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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. MICHAEL HIGGINS M.D.
NPI 1750518437
Surgery in Bellingham, WA

Active since June 19, 2009PECOS Enrolled
3015 SQUALICUM PKWY, SUITE 250, BELLINGHAM, WA 98225(360) 676-2288(360) 861-6017 Get Directions Write a Review

NPPES record last updated: October 20, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Michael Higgins M.d. NPPES

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

DR. MICHAEL HIGGINS M.D. (NPI 1750518437) is an individual surgery provider in Bellingham, Washington, licensed in Washington (MD.MD.60221728) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS, is affiliated with St Joseph Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1750518437
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. MICHAEL HIGGINSCredential: M.D.
Location Address3015 SQUALICUM PKWY, SUITE 250Bellingham, WA 98225-1945
Mailing Address3015 Squalicum Pkwy Ste 250Bellingham, WA 98225-1946 · (360) 676-2288 · Fax (360) 861-6017
Phone(360) 676-2288
Fax(360) 861-6017
Sole ProprietorYes
Medical School CMSUniversity Of Washington School Of MedicineGraduated 2006
Enumeration DateJune 19, 2009
Last NPPES UpdateOctober 20, 2026
NPPES CertifiedOctober 20, 2026
✔ NPI 1750518437 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in WA · MD.MD.60221728
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
3015 SQUALICUM PKWY, Bellingham, WA 98225
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Secondary Practice Locations 2

Location 11117 Spring StFriday Harbor, WA 98250-9782 · Phone (360) 378-1738 · Fax (360) 378-1784
Location 22979 Squalicum PkwyBellingham, WA 98225-1811 · Phone (360) 788-8200 · Fax (360) 788-8329

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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

Dr. Michael 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 ID6800067257
PECOS Enrollment IDI20110915000744
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 Michael Higgins reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Peacehealth
0.1 mi
Internal Medicine
2901 SQUALICUM PKWY
Bellingham, WA 98225
  • Reassigned Medicare billing, Washington enrollment
  • 390 clinicians in this Medicare group
NPI 1356309553 (360) 734-5400

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 6

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
90 services90 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
40 services40 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
40 services29 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
33 services32 patients
Repair of groin hernia using an endoscope 49650
This procedure involves the use of an endoscope, a thin tube with a camera, to repair a hernia in the groin area. The surgeon makes small incisions, inserts the endoscope, and uses special tools to fix the hernia. This minimally invasive technique often results in quicker recovery times.
26 services26 patients
Diagnostic exam of anus using an endoscope 46600
This procedure involves using a thin, flexible instrument called an endoscope to examine the anal area. It helps detect any abnormal conditions or issues. It's a safe, routine exam performed by a healthcare professional.
16 services16 patients

Hospital Affiliations CMS Care Compare 2

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

St Joseph Hospital

Acute Care Hospitals · Bellingham, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number500030
Location2901 Squalicum ParkwayBellingham, WA 98225 · Whatcom County
Emergency services Birthing friendly

Peacehealth United General Medical Center

Critical Access Hospitals · Sedro Woolley, WA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number501329
Location2000 Hospital DriveSedro Woolley, WA 98284 · Skagit County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98225 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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 20

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

WARREN S TARANOW DO
Orthopaedic Surgery
3015 SQUALICUM PKWY
BELLINGHAM, WA 98225
Whatcom County (360) 733-2092
DR. RIYA PARANTHAN O.D.
Optometrist
3015 SQUALICUM PKWY
BELLINGHAM, WA 98225
Whatcom County (360) 733-4800
ROBERT CHARLES STEWART PA-C
Physician Assistant (Medical)
3015 SQUALICUM PKWY
BELLINGHAM, WA 98225
Whatcom County (360) 715-4186
AMIR GHARAEI M.D.
Internal Medicine (Pulmonary Disease)
3015 SQUALICUM PKWY, SUITE 140
BELLINGHAM, WA 98225
Whatcom County (360) 788-6112
MS. MARTHA ELLEN SERVEN PA-C
Physician Assistant (Medical)
3015 SQUALICUM PKWY, STE 180
BELLINGHAM, WA 98225
Whatcom County (360) 733-5733
DR. ROBERT WILLIAM GAUBATZ M.D.
Family Medicine (Geriatric Medicine)
3015 SQUALICUM PKWY, SUITE 100
BELLINGHAM, WA 98225
Whatcom County (360) 715-4186
DR. MARCY G. HIPSKIND MD
Family Medicine
3015 SQUALICUM PKWY, SUITE 120
BELLINGHAM, WA 98225
Whatcom County (360) 733-7974
BELLINGHAM ASTHMA ALLERGY IMMUNOLOGY CLINIC PS
Allergy & Immunology
3015 SQUALICUM PKWY, STE 180
BELLINGHAM, WA 98225
Whatcom County (360) 733-5733

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 Michael Higgins's NPI number?

The NPI number for Michael Higgins is 1750518437. It was assigned to this individual provider in the NPPES registry on June 19, 2009.

Where is Michael Higgins located?

Michael Higgins practices at 3015 Squalicum Pkwy Suite 250, Bellingham, WA 98225. The listed phone number is (360) 676-2288.

What is Michael Higgins's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Michael Higgins enrolled in Medicare?

Yes. Michael 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 organization bills Medicare for Michael Higgins's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Higgins reassigns Medicare benefits to Peacehealth (Bellingham, WA). 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 Michael Higgins's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Higgins accept?

Health plans from Ambetter Health, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Michael 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 Michael Higgins affiliated with any hospitals?

According to CMS data, Michael Higgins is affiliated with St Joseph Hospital and Peacehealth United General Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Higgins was last updated on October 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.