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DR. GUILLERMO HIGA SANSONE M.D.
NPI 1871763540
Surgery in Tucson, AZ

Active since March 10, 2008PECOS Enrolled
1712 W ANKLAM RD STE 101, TUCSON, AZ 85745(520) 207-2384(520) 367-4297 Get Directions Write a Review

NPPES record last updated: June 4, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 4, 2024, Nov 30, 2020, Oct 20, 2020 and 1 more (4 updates tracked since 2017).

About Dr. Guillermo Higa Sansone M.d. NPPES

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

DR. GUILLERMO HIGA SANSONE M.D. (NPI 1871763540) is an individual surgery provider in Tucson, Arizona, licensed in Arizona (52155) and active in the NPI registry since March 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1871763540
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. GUILLERMO HIGA SANSONECredential: M.D.
Location Address1712 W ANKLAM RD STE 101Tucson, AZ 85745-2660
Mailing Address1712 W Anklam Rd Ste 101Tucson, AZ 85745-2660 · (520) 207-2384 · Fax (520) 367-4297
Phone(520) 207-2384
Fax(520) 367-4297
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateMarch 10, 2008
Last NPPES UpdateJune 4, 20244 updates tracked since enumeration
NPPES CertifiedJune 4, 2024
✔ NPI 1871763540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in AZ · 52155
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1712 W ANKLAM RD STE 101, Tucson, AZ 85745
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Antidote Health Plan of Arizona, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Guillermo Higa Sansone M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1557553674
PECOS Enrollment IDI20181009002881
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

5

Medicare enrollment records show Guillermo Higa Sansone reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Tucson Weight Loss Surgery
Same address
Surgery
1712 W ANKLAM RD STE 101
Tucson, AZ 85745
  • Reassigned Medicare billing, Arizona enrollment
  • 7 clinicians in this Medicare group
NPI 1265149488 (520) 207-2384
Tucson Physician Group Holdings, LLC
0.1 mi
Interventional Cardiology
395 N SILVERBELL RD STE 355
Tucson, AZ 85745
  • Reassigned Medicare billing, Arizona enrollment
  • 293 clinicians in this Medicare group
NPI 1356726939 (520) 622-5912
Tmc Medical Network
7.5 mi
Multi-Specialty
5301 E GRANT RD
Tucson, AZ 85712
  • Reassigned Medicare billing, Arizona enrollment
  • 471 clinicians in this Medicare group
NPI 1750832283 (520) 327-5461
Tmcone
7.5 mi
Multi-Specialty
5301 E GRANT RD
Tucson, AZ 85712
  • Reassigned Medicare billing, Arizona enrollment
  • 196 clinicians in this Medicare group
NPI 1467310417 (520) 324-2308
Willamette Valley Clinics LLC
1,108 mi
Family Medicine
2700 SE STRATUS AVE, STE. 302
Mcminnville, OR 97128
  • Reassigned Medicare billing, Oregon enrollment
  • 76 clinicians in this Medicare group
NPI 1790740520 (503) 474-2565

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 6

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.
49 services29 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
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.
25 services20 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
25 services25 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
19 services19 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
13 services13 patients
Removal of gallbladder using an endoscope 47562
This procedure, known as endoscopic gallbladder removal, involves a surgeon using a special tool called an endoscope to remove your gallbladder through small incisions. It's typically done to treat gallstones and related complications. It's a less invasive method, often leading to quicker recovery.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85745 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

Reported Quality Measures

Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
97%78 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
86%81 patients4/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%81 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
42%81 patients2/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
53%81 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Parenteral nutrition solution, not otherwise specified, 10 grams lipids B4185
Other-Enteral and Parenteral · category OB005N
1 supplier11 claims502 services$11.20 avg. paid by Medicare
Parenteral nutrition supply kit; premix, per day B4220
Other-Enteral and Parenteral · category OB005N
1 supplier11 claims66 services$7.98 avg. paid by Medicare
Parenteral nutrition administration kit, per day B4224
Other-Enteral and Parenteral · category OB005N
1 supplier11 claims66 services$24.93 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

TUCSON WEIGHT LOSS SURGERY
Surgery
1712 W ANKLAM RD STE 101
TUCSON, AZ 85745
Pima County (520) 207-2384
ANALI MARTINEZ RD
Dietitian, Registered
1712 W ANKLAM RD STE 101
TUCSON, AZ 85745
Pima County (520) 207-2384
HIGA BARIATRICS LLC
Surgery
1712 W ANKLAM RD STE 101
TUCSON, AZ 85745
Pima County (520) 207-2384
JENIFER TREFOIS SEIDNER
Nurse Practitioner
1712 W ANKLAM RD STE 101
TUCSON, AZ 85745
Pima County (520) 207-2384

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 Guillermo Higa Sansone's NPI number?

The NPI number for Guillermo Higa Sansone is 1871763540. It was assigned to this individual provider in the NPPES registry on March 10, 2008.

Where is Guillermo Higa Sansone located?

Guillermo Higa Sansone practices at 1712 W Anklam Rd Ste 101, Tucson, AZ 85745. The listed phone number is (520) 207-2384.

What is Guillermo Higa Sansone's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Guillermo Higa Sansone enrolled in Medicare?

Yes. Guillermo Higa Sansone is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Guillermo Higa Sansone's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Guillermo Higa Sansone reassigns Medicare benefits to 5 organizations: Tucson Weight Loss Surgery (Tucson, AZ), Tucson Physician Group Holdings, LLC (Tucson, AZ), Tmc Medical Network (Tucson, AZ), Tmcone (Tucson, AZ) and Willamette Valley Clinics LLC (Mcminnville, OR). 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 Guillermo Higa Sansone's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Guillermo Higa Sansone accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona and Cigna HealthCare of Arizona, Inc and 2 other insurers list Guillermo Higa Sansone 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 Guillermo Higa Sansone was last updated on June 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.