LAURA ANN HIGGINS M.D.
NPI 1861618357
Emergency Medicine in Newark, OH

Q: What is Laura Higgins's NPI number?

The NPI number for Laura Higgins is 1861618357. It was assigned to this individual provider in the NPPES registry on April 17, 2007.

Q: What is Laura Higgins's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Laura Higgins was last updated on March 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since April 17, 2007PECOS EnrolledAccepts Medicare Assignment

79.35/100

CMS Quality Rating

1320 WEST MAIN ST, NEWARK, OH 43055(220) 564-4151(220) 564-7153 Get Directions Write a Review

NPPES record last updated: March 24, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 24, 2023, Feb 20, 2017, Jan 17, 2017 and 1 more (4 updates tracked since 2016).

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About Laura Ann Higgins M.d. NPPES

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

LAURA ANN HIGGINS M.D. (NPI 1861618357) is an individual emergency medicine provider in Newark, Ohio, licensed in Ohio (35.093190) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS, is affiliated with Licking Memorial Hospital, and maintains a secondary practice location in Newark.

NPPES Registry Identity

NPI1861618357

Entity TypeIndividualFemale

Primary Taxonomy207P00000X

Provider Legal NameLAURA ANN HIGGINSCredential: M.D.

Location Address1320 WEST MAIN STNewark, OH 43055

Mailing Address1320 West Main StNewark, OH 43055 · (220) 564-4151 · Fax (220) 564-7153

Phone(220) 564-4151

Fax(220) 564-7153

Sole ProprietorNo

Medical School CMSSaint Louis University School Of MedicineGraduated 2003

Enumeration DateApril 17, 2007

Last NPPES UpdateMarch 24, 20234 updates tracked since enumeration

✔ NPI 1861618357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Licenses✔ Licensed in OH · 35.093190✔ Licensed in OR · MD27293✔ Licensed in OH · 35093190

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

1320 WEST MAIN ST, Newark, OH 43055

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Secondary Practice Location 1

Location 11320 W Main StNewark, OH 43055-1822 · Phone (220) 564-7153

Other Identifiers 2

Medicaid2995488OH

OtherMD27293OR · Medical License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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

Laura Ann 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 ID4183725385

PECOS Enrollment IDI20091030000016

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.

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.

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.

84 services83 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.

24 services24 patients

Hospital Affiliations CMS Care Compare

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

Licking Memorial Hospital

Acute Care Hospitals · Newark, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360218

Location1320 West Main StreetNewark, OH 43055 · Licking County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43055 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

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.

79.35/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

71.02

Promoting Interoperability

100

Improvement Activities

Cost

57.85

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Other Providers at the Same Location NPPES 13

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

KATHY WILLIAMS CRNA

Nurse Anesthetist, Certified Registered