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RYAN J HIGGINS DDS
NPI 1619287950
Dentist in Mansfield, OH

Active since October 20, 2010PECOS Enrolled
600 W 3RD ST, MANSFIELD, OH 44906(419) 522-6191(419) 522-2816 Get Directions Write a Review

NPPES record last updated: October 20, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ryan J Higgins Dds NPPES

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

RYAN J HIGGINS DDS (NPI 1619287950) is an individual dentist in Mansfield, Ohio, licensed in Ohio (30023339) and active in the NPI registry since October 2010. He is enrolled in Medicare PECOS and is a graduate of Ohio State University College Of Dentistry (2010).

NPPES Registry Identity

NPI1619287950
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameRYAN J HIGGINSCredential: DDS
Location Address600 W 3RD STMansfield, OH 44906-2633
Mailing Address600 W 3rd StMansfield, OH 44906-2633 · (419) 522-6191 · Fax (419) 522-2816
Phone(419) 522-6191
Fax(419) 522-2816
Sole ProprietorNo
Medical School CMSOhio State University College Of DentistryGraduated 2010
Enumeration DateOctober 20, 2010
✔ NPI 1619287950 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in OH · 30023339
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
600 W 3RD ST, Mansfield, OH 44906
Open in Google Maps ↗

Other Identifiers 1

Other30023339OH · License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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 (PECOS)

Ryan J Higgins Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9436450772
PECOS Enrollment IDI20251029004064
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

2

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

Third Street Community Clinic, Inc.
Same address
Federally Qualified Health Center (FQHC)
600 W. THIRD STREET
Mansfield, OH 44906
  • Reassigned Medicare billing, Ohio enrollment
  • 52 clinicians in this Medicare group
NPI 1336252519 (419) 522-6191
Healthcare 2000 Community Clinic Inc
32 mi
Rural Health
1739 CLEVELAND RD
Wooster, OH 44691
  • Reassigned Medicare billing, Ohio enrollment
  • 22 clinicians in this Medicare group
NPI 1518206754 (330) 262-2500

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 44906 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

AMANDA NICOLE LILLY CNP
Nurse Practitioner (Family)
600 W 3RD ST
MANSFIELD, OH 44906
Richland County (419) 522-6191
BRIANNA CASSIDY APRN, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
600 W 3RD ST
MANSFIELD, OH 44906
Richland County (419) 522-6191
JENNIFER MARGARET HOTTLE APRN, FNP-C
Nurse Practitioner
600 W 3RD ST
MANSFIELD, OH 44906
Richland County (419) 522-6191
HEATHER JOHNSON
Social Worker (Clinical)
600 W 3RD ST
MANSFIELD, OH 44906
Richland County (419) 522-6191
ALLISON BEATTIE CNP
Nurse Practitioner
600 W 3RD ST
MANSFIELD, OH 44906
Richland County (419) 522-6191
BRYCE STEINDL
Dentist
600 W 3RD ST
MANSFIELD, OH 44906
Richland County (419) 522-1939
NEIL MANGAT M.D.
Family Medicine
600 W 3RD ST
MANSFIELD, OH 44906
Richland County (419) 522-6191
DR. JESSICA ROSE BRENT DPM
Podiatrist (Foot & Ankle Surgery)
600 W 3RD ST
MANSFIELD, OH 44906
Richland County (419) 522-6191

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 Ryan Higgins's NPI number?

The NPI number for Ryan Higgins is 1619287950. It was assigned to this individual provider in the NPPES registry on October 20, 2010.

Where is Ryan Higgins located?

Ryan Higgins practices at 600 W 3rd St, Mansfield, OH 44906. The listed phone number is (419) 522-6191.

What is Ryan Higgins's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Ryan Higgins enrolled in Medicare?

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

Which organizations bill Medicare for Ryan Higgins's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ryan Higgins reassigns Medicare benefits to 2 organizations: Third Street Community Clinic, Inc. (Mansfield, OH) and Healthcare 2000 Community Clinic Inc (Wooster, OH). Each 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 Ryan Higgins's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ryan Higgins accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and BEST Life and 17 other insurers list Ryan 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 Ryan Higgins was last updated on October 20, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.