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THOMAS L HIGGINS MD
NPI 1689788499
Internal Medicine - Critical Care Medicine in Springfield, MA

Active since August 18, 2006PECOS EnrolledAccepts Medicare Assignment
759 CHESTNUT ST, SPRINGFIELD, MA 01199(413) 794-5439(413) 794-5389 Get Directions Write a Review

NPPES record last updated: January 9, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Thomas L Higgins Md NPPES

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

THOMAS L HIGGINS MD (NPI 1689788499) is an individual critical care medicine provider in Springfield, Massachusetts, licensed in Massachusetts (50590) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Baystate Wing Hospital, and is a graduate of Boston University School Of Medicine (1978).

NPPES Registry Identity

NPI1689788499
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameTHOMAS L HIGGINSCredential: MD
Location Address759 CHESTNUT STSpringfield, MA 01199-1001
Mailing Address280 Chestnut St, 2nd FloorSpringfield, MA 01199-1000 · (413) 794-5700
Phone(413) 794-5439
Fax(413) 794-5389
Sole ProprietorNo
Medical School CMSBoston University School Of MedicineGraduated 1978
Enumeration DateAugust 18, 2006
Last NPPES UpdateJanuary 9, 2020
✔ NPI 1689788499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License✔ Licensed in MA · 50590
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
759 CHESTNUT ST, Springfield, MA 01199
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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

Thomas L Higgins Md 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 ID244287274
PECOS Enrollment IDI20050401000618
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 3

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
89 services58 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
37 services29 patients
Critical care, each additional 30 minutes 99292
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
18 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Baystate Wing Hospital

Acute Care Hospitals · Palmer, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number220030
Location40 Wright StreetPalmer, MA 01069 · Hampden County
Emergency services

Baystate Medical Center

Acute Care Hospitals · Springfield, MA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220077
Location759 Chestnut StreetSpringfield, MA 01199 · Hampden County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01199 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

DENNIS ZAMBRANO
Student in an Organized Health Care Education/Training Program
759 CHESTNUT ST
SPRINGFIELD, MA 01199
Hampden County (413) 794-0000
CHARLES E BROWN
Nurse Anesthetist, Certified Registered
759 CHESTNUT ST
SPRINGFIELD, MA 01199
Hampden County (413) 794-3520
RAISA KHAN
Student in an Organized Health Care Education/Training Program
759 CHESTNUT ST
SPRINGFIELD, MA 01199
Hampden County (413) 794-0000
VICTORIA YOUNES
Student in an Organized Health Care Education/Training Program
759 CHESTNUT ST
SPRINGFIELD, MA 01199
Hampden County (418) 794-0000
MR. ROBERT J RUSSELL PCNS
Clinical Nurse Specialist (Psychiatric/Mental Health)
759 CHESTNUT ST
SPRINGFIELD, MA 01199
Hampden County (413) 794-3376
DR. BENJAMIN J BARNES MD
Psychiatry & Neurology (Neurology)
759 CHESTNUT ST
SPRINGFIELD, MA 01199
Hampden County (413) 794-4440
BAYSTATE MEDICAL CENTER INC
Pharmacy (Community/Retail Pharmacy)
759 CHESTNUT ST, DALY 3 PHARMACY
SPRINGFIELD, MA 01199
Hampden County (413) 794-3291
JEFFREY WALBRIDGE DO
Pediatrics
759 CHESTNUT ST
SPRINGFIELD, MA 01199
Hampden County (413) 794-0000

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 Thomas Higgins's NPI number?

The NPI number for Thomas Higgins is 1689788499. It was assigned to this individual provider in the NPPES registry on August 18, 2006.

Where is Thomas Higgins located?

Thomas Higgins practices at 759 Chestnut St, Springfield, MA 01199. The listed phone number is (413) 794-5439.

What is Thomas Higgins's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Thomas Higgins enrolled in Medicare?

Yes. Thomas 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 Thomas Higgins affiliated with any hospitals?

According to CMS data, Thomas Higgins is affiliated with Baystate Wing Hospital and Baystate Medical Center.

When was this NPI record last updated?

The NPPES record for Thomas Higgins was last updated on January 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.