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DR. MATTHEW RYAN HIGGINS APRN
NPI 1780150367
Nurse Practitioner - Family in Bradenton, FL

Active since October 22, 2018PECOS EnrolledAccepts Medicare Assignment
1720 MANATEE AVE E, BRADENTON, FL 34208(941) 216-2878(941) 216-7337 Get Directions Write a Review

NPPES record last updated: January 7, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 7, 2019, Oct 22, 2018 (2 updates tracked since 2018).

About Dr. Matthew Ryan Higgins Aprn NPPES

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

DR. MATTHEW RYAN HIGGINS APRN (NPI 1780150367) is an individual family provider in Bradenton, Florida, licensed in Florida (APRN9292222) and active in the NPI registry since October 2018. He is enrolled in Medicare PECOS, maintains a secondary practice location in St Petersburg, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1780150367
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameDR. MATTHEW RYAN HIGGINSCredential: APRN
Location Address1720 MANATEE AVE EBradenton, FL 34208-1452
Mailing Address367 S. Gulph Rd, Attn: Ipm CredentialingKing Of Prussia, PA 19406-3121 · (941) 216-2878
Phone(941) 216-2878
Fax(941) 216-7337
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateOctober 22, 2018
Last NPPES UpdateJanuary 7, 20192 updates tracked since enumeration
✔ NPI 1780150367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in FL · APRN9292222
1720 MANATEE AVE E, Bradenton, FL 34208
Open in Google Maps ↗

Secondary Practice Location 1

Location 11405 Dr Martin Luther King Jr St NSt Petersburg, FL 33704-3301 · Phone (732) 996-0815

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health, Oscar Health Maintenance Organization of Florida, Oscar Insurance Company.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. Matthew Ryan Higgins Aprn 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 ID7315994407
PECOS Enrollment IDI20250331002231
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 Reassignments

8

Medicare enrollment records show Matthew Higgins reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Observation Medical Group LLC
24 mi
Emergency Medicine
6901 SIMMONS LOOP
Riverview, FL 33578
  • Reassigned Medicare billing, Florida enrollment
  • 158 clinicians in this Medicare group
NPI 1467094425 (813) 302-8000
Adventist Health System/Sunbelt, Inc.
30 mi
Urgent Care
10222 BLOOMINGDALE AVE
Riverview, FL 33578
  • Reassigned Medicare billing, Florida enrollment
  • 284 clinicians in this Medicare group
NPI 1942603519 (407) 200-2300
Emergency Medical Associates Of Tampa Bay, LLC
34 mi
Emergency Medicine
3001 W. DR. MARTIN LUTHER KING JR. BLVD
Tampa, FL 33607
  • Reassigned Medicare billing, Florida enrollment
  • 161 clinicians in this Medicare group
NPI 1023397817 (813) 870-4000
Ridgewood Emergency Group, LLC
64 mi
Emergency Medicine
6945 CYPRESS GARDENS BLVD
Winter Haven, FL 33884
  • Reassigned Medicare billing, Florida enrollment
  • 98 clinicians in this Medicare group
NPI 1679324842 (863) 422-4971
Lake Wales Emergency Physicians, LLC
66 mi
Emergency Medicine
410 S 11TH ST
Lake Wales, FL 33853
  • Reassigned Medicare billing, Florida enrollment
  • 99 clinicians in this Medicare group
NPI 1033480405 (877) 693-5700
Urgent Care Centers Of Brevard County LLC
105 mi
Urgent Care
2600 WESTHALL LN
Maitland, FL 32751
  • Reassigned Medicare billing, Florida enrollment
  • 82 clinicians in this Medicare group
NPI 1295367290 (407) 200-2300
MD Now Medical Centers Inc
160 mi
Urgent Care
2007 PALM BEACH LAKES BLVD
West Palm Beach, FL 33409
  • Reassigned Medicare billing, Florida enrollment
  • 373 clinicians in this Medicare group
NPI 1033195474 (561) 420-8555
Permanente Medical Group Inc
2,351 mi
Internal Medicine
7373 WEST LANE
Stockton, CA 95210
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1548343510 (209) 476-2000

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 2

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
15 services15 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34208 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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 9

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

BINDU S. NAIR M.D.
Pediatrics
1720 MANATEE AVE E
BRADENTON, FL 34208
Manatee County (941) 747-4661
MCR HEALTH, INC.
Obstetrics & Gynecology (Maternal & Fetal Medicine)
1720 MANATEE AVE E
BRADENTON, FL 34208
Manatee County (941) 714-7475
DR. GARY MICHAEL STROBL JR. DO
Family Medicine
1720 MANATEE AVE E
BRADENTON, FL 34208
Manatee County (941) 216-2878
BRITTNEY JANAE JOHNSON APRM
Nurse Practitioner (Family)
1720 MANATEE AVE E
BRADENTON, FL 34208
Manatee County (941) 757-5445
MADELINE EPSTEIN PA-C
Physician Assistant
1720 MANATEE AVE E
BRADENTON, FL 34208
Manatee County (941) 757-5445
DR. DREW JAMESON EDWARDS M.D.
Family Medicine
1720 MANATEE AVE E
BRADENTON, FL 34208
Manatee County (941) 216-2878
LUIS A. URRUTIA M.D.
Family Medicine
1720 MANATEE AVE E
BRADENTON, FL 34208
Manatee County (941) 747-4661
DOCTORS OF MANATEE
Legal Medicine
1720 MANATEE AVE E
BRADENTON, FL 34208
Manatee County (941) 747-4661

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 Matthew Higgins's NPI number?

The NPI number for Matthew Higgins is 1780150367. It was assigned to this individual provider in the NPPES registry on October 22, 2018.

Where is Matthew Higgins located?

Matthew Higgins practices at 1720 Manatee Ave E, Bradenton, FL 34208. The listed phone number is (941) 216-2878.

What is Matthew Higgins's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Matthew Higgins enrolled in Medicare?

Yes. Matthew 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 Matthew Higgins's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Higgins reassigns Medicare benefits to 8 organizations: Observation Medical Group LLC (Riverview, FL), Adventist Health System/Sunbelt, Inc. (Riverview, FL), Emergency Medical Associates Of Tampa Bay, LLC (Tampa, FL), Ridgewood Emergency Group, LLC (Winter Haven, FL), Lake Wales Emergency Physicians, LLC (Lake Wales, FL) and 3 more organizations, listed in the Medicare section above. 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 Matthew Higgins's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Matthew Higgins accept?

Health plans from Oscar Health, Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Matthew 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 Matthew Higgins was last updated on January 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.