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KYLE HIGGINS LCSW
NPI 1831505213
Social Worker - Clinical in Portland, OR

Active since July 07, 2014PECOS EnrolledAccepts Medicare Assignment
97.83/100
CMS Quality Rating
5725 NE PRESCOTT ST, PORTLAND, OR 97218(503) 493-4258 Get Directions Write a Review

NPPES record last updated: July 17, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kyle Higgins Lcsw NPPES

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

KYLE HIGGINS LCSW (NPI 1831505213) is an individual clinical provider in Portland, Oregon, licensed in Oregon (L6053) and active in the NPI registry since July 2014. He is enrolled in Medicare PECOS, is affiliated with Ohsu Hospital And Clinics, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1831505213
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameKYLE HIGGINSCredential: LCSW
Location Address5725 NE PRESCOTT STPortland, OR 97218-2275
Mailing AddressPo Box 8459Portland, OR 97207-8459
Phone(503) 493-4258
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJuly 7, 2014
Last NPPES UpdateJuly 17, 2014
✔ NPI 1831505213 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 OR · L6053
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.
5725 NE PRESCOTT ST, Portland, OR 97218
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.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

Kyle Higgins 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 ID345543153
PECOS Enrollment IDI20160127002139
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.

Hospital Affiliations CMS Care Compare

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

Ohsu Hospital And Clinics

Acute Care Hospitals · Portland, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number380009
Location3181 SW Sam Jackson Park RoadPortland, OR 97239 · Multnomah County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97218 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 $58.99 – $176.88
Typical copayment $0.00 (range $14.74 – $44.22)
Most-billed visit code NA
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
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.

97.83/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.97
Promoting Interoperability100
Improvement Activities40

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.

CELESTE LOUISE SCHWAB
Technician (Personal Care Attendant)
5725 NE PRESCOTT ST
PORTLAND, OR 97218
Multnomah County (503) 402-8101
CHRISTOPHER RYAN GAGE
Technician (Personal Care Attendant)
5725 NE PRESCOTT ST
PORTLAND, OR 97218
Multnomah County (503) 402-8101
KIARA SHAKIR TAYLOR
Case Manager/Care Coordinator
5725 NE PRESCOTT ST
PORTLAND, OR 97218
Multnomah County (503) 402-8101
EZRA VIVEC NETHRUNIL
Adult Companion
5725 NE PRESCOTT ST
PORTLAND, OR 97218
Multnomah County (503) 402-8101
GERALDINE KATHY VAN BUSKIRK
Technician (Personal Care Attendant)
5725 NE PRESCOTT ST
PORTLAND, OR 97218
Multnomah County (503) 402-8101
GLORIA WILLIS
Social Worker
5725 NE PRESCOTT ST
PORTLAND, OR 97218
Multnomah County (503) 548-8085
JESSICA ANTOINETTE NICHOLAS
Technician (Personal Care Attendant)
5725 NE PRESCOTT ST
PORTLAND, OR 97218
Multnomah County (503) 548-8085
ALVIN RUSSELL
Technician (Personal Care Attendant)
5725 NE PRESCOTT ST
PORTLAND, OR 97218
Multnomah County (503) 402-8101

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 Kyle Higgins's NPI number?

The NPI number for Kyle Higgins is 1831505213. It was assigned to this individual provider in the NPPES registry on July 7, 2014.

Where is Kyle Higgins located?

Kyle Higgins practices at 5725 NE Prescott St, Portland, OR 97218. The listed phone number is (503) 493-4258.

What is Kyle Higgins's specialty?

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

Is Kyle Higgins enrolled in Medicare?

Yes. Kyle 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 Kyle Higgins accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Kyle 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 Kyle Higgins affiliated with any hospitals?

According to CMS data, Kyle Higgins is affiliated with Ohsu Hospital And Clinics.

When was this NPI record last updated?

The NPPES record for Kyle Higgins was last updated on July 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.