THOMAS G HIGGINS MD
NPI 1780766469
Psychiatry & Neurology - Sleep Medicine in Knoxville, TN

Active since October 20, 2006PECOS Enrolled
9000 EXECUTIVE PARK DR, C200, KNOXVILLE, TN 37923(865) 670-6132(865) 670-6188 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Thomas G Higgins Md NPPES

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

THOMAS G HIGGINS MD (NPI 1780766469) is an individual sleep medicine provider in Knoxville, Tennessee, licensed in Tennessee (MD16285) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780766469
Entity TypeIndividualMale
Primary Taxonomy2084S0012X
Provider Legal NameTHOMAS G HIGGINSCredential: MD
Location Address9000 EXECUTIVE PARK DR, C200Knoxville, TN 37923-4685
Mailing Address501 20th St, Ste 303Knoxville, TN 37916-1809 · (865) 670-6728
Fax(865) 670-6188
Sole ProprietorYes
Enumeration DateOctober 20, 2006
Last NPPES UpdateJuly 9, 2007
NPI 1780766469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · Sleep MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2084S0012X
License Licensed in TN · MD16285
Definition

A Psychiatrist or Neurologist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.

9000 EXECUTIVE PARK DR, Knoxville, TN 37923

Other Identifiers 2

Medicare UPINA97871TN
Medicare ID-Type Unspecified3883808TN · Mc Provider Number

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Thomas G Higgins Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Durable Medical Equipment

  • DME-Other DME (DE001N)

    Tubing with integrated heating element for use with positive airway pressure device (HCPCS:A4604)

    23 DME suppliers used 382 Medicare Claims 382 Services Paid

  • DME-Other DME (DE001N)

    Full face mask used with positive airway pressure device, each (HCPCS:A7030)

    21 DME suppliers used 142 Medicare Claims 142 Services Paid

  • DME-Other DME (DE001N)

    Face mask interface, replacement for full face mask, each (HCPCS:A7031)

    18 DME suppliers used 146 Medicare Claims 378 Services Paid

  • DME-Other DME (DE001N)

    Cushion for use on nasal mask interface, replacement only, each (HCPCS:A7032)

    14 DME suppliers used 155 Medicare Claims 875 Services Paid

  • DME-Other DME (DE001N)

    Pillow for use on nasal cannula type interface, replacement only, pair (HCPCS:A7033)

    11 DME suppliers used 143 Medicare Claims 819 Services Paid

  • DME-Other DME (DE001N)

    Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap (HCPCS:A7034)

    19 DME suppliers used 318 Medicare Claims 318 Services Paid

  • DME-Other DME (DE001N)

    Headgear used with positive airway pressure device (HCPCS:A7035)

    24 DME suppliers used 257 Medicare Claims 257 Services Paid

  • DME-Other DME (DE001N)

    Chinstrap used with positive airway pressure device (HCPCS:A7036)

    12 DME suppliers used 45 Medicare Claims 45 Services Paid

  • DME-Other DME (DE001N)

    Tubing used with positive airway pressure device (HCPCS:A7037)

    11 DME suppliers used 44 Medicare Claims 44 Services Paid

  • DME-Other DME (DE001N)

    Filter, disposable, used with positive airway pressure device (HCPCS:A7038)

    24 DME suppliers used 412 Medicare Claims 2399 Services Paid

  • DME-Other DME (DE001N)

    Filter, non disposable, used with positive airway pressure device (HCPCS:A7039)

    12 DME suppliers used 39 Medicare Claims 39 Services Paid

  • DME-Other DME (DE001N)

    Water chamber for humidifier, used with positive airway pressure device, replacement, each (HCPCS:A7046)

    19 DME suppliers used 212 Medicare Claims 212 Services Paid

  • DME-Other DME (DE001N)

    Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) (HCPCS:E0470)

    4 DME suppliers used 51 Medicare Claims 51 Services Paid

  • DME-Other DME (DE001N)

    Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) (HCPCS:E0471)

    4 DME suppliers used 59 Medicare Claims 59 Services Paid

  • DME-Other DME (DE001N)

    Humidifier, heated, used with positive airway pressure device (HCPCS:E0562)

    7 DME suppliers used 25 Medicare Claims 25 Services Paid

  • DME-Other DME (DE001N)

    Humidifier, heated, used with positive airway pressure device (HCPCS:E0562)

    5 DME suppliers used 52 Medicare Claims 53 Services Paid

  • DME-Other DME (DE001N)

    Continuous positive airway pressure (cpap) device (HCPCS:E0601)

    13 DME suppliers used 396 Medicare Claims 398 Services Paid

  • DME-Oxygen and Supplies (DC002N)

    Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate (HCPCS:E1390)

    2 DME suppliers used 11 Medicare Claims 11 Services Paid

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Established patient office or other outpatient visit, 20-29 minutes

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.

This service was performed 51 times for 50 patients

Established patient office or other outpatient visit, 30-39 minutes

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

This service was performed 27 times for 27 patients

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 37923 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $121.8
  • Minimum New Patient Price $52.64
  • Maximum New Patient Price $160.89
  • Average New Patient Copayment $30.45
  • Minimum New Patient Copayment $13.16
  • Maximum New Patient Copayment $40.22

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $93.6
  • Minimum Established Patient Price $16.72
  • Maximum Established Patient Price $131.41
  • Average Established Patient Copayment $23.4
  • Minimum Established Patient Copayment $4.18
  • Maximum Established Patient Copayment $32.85

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Other Providers at the Same Location


The following 13 providers are registered at the same or a nearby location.

Psychiatry & Neurology (Neurology)
9000 EXECUTIVE PARK DR, A207
KNOXVILLE, TN 37923
Pharmacist (Geriatric)
9000 EXECUTIVE PARK DR, SUITE A-204
KNOXVILLE, TN 37923
Physical Therapy Assistant
9000 EXECUTIVE PARK DR
KNOXVILLE, TN 37923
Pharmacist
9000 EXECUTIVE PARK DR, SUITE A 203
KNOXVILLE, TN 37923
Occupational Therapist
9000 EXECUTIVE PARK DR, SUITE 205A NHC HOMECARE
KNOXVILLE, TN 37923
Physical Therapist
9000 EXECUTIVE PARK DR, SUITE A-205
KNOXVILLE, TN 37923
Neurological Surgery
9000 EXECUTIVE PARK DR, SUITE A-207
KNOXVILLE, TN 37923
Nurse Practitioner (Adult Health)
9000 EXECUTIVE PARK DR, SUITE A250
KNOXVILLE, TN 37923
Family Medicine (Sports Medicine)
9000 EXECUTIVE PARK DR, SUITE A210
KNOXVILLE, TN 37923
Occupational Therapist
9000 EXECUTIVE PARK DR
KNOXVILLE, TN 37923
Surgery (Surgical Oncology)
9000 EXECUTIVE PARK DR, C200
KNOXVILLE, TN 37923
Surgery
9000 EXECUTIVE PARK DR, C200
KNOXVILLE, TN 37923
Nurse Practitioner (Family)
9000 EXECUTIVE PARK DR
KNOXVILLE, TN 37923

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1780766469, enumerated as an "individual" on October 20, 2006.

The provider is located at 9000 EXECUTIVE PARK DR C200 KNOXVILLE, TN 37923 and the phone number is (865) 670-6132.

Psychiatry & Neurology with taxonomy code 2084S0012X and a focus in Sleep Medicine.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.