DR. JOHN MATTHEW HIGGINS M.D.
NPI 1639241409
Pathology - Clinical Pathology/Laboratory Medicine in Boston, MA
About Dr. John Matthew Higgins M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JOHN MATTHEW HIGGINS M.D. (NPI 1639241409) is an individual clinical pathology/laboratory medicine provider in Boston, Massachusetts, licensed in Massachusetts (223356) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with North Shore Medical Center -, and maintains a secondary practice location in Boston.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted 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. John Matthew 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.
Medicare Billing Reassignments
3Medicare enrollment records show John Higgins reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Boston, MA 02114
- Reassigned Medicare billing, Massachusetts enrollment
- 6,360 clinicians in this Medicare group
Boston, MA 02114
- Reassigned Medicare billing, Massachusetts enrollment
- 6,234 clinicians in this Medicare group
Boston, MA 02115
- Reassigned Medicare billing, Massachusetts enrollment
- 4,574 clinicians in this Medicare group
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 2
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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
North Shore Medical Center -
Acute Care Hospitals · Salem, MAMassachusetts General Hospital
Acute Care Hospitals · Boston, MANewton-Wellesley Hospital
Acute Care Hospitals · Newton, MABrigham And Women's Hospital
Acute Care Hospitals · Boston, MAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 02114 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
BOSTON, MA 02114
BOSTON, MA 02114
BOSTON, MA 02114
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 John Higgins's NPI number?
The NPI number for John Higgins is 1639241409. It was assigned to this individual provider in the NPPES registry on November 15, 2006.
Where is John Higgins located?
John Higgins practices at 55 Fruit St, Boston, MA 02114. The listed phone number is (617) 643-0800.
What is John Higgins's specialty?
The primary specialty registered for this NPI is Pathology, specializing in Clinical Pathology/Laboratory Medicine, with taxonomy code 207ZP0105X.
Is John Higgins enrolled in Medicare?
Yes. John 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 organizations bill Medicare for John Higgins's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Higgins reassigns Medicare benefits to 3 organizations: Massachusetts General Physicians Organization Inc (Boston, MA), The General Hospital Corporation (Boston, MA) and Brigham & Womens Physicians Organization Inc (Boston, MA). 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 John Higgins's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Higgins accept?
Health plans from Taro Health list John 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.
Is John Higgins affiliated with any hospitals?
According to CMS data, John Higgins is affiliated with North Shore Medical Center -, Massachusetts General Hospital, Newton-Wellesley Hospital and Brigham And Women's Hospital.
When was this NPI record last updated?
The NPPES record for John Higgins was last updated on July 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dr. John Matthew Higgins, M.D. · NPI 1639241409
Clinical Pathology/Laboratory Medicine physician in Boston, Massachusetts. Individual provider, active in the CMS NPPES registry since November 15, 2006.
## Identity
- **NPI:** 1639241409 (Entity type: Individual)
- **Enumerated:** November 15, 2006
- **Primary specialty:** Pathology - Clinical Pathology/Laboratory Medicine · taxonomy 207ZP0105X
- **State license:** 223356 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 55 FRUIT ST, Boston, MA 02114-2696
- **Phone:** (617) 643-0800
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Massachusetts General Physicians Organization Inc (NPI 1801874573, Boston, MA); The General Hospital Corporation (NPI 1023049236, Boston, MA); Brigham & Womens Physicians Organization Inc (NPI 1033535497, Boston, MA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Harvard Medical School, class of 2004
## Record status
- **NPPES last updated:** July 20, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1639241409) · Data from the CMS NPPES public registry.