RICHARD M HIGGS APRN
NPI 1609350826
Nurse Practitioner - Family in Owensboro, KY

Q: What is Richard Higgs's NPI number?

The NPI number for Richard Higgs is 1609350826. It was assigned to this individual provider in the NPPES registry on September 24, 2018.

Q: What is Richard Higgs's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Richard Higgs was last updated on September 14, 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.

Active since September 24, 2018PECOS EnrolledAccepts Medicare Assignment

2211 MAYFAIR DR STE 101, OWENSBORO, KY 42301(270) 688-1352(270) 683-4313 Get Directions Write a Review

NPPES record last updated: September 14, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 14, 2022, Dec 31, 2018, Dec 6, 2018 and 2 more (5 updates tracked since 2018).

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About Richard M Higgs Aprn NPPES

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

RICHARD M HIGGS APRN (NPI 1609350826) is an individual family provider in Owensboro, Kentucky, licensed in Kentucky (3012769) and active in the NPI registry since September 2018. He is enrolled in Medicare PECOS, is affiliated with Owensboro Health Regional Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1609350826

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameRICHARD M HIGGSCredential: APRN

Location Address2211 MAYFAIR DR STE 101Owensboro, KY 42301-4569

Mailing AddressPo Box 23229Owensboro, KY 42304-3229 · (270) 688-1330 · Fax (270) 688-1338

Phone(270) 688-1352

Fax(270) 683-4313

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateSeptember 24, 2018

Last NPPES UpdateSeptember 14, 20225 updates tracked since enumeration

NPPES CertifiedSeptember 14, 2022

✔ NPI 1609350826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in KY · 3012769

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 1139949 (KY)

2211 MAYFAIR DR STE 101, Owensboro, KY 42301

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Secondary Practice Locations 2

Location 12211 Mayfair Dr Ste 102Owensboro, KY 42301-4569 · Phone (270) 688-1351 · Fax (270) 683-3420

Location 22801 Unifirst DrOwensboro, KY 42301-7701 · Phone (270) 713-0478 · Fax (270) 713-0479

Other Identifiers 2

Medicaid7100564030KY

Medicaid300021024IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.Insurance ›

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

Richard M Higgs Aprn 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 ID5597019794

PECOS Enrollment IDI20181106002248

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 11

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.

Injection, dexamethasone sodium phosphate, 1 mg J1100

Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.

321 services34 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.

220 services200 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

55 services46 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.

31 services31 patients

Injection, ketorolac tromethamine, per 15 mg J1885

Ketorolac tromethamine is a medication administered through injection, often used to manage moderate to severe pain. Each 15 mg dose helps to reduce hormones causing inflammation and pain in the body. It is not recommended for long-term use.

28 services13 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

27 services27 patients

Hospital Affiliations CMS Care Compare

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

Owensboro Health Regional Hospital

Acute Care Hospitals · Owensboro, KY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180038

Location1201 Pleasant Valley RoadOwensboro, KY 42303 · Daviess County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42301 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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 9

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

DR. WADE RANDOLPH TAYLOR DO

Family Medicine