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DR. CHRISTINE D CRISCUOLO HIGGINS MD
NPI 1881695864
Family Medicine in San Antonio, TX

Active since August 02, 2005PECOS EnrolledAccepts Medicare Assignment
11130 CHRISTUS HILLS, 3RD FLOOR, SAN ANTONIO, TX 78251(210) 703-9001(210) 703-9155 Get Directions Write a Review

NPPES record last updated: June 12, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Christine D Criscuolo Higgins Md NPPES

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

DR. CHRISTINE D CRISCUOLO HIGGINS MD (NPI 1881695864) is an individual family medicine provider in San Antonio, Texas, licensed in Texas (M1063) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS, is affiliated with Christus Santa Rosa Medical Center, and is a graduate of University Of New Mexico School Of Medicine (2002).

NPPES Registry Identity

NPI1881695864
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. CHRISTINE D CRISCUOLO HIGGINSCredential: MD
Location Address11130 CHRISTUS HILLS, 3RD FLOORSan Antonio, TX 78251
Mailing Address11130 Christus Hills, 2nd Floor, Suite 201San Antonio, TX 78251-3584 · (210) 703-9001 · Fax (210) 703-9155
Phone(210) 703-9001
Fax(210) 703-9155
Sole ProprietorNo
Medical School CMSUniversity Of New Mexico School Of MedicineGraduated 2002
Enumeration DateAugust 2, 2005
Last NPPES UpdateJune 12, 2018
✔ NPI 1881695864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · M1063
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
11130 CHRISTUS HILLS, San Antonio, TX 78251
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Other Identifiers 9

Other1048212TX · Bluelink Access
Other6030526TX · Cigna
Other1745440-02TX · Cshcn Medicaid
Other7393713TX · Aetna
Other742806531VTX · Humana
Other9391864TX · Private Healthcare Syst
Medicaid1745440-01TX
Other5632580TX · First Health
Other8J8363TX · Bluecrossblueshield Tx

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CHRISTUS 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

Dr. Christine D Criscuolo Higgins Md 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 ID6002844677
PECOS Enrollment IDI20050803001158
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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
78 services34 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.
48 services38 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
37 services35 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
29 services29 patients
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.
18 services17 patients

Hospital Affiliations CMS Care Compare

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

Christus Santa Rosa Medical Center

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450237
Location2827 Babcock RoadSan Antonio, TX 78229 · Bexar County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78251 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
41%226 patients2/55-star benchmark: 92%
Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
20%159 patients1/55-star benchmark: 100%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
38%347 patients2/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
34%162 patients2/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
99%1,641 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
97%1,980 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
29%316 patients2/55-star benchmark: 88%
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.
95%311 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.
73%1,826 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…
99%1,826 patients4/55-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…
40%1,826 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.
50%1,826 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.

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.

JOSHUA T KUEHNE DO
Family Medicine
11130 CHRISTUS HILLS, MEDICAL PLAZA 3, 3RD FLOOR
SAN ANTONIO, TX 78251
Bexar County (210) 703-9001
JOSE R HINOJOSA II MD
Family Medicine
11130 CHRISTUS HILLS, 3RD FLOOR
SAN ANTONIO, TX 78251
Bexar County (210) 703-9001
SHAHID AZIZ M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
11130 CHRISTUS HILLS, STE 101
SAN ANTONIO, TX 78251
Bexar County (210) 352-5006
SYED J. UMER, MD, PA
Internal Medicine (Cardiovascular Disease)
11130 CHRISTUS HILLS, SUITE 207 MEDICAL PLAZA 3
SAN ANTONIO, TX 78251
Bexar County (210) 681-6176
ALLISON MARIE SMITH MD
Student in an Organized Health Care Education/Training Program
11130 CHRISTUS HILLS, MEDICAL PLAZA 3, 3RD FL
SAN ANTONIO, TX 78251
Bexar County (210) 703-9001
CECILIA NGUYEN DO
Student in an Organized Health Care Education/Training Program
11130 CHRISTUS HILLS, MEDICAL PLAZA 3, SUITE 311
SAN ANTONIO, TX 78251
Bexar County (210) 703-9025
KALLI R GLASS DO
Family Medicine
11130 CHRISTUS HILLS, MEDICAL PLAZA 3, 3RD FLOOR
SAN ANTONIO, TX 78251
Bexar County (210) 703-9001
MAX MCCOLLOSTER MD
Family Medicine
11130 CHRISTUS HILLS, MEDICAL PLAZA 3, 3RD FL
SAN ANTONIO, TX 78251
Bexar County (210) 703-9001

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 Christine Criscuolo Higgins's NPI number?

The NPI number for Christine Criscuolo Higgins is 1881695864. It was assigned to this individual provider in the NPPES registry on August 2, 2005.

Where is Christine Criscuolo Higgins located?

Christine Criscuolo Higgins practices at 11130 Christus Hills 3rd Floor, San Antonio, TX 78251. The listed phone number is (210) 703-9001.

What is Christine Criscuolo Higgins's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Christine Criscuolo Higgins enrolled in Medicare?

Yes. Christine Criscuolo 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 Christine Criscuolo Higgins accept?

Health plans from Blue Cross and Blue Shield of Texas and CHRISTUS Health Plan list Christine Criscuolo 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 Christine Criscuolo Higgins affiliated with any hospitals?

According to CMS data, Christine Criscuolo Higgins is affiliated with Christus Santa Rosa Medical Center.

When was this NPI record last updated?

The NPPES record for Christine Criscuolo Higgins was last updated on June 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.