DR. BRENDAN THOMAS HIGGINS M.D.
NPI 1619268646
Orthopaedic Surgery - Sports Medicine in Concord, NH

Q: What is Brendan Higgins's NPI number?

The NPI number for Brendan Higgins is 1619268646. It was assigned to this individual provider in the NPPES registry on April 25, 2011.

Q: What is Brendan Higgins's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Q: When was this NPI record last updated?

The NPPES record for Brendan Higgins was last updated on January 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 April 25, 2011PECOS EnrolledAccepts Medicare Assignment

264 PLEASANT ST, CONCORD, NH 03301(603) 224-3368(603) 717-7358 Get Directions Write a Review

NPPES record last updated: January 29, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

On this page

About Dr. Brendan Thomas Higgins M.d. NPPES

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

DR. BRENDAN THOMAS HIGGINS M.D. (NPI 1619268646) is an individual sports medicine provider in Concord, New Hampshire, licensed in New Hampshire (16274) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS, is affiliated with Concord Hospital, and is a graduate of Georgetown University School Of Medicine (2011).

NPPES Registry Identity

NPI1619268646

Entity TypeIndividualMale

Primary Taxonomy207XX0005X

Provider Legal NameDR. BRENDAN THOMAS HIGGINSCredential: M.D.

Location Address264 PLEASANT STConcord, NH 03301

Mailing Address264 Pleasant StConcord, NH 03301-2551 · (603) 224-3368 · Fax (603) 717-7358

Phone(603) 224-3368

Fax(603) 717-7358

Sole ProprietorNo

Medical School CMSGeorgetown University School Of MedicineGraduated 2011

Enumeration DateApril 25, 2011

Last NPPES UpdateJanuary 29, 2024

NPPES CertifiedJanuary 29, 2024

✔ NPI 1619268646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207XX0005X

License✔ Licensed in NH · 16274

Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

264 PLEASANT ST, Concord, NH 03301

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care, WellSense Health Plan.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. Brendan Thomas Higgins 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 ID3072818699

PECOS Enrollment IDI20180927000725

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

Medicare enrollment records show Brendan Higgins reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Concord Orthopaedics Professional Association

Same address

Orthopaedic Surgery

264 PLEASANT ST
Concord, NH 03301

Reassigned Medicare billing, New Hampshire enrollment
62 clinicians in this Medicare group

NPI 1437182490 (603) 224-3368

Northeast Orthopaedic Alliance PLLC

59 mi

Orthopaedic Surgery

71 BORDER RD STE 300
Waltham, MA 02451

Reassigned Medicare billing, New Hampshire enrollment
121 clinicians in this Medicare group

NPI 1417724170 (781) 890-2133

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 10

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, 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.

156 services19 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.

100 services78 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.

98 services77 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.

67 services67 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

55 services46 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

32 services30 patients

Hospital Affiliations CMS Care Compare 2

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

Concord Hospital

Acute Care Hospitals · Concord, NH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number300001

Location250 Pleasant StConcord, NH 03301 · Merrimack County

Birthing friendly

New London Hospital

Critical Access Hospitals · New London, NH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number301304

Location273 County RoadNew London, NH 03257 · Merrimack County

Emergency services

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.

STASIA C BOGACZ PA-C

Physician Assistant