DR. STEPHEN RAY HIGGINS D.O.
NPI 1740412063
Family Medicine in Birmingham, AL

Active since August 20, 2009PECOS EnrolledAccepts Medicare Assignment
87.47/100
CMS Quality Rating
2152 OLD SPRINGVILLE RD, BIRMINGHAM, AL 35215(205) 838-6917 Get Directions Write a Review

NPPES record last updated: August 20, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Stephen Ray Higgins D.o. NPPES

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

DR. STEPHEN RAY HIGGINS D.O. (NPI 1740412063) is an individual family medicine provider in Birmingham, Alabama, licensed in Alabama (L3086R) and active in the NPI registry since August 2009. He is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1740412063
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. STEPHEN RAY HIGGINSCredential: D.O.
Location Address2152 OLD SPRINGVILLE RDBirmingham, AL 35215-4005
Mailing Address2152 Old Springville RdBirmingham, AL 35215-4005 · (205) 838-6917
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateAugust 20, 2009
NPI 1740412063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in AL · L3086R
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2152 OLD SPRINGVILLE RD, Birmingham, AL 35215

Accepted Insurance

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. Stephen Ray Higgins D.o. 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 ID244416949
PECOS Enrollment IDI20110513000403
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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
311 services141 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.
227 services88 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
120 services109 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
91 services90 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
85 services76 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35215 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.95
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
99%102 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims310 services$6.14 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers13 claims14 services$90.56 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Family Medicine
2152 OLD SPRINGVILLE RD
CENTER POINT, AL 35215
Student in an Organized Health Care Education/Training Program
2152 OLD SPRINGVILLE RD
CENTER POINT, AL 35215
General Acute Care Hospital (Rural)
2152 OLD SPRINGVILLE RD
CENTER POINT, AL 35215
Student in an Organized Health Care Education/Training Program
2152 OLD SPRINGVILLE RD
BIRMINGHAM, AL 35215
Student in an Organized Health Care Education/Training Program
2152 OLD SPRINGVILLE RD
CENTER POINT, AL 35215
Family Medicine
2152 OLD SPRINGVILLE RD
CENTER POINT, AL 35215
Family Medicine
2152 OLD SPRINGVILLE RD
CENTER POINT, AL 35215
Family Medicine
2152 OLD SPRINGVILLE RD
CENTER POINT, AL 35215

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 Stephen Higgins's NPI number?

The NPI number for Stephen Higgins is 1740412063. It was assigned to this individual provider in the NPPES registry on August 20, 2009.

Where is Stephen Higgins located?

Stephen Higgins practices at 2152 Old Springville Rd, Birmingham, AL 35215. The listed phone number is (205) 838-6917.

What is Stephen Higgins's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Stephen Higgins enrolled in Medicare?

Yes. Stephen 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.

What insurance does Stephen Higgins accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama and 1 other insurer list Stephen 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 Stephen Higgins was last updated on August 20, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.