Fax (330) 493-8677

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc., Blue Cross and Blue Shield of Nebraska.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

Thomas Higgins Jr. Md 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 ID749256212
PECOS Enrollment IDI20080430000034
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

3

Medicare enrollment records show Thomas Higgins reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cep America - Kansas LLC
2.1 mi
Emergency Medicine
3600 E HARRY ST
Wichita, KS 67218
  • Reassigned Medicare billing, Kansas enrollment
  • 97 clinicians in this Medicare group
NPI 1659768125 (316) 268-5000
Sound Physicians Emergency Medicine Of Kansas, LLC
111 mi
Emergency Medicine
1823 COLLEGE AVE
Manhattan, KS 66502
  • Reassigned Medicare billing, Kansas enrollment
  • 106 clinicians in this Medicare group
NPI 1831689934 (785) 776-3322
Community Hospital Association
249 mi
Emergency Medicine
1301 E H ST
Mc Cook, NE 69001
  • Reassigned Medicare billing, Nebraska enrollment
  • Also billed through NPI 1841204500 (Nebraska)
  • 57 clinicians in this Medicare group
NPI 1588771158 (308) 344-2650

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 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.

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.
140 services140 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
117 services113 patients
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.
25 services25 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
19 services18 patients

Hospital Affiliations CMS Care Compare 4

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

Via Christi Hospital Pittsburg Inc

Acute Care Hospitals · Pittsburg, KS
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number170006
Location1 Mt Carmel WayPittsburg, KS 66762 · Crawford County
Emergency services Birthing friendly

Ascension Via Christi Hospitals Wichita, Inc.

Acute Care Hospitals · Wichita, KS
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number170122
Location929 North St Francis StreetWichita, KS 67214 · Sedgwick County
Emergency services Birthing friendly

Via Christi Hospital Wichita St Teresa, Inc

Acute Care Hospitals · Wichita, KS
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number170200
Location14800 West St TeresaWichita, KS 67235 · Sedgwick County
Emergency services

Jefferson Community Health & Life

Critical Access Hospitals · Fairbury, NE
OwnershipVoluntary non-profit - Private
CMS Certification Number281319
LocationP O Box 277, 2200 H StFairbury, NE 68352 · Jefferson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 67214 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
$81.98 typical visit price
range $53.00 – $161.67
Typical copayment $20.49 (range $13.25 – $40.41)
Most-billed visit code 99203
Established Patient
$94.12 typical visit price
range $16.88 – $132.11
Typical copayment $23.53 (range $4.22 – $33.02)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

90.67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.57
Improvement Activities40
Cost100

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.

KATHRYN WATKINS BRICKMAN MD
Hospitalist
550 N HILLSIDE ST
WICHITA, KS 67214
Sedgwick County (316) 962-2000
ERIC F FLORES P.A.
Physician Assistant
550 N HILLSIDE ST
WICHITA, KS 67214
Sedgwick County (316) 962-2239
AUDREY EILEEN GRIFFIN PA (PHYSICIAN ASSIST
Physician Assistant
550 N HILLSIDE ST
WICHITA, KS 67214
Sedgwick County (316) 962-2239
DR. LE WEN LIU MD PHD
Pathology (Anatomic Pathology & Clinical Pathology)
550 N HILLSIDE ST
WICHITA, KS 67214
Sedgwick County (316) 685-6112
LORI L LAIR ARNP
Nurse Practitioner (Neonatal)
550 N HILLSIDE ST
WICHITA, KS 67214
Sedgwick County (316) 962-8580
JULIE LU
Physician Assistant
550 N HILLSIDE ST
WICHITA, KS 67214
Sedgwick County (316) 963-2000
NICOLE SEILER PA-C
Physician Assistant
550 N HILLSIDE ST
WICHITA, KS 67214
Sedgwick County (316) 962-9117
KAREN L CANTU
Registered Nurse (Neonatal Intensive Care)
550 N HILLSIDE ST
WICHITA, KS 67214
Sedgwick County (316) 962-8500

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 Thomas Higgins's NPI number?

The NPI number for Thomas Higgins is 1487755088. It was assigned to this individual provider in the NPPES registry on September 26, 2006.

Where is Thomas Higgins located?

Thomas Higgins practices at 550 N Hillside St, Wichita, KS 67214. The listed phone number is (316) 962-2000.

What is Thomas Higgins's specialty?

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

Is Thomas Higgins enrolled in Medicare?

Yes. Thomas 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.

Which organizations bill Medicare for Thomas Higgins's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Higgins reassigns Medicare benefits to 3 organizations: Cep America - Kansas LLC (Wichita, KS), Sound Physicians Emergency Medicine Of Kansas, LLC (Manhattan, KS) and Community Hospital Association (Mc Cook, NE). 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 Thomas Higgins's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thomas Higgins accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. and Blue Cross and Blue Shield of Nebraska list Thomas 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 Thomas Higgins affiliated with any hospitals?

According to CMS data, Thomas Higgins is affiliated with Via Christi Hospital Pittsburg Inc, Ascension Via Christi Hospitals Wichita, Inc., Via Christi Hospital Wichita St Teresa, Inc and Jefferson Community Health & Life.

When was this NPI record last updated?

The NPPES record for Thomas Higgins was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.