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DR. PHILIP WAYNE HIGGINS JR. DMD
NPI 1528081312
Dentist - General Practice in Rockport, ME

Active since July 25, 2006PECOS Enrolled
9 APPLEWOOD RD, ROCKPORT, ME 04856(207) 236-0899(207) 236-8338 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Philip Wayne Higgins Jr. Dmd NPPES

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

DR. PHILIP WAYNE HIGGINS JR. DMD (NPI 1528081312) is an individual general practice provider in Rockport, Maine, licensed in Maine (2771) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528081312
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. PHILIP WAYNE HIGGINS JR.Credential: DMD
Location Address9 APPLEWOOD RDRockport, ME 04856-5375
Mailing Address9 Applewood RdRockport, ME 04856-5375 · (207) 236-0899 · Fax (207) 236-8338
Phone(207) 236-0899
Fax(207) 236-8338
Sole ProprietorYes
Enumeration DateJuly 25, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1528081312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in ME · 2771
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.
9 APPLEWOOD RD, Rockport, ME 04856
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Philip Wayne Higgins Jr. Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Philip Higgins reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mainehealth
17 mi
Critical Access
118 NORTHPORT AVE
Belfast, ME 04915
  • Reassigned Medicare billing, Maine enrollment
  • Medicare enrollment name: Waldo County General Hospital
  • 82 clinicians in this Medicare group
NPI 1841397932 (207) 338-2500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04856 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
$82.58 typical visit price
range $53.26 – $162.77
Typical copayment $20.64 (range $13.31 – $40.69)
Most-billed visit code 99203
Established Patient
$66.74 typical visit price
range $16.90 – $132.79
Typical copayment $16.68 (range $4.22 – $33.19)
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 3

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

APPLEWOOD DENTAL
Dentist (General Practice)
9 APPLEWOOD RD
ROCKPORT, ME 04856
Knox County (207) 236-0899
DR. KATIE MARIE CUNNINGHAM DDS
Dentist (General Practice)
9 APPLEWOOD RD
ROCKPORT, ME 04856
Knox County (207) 236-0899
APPLEWOOD DENTAL, PA
Dentist
9 APPLEWOOD RD
ROCKPORT, ME 04856
Knox County (207) 236-0899

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 Philip Higgins's NPI number?

The NPI number for Philip Higgins is 1528081312. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Where is Philip Higgins located?

Philip Higgins practices at 9 Applewood Rd, Rockport, ME 04856. The listed phone number is (207) 236-0899.

What is Philip Higgins's specialty?

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

Is Philip Higgins enrolled in Medicare?

Yes. Philip Higgins is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Philip Higgins's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Philip Higgins reassigns Medicare benefits to Mainehealth (Belfast, ME). The 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 Philip Higgins's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Philip Higgins was last updated on July 9, 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.