DR. SEAN MICHAEL BIGGS M.D.
NPI 1518282441
Radiology - Diagnostic Radiology in Albuquerque, NM

Active since April 03, 2010PECOS EnrolledAccepts Medicare Assignment
1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131(505) 272-2111 Get Directions Write a Review

NPPES record last updated: December 22, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Sean Michael Biggs M.d. NPPES

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

DR. SEAN MICHAEL BIGGS M.D. (NPI 1518282441) is an individual diagnostic radiology provider in Albuquerque, New Mexico, licensed in New Mexico (MD2016-0570) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS, is affiliated with Presbyterian Hospital, and is a graduate of University Of New Mexico School Of Medicine (2010).

NPPES Registry Identity

NPI1518282441
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. SEAN MICHAEL BIGGSCredential: M.D.
Location Address1 UNIVERSITY OF NEW MEXICOAlbuquerque, NM 87131-0001
Mailing Address1 University Of New MexicoAlbuquerque, NM 87131-0001
Sole ProprietorNo
Medical School CMSUniversity Of New Mexico School Of MedicineGraduated 2010
Enumeration DateApril 3, 2010
Last NPPES UpdateDecember 22, 2022
NPPES CertifiedDecember 22, 2022
✔ NPI 1518282441 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in NM · MD2016-0570
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedRadiology · Vascular & Interventional RadiologyTaxonomy 2085R0204X · License MD2016-0570 (NM)
1 UNIVERSITY OF NEW MEXICO, Albuquerque, NM 87131

Accepted 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

Dr. Sean Michael Biggs 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 ID7113151697
PECOS Enrollment IDI20161011000349, I20200506000628, I20210624003456, I20241120004139, I20250603002326
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

19

Medicare enrollment records show Sean Biggs reassigns Medicare billing to 19 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
2211 LOMAS NE
Albuquerque, NM 87106
  • Reassigned Medicare billing, New Mexico enrollment
  • 2,105 clinicians in this Medicare group
Diagnostic Radiology
4411 THE 25 WAY NE, SUITE 150
Albuquerque, NM 87109
  • Reassigned Medicare billing, New Mexico enrollment
  • 46 clinicians in this Medicare group
Diagnostic Radiology
4411 THE 25 WAY NE, SUITE 150
Albuquerque, NM 87109
  • Reassigned Medicare billing, New Mexico enrollment
  • 51 clinicians in this Medicare group
Cardiovascular Disease
2220 GRANDE BLVD SE STE 1B
Rio Rancho, NM 87124
  • Reassigned Medicare billing, New Mexico enrollment
  • 12 clinicians in this Medicare group
Critical Access
203 HOSPITAL DR
Raton, NM 87740
  • Reassigned Medicare billing, New Mexico enrollment
  • 51 clinicians in this Medicare group
Critical Access
1600 S 20TH AVE
Safford, AZ 85546
  • Reassigned Medicare billing, Arizona enrollment
  • 149 clinicians in this Medicare group
Diagnostic Radiology
1602 AVENUE Q
Lubbock, TX 79401
  • Reassigned Medicare billing, New Mexico enrollment
  • 4 clinicians in this Medicare group
Diagnostic Radiology
1602 AVENUE Q
Lubbock, TX 79401
  • Reassigned Medicare billing, New Mexico and Texas enrollments
  • 17 clinicians in this Medicare group
Obstetrics & Gynecology
575 HILL COUNTRY DR, STE 202
Kerrville, TX 78028
  • Reassigned Medicare billing, Texas enrollment
  • 233 clinicians in this Medicare group
Radiology
720 AVENUE F N STE 2
Bay City, TX 77414
  • Reassigned Medicare billing, Texas enrollment
  • 46 clinicians in this Medicare group

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 44

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
856 services818 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
389 services382 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
167 services165 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
142 services140 patients
Ct scan of abdomen and pelvis without contrast 74176
A CT scan of the abdomen and pelvis is a non-invasive medical test. It uses special X-ray equipment to create detailed images of your abdominal and pelvic areas. This helps doctors examine organs, tissues, and vessels. No contrast dye is used in this procedure.
133 services133 patients
Ct scan of blood vessels of chest with contrast 71275
A CT scan of the chest with contrast is a non-invasive imaging test. It uses X-rays and a special dye to get detailed images of your blood vessels in the chest. This helps in diagnosing conditions related to heart and lungs.
112 services112 patients

Hospital Affiliations CMS Care Compare 3

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

Presbyterian Hospital

Acute Care Hospitals · Albuquerque, NM
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320021
Location1100 Central Avenue SEAlbuquerque, NM 87106 · Bernalillo County
Emergency services Birthing friendly

Ascension St John Medical Center

Acute Care Hospitals · Tulsa, OK
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370114
Location1923 South Utica AvenueTulsa, OK 74104 · Tulsa County
Emergency services Birthing friendly

Ascension Saint Thomas Hospital

Acute Care Hospitals · Nashville, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440082
Location4220 Harding Rd, PO Box 380Nashville, TN 37205 · Davidson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87131 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
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 20

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

Student in an Organized Health Care Education/Training Program
1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Student in an Organized Health Care Education/Training Program
1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Student in an Organized Health Care Education/Training Program
1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Student in an Organized Health Care Education/Training Program
1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Student in an Organized Health Care Education/Training Program
1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Radiology (Diagnostic Radiology)
1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Student in an Organized Health Care Education/Training Program
1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Anesthesiology
1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131

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 Sean Biggs's NPI number?

The NPI number for Sean Biggs is 1518282441. It was assigned to this individual provider in the NPPES registry on April 3, 2010.

Where is Sean Biggs located?

Sean Biggs practices at 1 University Of New Mexico, Albuquerque, NM 87131. The listed phone number is (505) 272-2111.

What is Sean Biggs's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Sean Biggs enrolled in Medicare?

Yes. Sean Biggs 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 Sean Biggs's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sean Biggs reassigns Medicare benefits to 19 organizations: Unm Medical Group Inc (Albuquerque, NM), Advanced Imaging LLC (Albuquerque, NM), Radiology Associates Of Albuquerque, PA (Albuquerque, NM), Center For Vein Restoration Nm LLC (Rio Rancho, NM), Miners Colfax Medical Center (Raton, NM) and 14 more organizations, listed in the Medicare section above. 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 Sean Biggs's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sean Biggs accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 8 other insurers list Sean Biggs 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 Sean Biggs affiliated with any hospitals?

According to CMS data, Sean Biggs is affiliated with Presbyterian Hospital, Ascension St John Medical Center and Ascension Saint Thomas Hospital.

When was this NPI record last updated?

The NPPES record for Sean Biggs was last updated on December 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.