Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. JOHN MATTHEW HIGGINS M.D.
NPI 1639241409
Pathology - Clinical Pathology/Laboratory Medicine in Boston, MA

Q: 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.

Q: 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.

Q: 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 22 days 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 November 15, 2006PECOS Enrolled

55 FRUIT ST, BOSTON, MA 02114(617) 643-0800 Get Directions Write a Review

NPPES record last updated: July 20, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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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

NPI1639241409

Entity TypeIndividualMale

Primary Taxonomy207ZP0105X

Provider Legal NameDR. JOHN MATTHEW HIGGINSCredential: M.D.

Location Address55 FRUIT STBoston, MA 02114-2696

Mailing Address75 Francis St, Brigham And Women's Hospital Department Of PathologyBoston, MA 02115-6110 · (617) 732-6220

Phone(617) 643-0800

Sole ProprietorNo

Medical School CMSHarvard Medical SchoolGraduated 2004

Enumeration DateNovember 15, 2006

Last NPPES UpdateJuly 20, 2026

NPPES CertifiedJuly 20, 2026

✔ NPI 1639241409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Clinical Pathology/Laboratory MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207ZP0105X

License✔ Licensed in MA · 223356

Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

55 FRUIT ST, Boston, MA 02114

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Secondary Practice Location 1

Location 175 Francis StBoston, MA 02115-6110 · Phone (617) 732-5500

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

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.

PECOS PAC ID5294895835

PECOS Enrollment IDI20081126000595

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 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.

Coagulation function screening test with interpretation and report 85390

A coagulation function screening test is a type of blood test that checks how well your blood clots. It's important because clotting helps prevent excessive bleeding. The test results are interpreted and a report is provided to help guide your doctor's treatment plan.

241 services228 patients

Hemoglobin analysis and measurement, electrophoresis 83020

Hemoglobin analysis and measurement, electrophoresis, is a lab test that separates and identifies proteins in your blood. It's used to diagnose conditions affecting red blood cells. It's a simple, painless procedure where a small blood sample is taken and analyzed.

32 services21 patients

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, MA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220035

Location81 Highland AvenueSalem, MA 01970 · Essex County

Emergency services Birthing friendly

Massachusetts General Hospital

Acute Care Hospitals · Boston, MA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220071

Location55 Fruit StreetBoston, MA 02114 · Suffolk County

Emergency services Birthing friendly

Newton-Wellesley Hospital

Acute Care Hospitals · Newton, MA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220101

Location2014 Washington StreetNewton, MA 02462 · Middlesex County

Emergency services Birthing friendly

Brigham And Women's Hospital

Acute Care Hospitals · Boston, MA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220110

Location75 Francis StreetBoston, MA 02115 · Suffolk County

Emergency services Birthing friendly

Physician 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.

New Patient

$144.11 typical visit price

range $63.72 – $189.86

Typical copayment $36.02 (range $15.93 – $47.46)

Most-billed visit code 99204

Established Patient

$111.18 typical visit price

range $21.07 – $155.29

Typical copayment $27.79 (range $5.26 – $38.82)

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 20

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

STUTI GIRISH SHROFF MD, MBBS

Pathology (Anatomic Pathology)

55 FRUIT ST
BOSTON, MA 02114

Suffolk County (617) 726-2971

NANCY WANG M.D.

Internal Medicine (Hematology & Oncology)

55 FRUIT ST
BOSTON, MA 02114

Suffolk County (017) 724-4000

DR. DUSAN HANIDZIAR M.D., PH.D.

Anesthesiology

55 FRUIT ST, GRAY-BIGELOW 444
BOSTON, MA 02114

Suffolk County (617) 726-3030

JOHN JOSEPH DANKO DO

Physical Medicine & Rehabilitation

55 FRUIT ST
BOSTON, MA 02114

Suffolk County (617) 726-2000

DR. MICHAEL ANDREW LOBRITZ M.D, PH.D.

Internal Medicine (Infectious Disease)

55 FRUIT ST, DIVISION OF INFECTIOUS DISEASE, GRJ-504
BOSTON, MA 02114

Suffolk County (617) 724-9248

MS. KELLY ELISHA TRECARTIN NP

Nurse Practitioner (Acute Care)

55 FRUIT ST, BIGALOW 852 F
BOSTON, MA 02114

Suffolk County (617) 726-7400

JAMIE MARIE ALLEN NP

Nurse Practitioner

55 FRUIT ST
BOSTON, MA 02114

Suffolk County (617) 724-4410

DR. DHAVAL SANJEEV KOLTE M.B.B.S., PH.D.

Internal Medicine (Cardiovascular Disease)

55 FRUIT ST
BOSTON, MA 02114

Suffolk County (617) 643-3238

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.

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 22 days 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.