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OLIVIA HIGGINS M.D.
NPI 1639566490
Obstetrics & Gynecology in Rochester, NY

Active since April 20, 2015PECOS EnrolledAccepts Medicare Assignment
1415 PORTLAND AVE STE 400, ROCHESTER, NY 14621(585) 922-4200(585) 922-4922 Get Directions Write a Review

NPPES record last updated: February 4, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 4, 2026, Dec 29, 2020, Jun 18, 2019 and 1 more (4 updates tracked since 2017).

About Olivia Higgins M.d. NPPES

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

OLIVIA HIGGINS M.D. (NPI 1639566490) is an individual obstetrics & gynecology provider in Rochester, New York, licensed in New York (309508) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS, is affiliated with United Memorial Medical Center, and maintains 6 additional practice locations.

NPPES Registry Identity

NPI1639566490
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameOLIVIA HIGGINSCredential: M.D.
Location Address1415 PORTLAND AVE STE 400Rochester, NY 14621-3022
Mailing Address100 Kings Hwy SRochester, NY 14617-5504
Phone(585) 922-4200
Fax(585) 922-4922
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateApril 20, 2015
Last NPPES UpdateFebruary 4, 20264 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2026
✔ NPI 1639566490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in NY · 309508
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1415 PORTLAND AVE STE 400, Rochester, NY 14621
Open in Google Maps ↗

Secondary Practice Locations 6

Location 12655 Ridgeway Ave Ste 180Rochester, NY 14626-4296 · Phone (585) 368-4000 · Fax (585) 225-2685
Location 2127 North StBatavia, NY 14020-1631 · Phone (585) 343-6030 · Fax (585) 344-7434
Location 33349 Monroe AveRochester, NY 14618-5513 · Phone (585) 922-9206 · Fax (585) 736-9198
Location 4222 Alexander St Ste 1100Rochester, NY 14607-4005 · Phone (585) 922-8585 · Fax (585) 922-8555
Location 51250 Driving Park AveNewark, NY 14513-1057 · Phone (315) 332-2427 · Fax (315) 332-2324
Location 6309 Upper Falls BlvdRochester, NY 14605-2105 · Phone (585) 922-0260 · Fax (585) 922-0240

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Olivia 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 ID8729323878
PECOS Enrollment IDI20210910001703
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

5

Medicare enrollment records show Olivia Higgins reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rochester General Hospital
0.1 mi
General Acute Care Hospital
1425 PORTLAND AVE
Rochester, NY 14621
  • Reassigned Medicare billing, New York enrollment
  • 2,285 clinicians in this Medicare group
NPI 1063531929 (585) 922-4000
Western New York Medical Practice P.C.
0.1 mi
Family Medicine
1425 PORTLAND AVE
Rochester, NY 14621
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Western New York Medical Practice PC
  • 1,030 clinicians in this Medicare group
NPI 1063790608 (585) 922-1318
The Unity Hospital Of Rochester
0.9 mi
General Acute Care Hospital
100 KINGS HWY S
Rochester, NY 14617
  • Reassigned Medicare billing, New York enrollment
  • 1,442 clinicians in this Medicare group
NPI 1457395766 (585) 922-1900
Clifton Springs Sanitarium Co
28 mi
General Acute Care Hospital
2 COULTER RD
Clifton Springs, NY 14432
  • Reassigned Medicare billing, New York enrollment
  • 872 clinicians in this Medicare group
NPI 1366505463 (315) 462-9561
United Memorial Medical Center
32 mi
Family Medicine
127 NORTH ST
Batavia, NY 14020
  • Reassigned Medicare billing, New York enrollment
  • 782 clinicians in this Medicare group
NPI 1669747085 (585) 343-6030

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 3

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

United Memorial Medical Center

Acute Care Hospitals · Batavia, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330073
Location127 North StreetBatavia, NY 14020 · Genesee County
Emergency services Birthing friendly

Rochester General Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330125
Location1425 Portland AvenueRochester, NY 14621 · Monroe County
Emergency services Birthing friendly

Unity Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330226
Location1555 Long Pond RoadRochester, NY 14626 · Monroe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14621 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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 13

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

DANIELLE NANA EKUA ASSIBU-GILMORE CNM
Advanced Practice Midwife
1415 PORTLAND AVE STE 400
ROCHESTER, NY 14621
Monroe County (585) 922-4400
MICHAELA RAHIMI CNM
Advanced Practice Midwife
1415 PORTLAND AVE STE 400
ROCHESTER, NY 14621
Monroe County (585) 922-4200
LAURA DEPERRIOR
Nurse Practitioner (Family)
1415 PORTLAND AVE STE 400
ROCHESTER, NY 14621
Monroe County (585) 922-4200
LYNN NKECHINYERE BENSON MD
Obstetrics & Gynecology
1415 PORTLAND AVE STE 400
ROCHESTER, NY 14621
Monroe County (585) 922-4200
DR. JOSEPHINE KATHERINE PORTER MD
Obstetrics & Gynecology
1415 PORTLAND AVE STE 400
ROCHESTER, NY 14621
Monroe County (585) 922-4200
MELISSA SHANNON KIRVEN MD
Obstetrics & Gynecology
1415 PORTLAND AVE STE 400
ROCHESTER, NY 14621
Monroe County (585) 922-4200
KIMBERLY CAPRARO WHNP
Nurse Practitioner (Women's Health)
1415 PORTLAND AVE STE 400
ROCHESTER, NY 14621
Monroe County (585) 922-4200
MS. CORRINE MARIE WILSON LMSW
Social Worker
1415 PORTLAND AVE STE 400
ROCHESTER, NY 14621
Monroe County (585) 922-3653

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 Olivia Higgins's NPI number?

The NPI number for Olivia Higgins is 1639566490. It was assigned to this individual provider in the NPPES registry on April 20, 2015.

Where is Olivia Higgins located?

Olivia Higgins practices at 1415 Portland Ave Ste 400, Rochester, NY 14621. The listed phone number is (585) 922-4200.

What is Olivia Higgins's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Olivia Higgins enrolled in Medicare?

Yes. Olivia 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 Olivia Higgins's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Olivia Higgins reassigns Medicare benefits to 5 organizations: Rochester General Hospital (Rochester, NY), Western New York Medical Practice P.C. (Rochester, NY), The Unity Hospital Of Rochester (Rochester, NY), Clifton Springs Sanitarium Co (Clifton Springs, NY) and United Memorial Medical Center (Batavia, NY). 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 Olivia Higgins's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Olivia Higgins accept?

Health plans from CareSource list Olivia 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 Olivia Higgins affiliated with any hospitals?

According to CMS data, Olivia Higgins is affiliated with United Memorial Medical Center, Rochester General Hospital and Unity Hospital.

When was this NPI record last updated?

The NPPES record for Olivia Higgins was last updated on February 4, 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.