THOMAS L HIGGINS MD
NPI 1689788499
Internal Medicine - Critical Care Medicine in Springfield, MA
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
Specialties & Licenses
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
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.
Medicare Billing Reassignments
2Medicare enrollment records show Thomas Higgins reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Springfield, MA 01199
- Reassigned Medicare billing, Massachusetts enrollment
- 1,537 clinicians in this Medicare group
Springfield, MA 01104
- Reassigned Medicare billing, Massachusetts enrollment
- 21 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 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.
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, MABaystate Medical Center
Acute Care Hospitals · Springfield, MAPhysician 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.
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.
SPRINGFIELD, MA 01199
SPRINGFIELD, MA 01199
SPRINGFIELD, MA 01199
SPRINGFIELD, MA 01199
SPRINGFIELD, MA 01199
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.
Which organizations bill Medicare for Thomas Higgins's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Higgins reassigns Medicare benefits to 2 organizations: Baystate Medical Practices, Inc (Springfield, MA) and Adfinitas Health At The Mercy Hospital PLLC (Springfield, 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 Thomas Higgins's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Thomas L Higgins, MD · NPI 1689788499
Critical Care Medicine physician in Springfield, Massachusetts. Individual provider, active in the CMS NPPES registry since August 18, 2006.
## Identity
- **NPI:** 1689788499 (Entity type: Individual)
- **Enumerated:** August 18, 2006
- **Primary specialty:** Internal Medicine - Critical Care Medicine · taxonomy 207RC0200X
- **State license:** 50590 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 759 CHESTNUT ST, Springfield, MA 01199-1001
- **Phone:** (413) 794-5439 · **Fax:** (413) 794-5389
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Baystate Medical Practices, Inc (NPI 1548205909, Springfield, MA); Adfinitas Health At The Mercy Hospital PLLC (NPI 1669036737, Springfield, MA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Boston University School Of Medicine, class of 1978
## Record status
- **NPPES last updated:** January 9, 2020
---
Source: [NPI Profile](https://npiprofile.com/npi/1689788499) · Data from the CMS NPPES public registry.