DR. BARBARA J HIGGINS MD
NPI 1497776090
Hospitalist in Beloit, WI

Active since July 21, 2006PECOS EnrolledAccepts Medicare Assignment
1969 W HART RD, BELOIT, WI 53511(608) 364-5011(608) 364-5971 Get Directions Write a Review

NPPES record last updated: January 29, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Barbara J Higgins Md NPPES

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

DR. BARBARA J HIGGINS MD (NPI 1497776090) is an individual hospitalist provider in Beloit, Wisconsin, licensed in Wisconsin (36646) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Unitypoint Health - Meriter, and is a graduate of University Of Minnesota Medical School (1993).

NPPES Registry Identity

NPI1497776090
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameDR. BARBARA J HIGGINSCredential: MD
Location Address1969 W HART RDBeloit, WI 53511-2230
Mailing Address1905 E. Huebbe Parkway, Beloit Health System, IncBeloit, WI 53511-1842 · (608) 364-2200 · Fax (608) 363-7395
Fax(608) 364-5971
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 1993
Enumeration DateJuly 21, 2006
Last NPPES UpdateJanuary 29, 2021
NPPES CertifiedJanuary 29, 2021
NPI 1497776090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
Licenses Licensed in WI · 36646 Licensed in IL · 036-094234
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
1969 W HART RD, Beloit, WI 53511

Other Identifiers 1

Medicaid1497776090WI

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

Dr. Barbara J Higgins 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 ID345317863
PECOS Enrollment IDI20080925000497
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 5

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.
242 services99 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.
57 services56 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.
50 services34 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.
20 services20 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
18 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Unitypoint Health - Meriter

Acute Care Hospitals · Madison, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520089
Location202 S Park StMadison, WI 53715 · Dane County
Emergency services Birthing friendly

University Of Wi Hospitals & Clinics Authority

Acute Care Hospitals · Madison, WI
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number520098
Location600 Highland AvenueMadison, WI 53792 · Dane County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53511 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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 (Cardiovascular Disease)
1969 W HART RD
BELOIT, WI 53511
Speech-Language Pathologist
1969 W HART RD, BELOIT HEALTH SYSTEM INC/ BELOIT MEMORIAL HOSPITAL
BELOIT, WI 53511
Social Worker (Clinical)
1969 W HART RD
BELOIT, WI 53511
Counselor (Professional)
1969 W HART RD
BELOIT, WI 53511
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1969 W HART RD
BELOIT, WI 53511
Radiology (Diagnostic Radiology)
1969 W HART RD
BELOIT, WI 53511
Physician Assistant
1969 W HART RD
BELOIT, WI 53511
Anesthesiology
1969 W HART RD, BELOIT MEMORIAL HOSPITAL
BELOIT, WI 53511

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 Barbara Higgins's NPI number?

The NPI number for Barbara Higgins is 1497776090. It was assigned to this individual provider in the NPPES registry on July 21, 2006.

Where is Barbara Higgins located?

Barbara Higgins practices at 1969 W Hart Rd, Beloit, WI 53511. The listed phone number is (608) 364-5011.

What is Barbara Higgins's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Barbara Higgins enrolled in Medicare?

Yes. Barbara 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.

Is Barbara Higgins affiliated with any hospitals?

According to CMS data, Barbara Higgins is affiliated with Unitypoint Health - Meriter and University Of Wi Hospitals & Clinics Authority.

When was this NPI record last updated?

The NPPES record for Barbara Higgins was last updated on January 29, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.