MICHAEL G. HIGBEE LCSW
NPI 1770730939
Social Worker - Clinical in Provo, UT

Active since August 19, 2008PECOS EnrolledAccepts Medicare Assignment
78.85/100
CMS Quality Rating
3325 N UNIVERSITY AVE, PROVO, UT 84604(801) 885-0941 Get Directions Write a Review

NPPES record last updated: August 19, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Michael G. Higbee Lcsw NPPES

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

MICHAEL G. HIGBEE LCSW (NPI 1770730939) is an individual clinical provider in Provo, Utah, licensed in Utah (2452089-3501) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS, is affiliated with St Lukes Magic Valley Medical Center, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1770730939
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMICHAEL G. HIGBEECredential: LCSW
Location Address3325 N UNIVERSITY AVEProvo, UT 84604-4465
Mailing Address1311 W 1700 NProvo, UT 84604-1110 · (801) 885-0941
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateAugust 19, 2008
✔ NPI 1770730939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in UT · 2452089-3501
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
3325 N UNIVERSITY AVE, Provo, UT 84604

Accepted 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

Michael G. Higbee Lcsw 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 ID8729487244
PECOS Enrollment IDI20210602002685
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 Higbee reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
775 POLE LINE RD W
Twin Falls, ID 83301
  • Reassigned Medicare billing, Idaho enrollment
  • Medicare enrollment name: St Lukes Clinic LLC
  • 322 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.

Hospital Affiliations CMS Care Compare

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

St Lukes Magic Valley Medical Center

Acute Care Hospitals · Twin Falls, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130002
Location801 Pole Line Road WestTwin Falls, ID 83301 · Twin Falls County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84604 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
$0.00 typical visit price
range $54.34 – $166.03
Typical copayment $0.00 (range $13.58 – $41.50)
Most-billed visit code NA
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
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.

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.

78.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.58
Promoting Interoperability100
Improvement Activities40
Cost47.94

Other Providers at the Same Location NPPES 12

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

Counselor (Mental Health)
3325 N UNIVERSITY AVE, SUITE 315
PROVO, UT 84604
Counselor (Mental Health)
3325 N UNIVERSITY AVE, SUITE 300
PROVO, UT 84604
Pediatrics
3325 N UNIVERSITY AVE, STE 100
PROVO, UT 84604
Clinic/Center (Health Service)
3325 N UNIVERSITY AVE, SUITE 275
PROVO, UT 84604
Chiropractor
3325 N UNIVERSITY AVE, SUITE 125
PROVO, UT 84604
Community/Behavioral Health
3325 N UNIVERSITY AVE, SUITE 275
PROVO, UT 84604
Counselor (Mental Health)
3325 N UNIVERSITY AVE, SUITE #275
PROVO, UT 84604
Psychologist
3325 N UNIVERSITY AVE, SUITE 300
PROVO, UT 84604

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 Higbee's NPI number?

The NPI number for Michael Higbee is 1770730939. It was assigned to this individual provider in the NPPES registry on August 19, 2008.

Where is Michael Higbee located?

Michael Higbee practices at 3325 N University Ave, Provo, UT 84604. The listed phone number is (801) 885-0941.

What is Michael Higbee's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Michael Higbee enrolled in Medicare?

Yes. Michael Higbee 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 Higbee's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Higbee reassigns Medicare benefits to St Luke's Clinic LLC (Twin Falls, ID). 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 Higbee's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Higbee accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Select Health list Michael Higbee 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 Higbee affiliated with any hospitals?

According to CMS data, Michael Higbee is affiliated with St Lukes Magic Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Higbee was last updated on August 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.