DR. ARTHUR WILLIAM HIGGINS II M.D.
NPI 1639513849
Psychiatry & Neurology - Psychiatry in Dunnellon, FL

Active since April 18, 2013PECOS Enrolled
13726 SW 112TH TER, DUNNELLON, FL 34432(734) 474-9979 Get Directions Write a Review

NPPES record last updated: January 9, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Arthur William Higgins Ii M.d. NPPES

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

DR. ARTHUR WILLIAM HIGGINS II M.D. (NPI 1639513849) is an individual psychiatry provider in Dunnellon, Florida, licensed in Florida (ME125532) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639513849
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. ARTHUR WILLIAM HIGGINS IICredential: M.D.
Location Address13726 SW 112TH TERDunnellon, FL 34432-8787
Mailing Address13726 Sw 112th TerDunnellon, FL 34432-8787 · (734) 474-9979
Sole ProprietorYes
Enumeration DateApril 18, 2013
Last NPPES UpdateJanuary 9, 2026
NPPES CertifiedJanuary 9, 2026
✔ NPI 1639513849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in FL · ME125532✔ Licensed in CA · A151550
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
13726 SW 112TH TER, Dunnellon, FL 34432

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Arthur William Higgins Ii M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Arthur Higgins reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
4711 HIGHWAY 166
New Cuyama, CA 93254
  • Reassigned Medicare billing, California enrollment
  • 213 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34432 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
$171.84 typical visit price
range $56.00 – $171.84
Typical copayment $42.96 (range $14.00 – $42.96)
Most-billed visit code 99205
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

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 Arthur Higgins's NPI number?

The NPI number for Arthur Higgins is 1639513849. It was assigned to this individual provider in the NPPES registry on April 18, 2013.

Where is Arthur Higgins located?

Arthur Higgins practices at 13726 SW 112th Ter, Dunnellon, FL 34432. The listed phone number is (734) 474-9979.

What is Arthur Higgins's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Arthur Higgins enrolled in Medicare?

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

Which organization bills Medicare for Arthur Higgins's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Arthur Higgins reassigns Medicare benefits to Community Health Centers Of The Central Coast, Inc (New Cuyama, CA). The 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 Arthur Higgins's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Arthur Higgins accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and UnitedHealthcare list Arthur 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 Arthur Higgins was last updated on January 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.