KRISTEN B HIGGINS MD
NPI 1578777017
Dermatology in Gastonia, NC

Q: What is Kristen Higgins's NPI number?

The NPI number for Kristen Higgins is 1578777017. It was assigned to this individual provider in the NPPES registry on May 10, 2007.

Q: What is Kristen Higgins's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Q: When was this NPI record last updated?

The NPPES record for Kristen Higgins was last updated on September 19, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 May 10, 2007PECOS EnrolledAccepts Medicare Assignment

91.23/100

CMS Quality Rating

959 COX RD, GASTONIA, NC 28054(704) 866-7576(704) 866-0106 Get Directions Write a Review

NPPES record last updated: September 19, 2017. Verified against the NPPES registry weekly; last sync: November 08, 2026.

On this page

About Kristen B Higgins Md NPPES

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

KRISTEN B HIGGINS MD (NPI 1578777017) is an individual dermatology provider in Gastonia, North Carolina, licensed in North Carolina (207N00000X) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS and is a graduate of Wake Forest University School Of Medicine (2004).

NPPES Registry Identity

NPI1578777017

Entity TypeIndividualFemale

Primary Taxonomy207N00000X

Provider Legal NameKRISTEN B HIGGINSCredential: MD

Location Address959 COX RDGastonia, NC 28054-3420

Mailing Address959 Cox RdGastonia, NC 28054-3420 · (704) 866-7576 · Fax (704) 866-0106

Phone(704) 866-7576

Fax(704) 866-0106

Sole ProprietorNo

Medical School CMSWake Forest University School Of MedicineGraduated 2004

Enumeration DateMay 10, 2007

Last NPPES UpdateSeptember 19, 2017

✔ NPI 1578777017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

License✔ Licensed in NC · 207N00000X

Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

959 COX RD, Gastonia, NC 28054

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Other Identifiers 1

Medicare PIN2022375NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.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

Kristen B 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 ID8921171166

PECOS Enrollment IDI20080721000534

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 Kristen Higgins reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Piedmont Plastic Surgery & Dermatology PA

1.3 mi

Dermatology

1072 X RAY DR STE B
Gastonia, NC 28054

Reassigned Medicare billing, North Carolina enrollment
46 clinicians in this Medicare group

NPI 1801832837 (704) 671-1094

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 20

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.

Destruction of precancer skin growth, 2-14 growths 17003

This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.

2,186 services368 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

916 services611 patients

Destruction of precancer skin growth, 1 growth 17000

"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.

710 services479 patients

Biopsy of related skin growth, first growth 11102

A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.

518 services411 patients

Biopsy of related skin growth, each additional growth 11103

A biopsy of related skin growth is a procedure where a small piece of skin growth is removed for testing. If additional growths are identified, they may also be biopsied. This helps in diagnosing skin conditions and planning appropriate treatment.

300 services175 patients

Destruction of skin growth, 1-14 growths 17110

"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.

268 services226 patients

Destruction of precancer skin growth, 15 or more growths 17004

This procedure involves removing 15 or more precancerous skin growths to prevent them from developing into cancer. It's done using various methods like freezing, creams, or minor surgery. The goal is to protect your health by stopping cancer before it starts.

100 services66 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

93 services78 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

48 services48 patients

Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm 12032

This procedure involves the repair of a wound between 2.6-7.5 cm located on the scalp, underarms, trunk, arms, or legs. The process includes cleaning, debridement (removal of damaged tissue), and suturing (stitching) of the wound to promote healing.

45 services44 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

41 services39 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

29 services11 patients

Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm 17262

This procedure involves removing a cancerous skin growth on the trunk, arms, or legs that is between 1.1 and 2.0 cm in size. The growth is destroyed using methods like surgery, laser, or freezing, aiming to eliminate cancer and prevent its spread.

26 services25 patients

Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm 11602

This procedure involves the surgical removal of a cancerous skin growth on the body, arms, or legs. The growth is between 1.1 and 2.0 cm in size. The goal is to eliminate cancer cells and prevent them from spreading to other parts of the body.

25 services21 patients

Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm 11402

This procedure involves the removal of a noncancerous skin growth on the body, arms, or legs that is between 1.1 and 2.0 cm in size. It's a safe and routine procedure performed by a medical professional to improve your skin health and appearance.

24 services23 patients

Biopsy of ear 69100

A biopsy of the ear is a medical procedure where a small sample of tissue is taken from your ear for examination. This helps doctors diagnose any abnormalities or diseases. It's a simple process, usually done under local anesthesia, and has minimal risks.

24 services22 patients

Destruction of skin growth, 15 or more growths 17111

"Destruction of skin growth" refers to a procedure where unwanted skin growths, such as warts or moles, are removed. In this case, 15 or more growths are treated. Techniques may include freezing, burning, or laser therapy. It's a safe, quick process to improve skin health.

21 services18 patients

Removal of noncancer skin growth of body, arms, or legs, 0.6-1.0 cm 11401

This procedure involves the removal of a noncancerous skin growth on your body, arms, or legs. The growth is between 0.6-1.0 cm in size. It's typically a simple process where the growth is cut away and the area is then stitched up for healing.

19 services17 patients

Punch biopsy, first skin growth 11104

A punch biopsy is a procedure where a small, circular tool is used to remove a sample of skin tissue. This is usually done to test a skin growth for potential issues. You may feel a pinch, but discomfort is minimal. The area heals quickly.

18 services18 patients

Simple or single drainage of skin abscess 10060

A simple or single drainage of skin abscess is a procedure to remove pus from a skin infection. A small cut is made on the abscess, the pus is drained out, and the area is cleaned. This helps to reduce pain, speed up recovery, and prevent the spread of infection.

16 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28054 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

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.

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.

91.23/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

85.15

Promoting Interoperability

Improvement Activities

Reported Quality Measures

Advance Care Plan

100%1,342 patients5/55-star benchmark: 100%

Documentation of Current Medications in the Medical Record

100%4,267 patients5/55-star benchmark: 100%

Melanoma: Continuity of Care - Recall System

100%278 patients

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 100% · 1,286 patients

Patients screened: 100% · 1,286 patients

93%60 patients4/55-star benchmark: 100%

Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling

Patients combinedPopulations: 93% · 1,205 patients

Patients screened: 100% · 1,205 patients

41%138 patients

Provide Patients Electronic Access to Their Health Information

98%1,307 patients4/55-star benchmark: 100%

Tobacco Use and Help with Quitting Among Adolescents

100%153 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 9

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

GASTON FAMILY HEALTH SERVICES, INC

Clinic/Center (Federally Qualified Health Center (FQHC))

959 COX RD
GASTONIA, NC 28054

Gaston County (704) 874-1900

DR. DANIEL THOMAS NESS M.D.

Plastic Surgery

959 COX RD
GASTONIA, NC 28054

Gaston County (704) 866-7576

DR. PARTEEK SINGLA MD

Dermatology (MOHS-Micrographic Surgery)

959 COX RD
GASTONIA, NC 28054

Gaston County (704) 866-7576

DR. JAIME J VANOURNY MD

Dermatology

959 COX RD
GASTONIA, NC 28054

Gaston County (704) 866-7576

HEATHER HOLLEY CORBIN PA-C

Physician Assistant

959 COX RD
GASTONIA, NC 28054

Gaston County (704) 866-7576

BETH ANN MCJUNKINS LCSWA

Social Worker (Clinical)

959 COX RD
GASTONIA, NC 28054

Gaston County (704) 874-0174

KATHRYN ROSE GUILD LCSWA

Social Worker (Clinical)

959 COX RD
GASTONIA, NC 28054

Gaston County (704) 874-1900

DR. JOSHUA GRAHAM PORTER M.D.

Dermatology

959 COX RD
GASTONIA, NC 28054

Gaston County (704) 866-7576

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 Kristen Higgins's NPI number?

The NPI number for Kristen Higgins is 1578777017. It was assigned to this individual provider in the NPPES registry on May 10, 2007.

Where is Kristen Higgins located?

Kristen Higgins practices at 959 Cox Rd, Gastonia, NC 28054. The listed phone number is (704) 866-7576.

What is Kristen Higgins's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Kristen Higgins enrolled in Medicare?

Yes. Kristen 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 organization bills Medicare for Kristen Higgins's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristen Higgins reassigns Medicare benefits to Piedmont Plastic Surgery & Dermatology PA (Gastonia, NC). 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 Kristen Higgins's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kristen Higgins accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, AmeriHealth Caritas Next and UnitedHealthcare list Kristen 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 Kristen Higgins was last updated on September 19, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.