MS. STEPHANIE K HIGBY PA
NPI 1588758403
Physician Assistant in Hamilton, NY

Active since October 03, 2006PECOS EnrolledAccepts Medicare Assignment
85 COLLEGE ST, HAMILTON, NY 13346(315) 824-1250 Get Directions Write a Review

NPPES record last updated: December 26, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Stephanie K Higby Pa NPPES

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

MS. STEPHANIE K HIGBY PA (NPI 1588758403) is an individual physician assistant in Hamilton, New York, licensed in New York (011715-01) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Wynn Hospital, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1588758403
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. STEPHANIE K HIGBYCredential: PA
Location Address85 COLLEGE STHamilton, NY 13346-1227
Mailing Address85 College StHamilton, NY 13346-1227 · (315) 824-1250
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateOctober 3, 2006
Last NPPES UpdateDecember 26, 2024
NPPES CertifiedDecember 26, 2024
NPI 1588758403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NY · 011715-01
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
85 COLLEGE ST, Hamilton, NY 13346

Other Identifiers 1

Medicaid028429205NY

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

Ms. Stephanie K Higby Pa 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 ID840370201
PECOS Enrollment IDI20080110000414
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 3

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.

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.
242 services154 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
55 services55 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.
12 services12 patients

Hospital Affiliations CMS Care Compare 4

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

Wynn Hospital

Acute Care Hospitals · Utica, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330044
Location111 Hospital DriveUtica, NY 13502 · Oneida County
Emergency services Birthing friendly

Oneida Health Hospital

Acute Care Hospitals · Oneida, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number330115
Location321 Genesee StreetOneida, NY 13421 · Madison County
Emergency services Birthing friendly

Rome Memorial Hospital, Inc

Acute Care Hospitals · Rome, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330215
Location1500 North James StreetRome, NY 13440 · Oneida County
Emergency services Birthing friendly

University Hospital S U N Y Health Science Center

Acute Care Hospitals · Syracuse, NY
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number330241
Location750 East Adams StreetSyracuse, NY 13210 · Onondaga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13346 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

Physician Assistant
85 COLLEGE ST
HAMILTON, NY 13346
Physical Therapist (Orthopedic)
85 COLLEGE ST
HAMILTON, NY 13346
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
85 COLLEGE ST
HAMILTON, NY 13346
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
85 COLLEGE ST
HAMILTON, NY 13346
Orthopaedic Surgery (Sports Medicine)
85 COLLEGE ST
HAMILTON, NY 13346
Physician Assistant
85 COLLEGE ST
HAMILTON, NY 13346
Orthopaedic Surgery
85 COLLEGE ST
HAMILTON, NY 13346
Orthopaedic Surgery
85 COLLEGE ST
HAMILTON, NY 13346

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 Stephanie Higby's NPI number?

The NPI number for Stephanie Higby is 1588758403. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Stephanie Higby located?

Stephanie Higby practices at 85 College St, Hamilton, NY 13346. The listed phone number is (315) 824-1250.

What is Stephanie Higby's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Stephanie Higby enrolled in Medicare?

Yes. Stephanie Higby 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 Stephanie Higby affiliated with any hospitals?

According to CMS data, Stephanie Higby is affiliated with Wynn Hospital, Oneida Health Hospital, Rome Memorial Hospital, Inc and University Hospital S U N Y Health Science Center.

When was this NPI record last updated?

The NPPES record for Stephanie Higby was last updated on December 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.