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TIFFANY ROSE HIGGINS DO
NPI 1902217052
Family Medicine in Mt Pleasant, PA

Active since May 12, 2014PECOS EnrolledAccepts Medicare Assignment
525 W MAIN ST, MT PLEASANT, PA 15666(724) 547-4537(724) 547-3799 Get Directions Write a Review

NPPES record last updated: September 11, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 11, 2018, Mar 31, 2016 (2 updates tracked since 2016).

About Tiffany Rose Higgins Do NPPES

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

TIFFANY ROSE HIGGINS DO (NPI 1902217052) is an individual family medicine provider in Mt Pleasant, Pennsylvania, licensed in Pennsylvania (OS017899) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS, is affiliated with Clarion Hospital, and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2014).

NPPES Registry Identity

NPI1902217052
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameTIFFANY ROSE HIGGINSCredential: DO
Location Address525 W MAIN STMt Pleasant, PA 15666-1833
Mailing Address520 Jefferson Ave Ste 400Jeannette, PA 15644-2538 · (724) 689-1822 · Fax (724) 522-4002
Phone(724) 547-4537
Fax(724) 547-3799
Sole ProprietorNo
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2014
Enumeration DateMay 12, 2014
Last NPPES UpdateSeptember 11, 20182 updates tracked since enumeration
✔ NPI 1902217052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in PA · OS017899✔ Licensed in PA · OT015798
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.
525 W MAIN ST, Mt Pleasant, PA 15666
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Tiffany Rose Higgins Do 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 ID6507163060
PECOS Enrollment IDI20170703000469
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 9

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 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.
183 services125 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
106 services106 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.
90 services76 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
26 services26 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
25 services25 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
23 services23 patients

Hospital Affiliations CMS Care Compare 4

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

Clarion Hospital

Acute Care Hospitals · Clarion, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number390093
LocationOne Hospital DriveClarion, PA 16214 · Clarion County
Emergency services

Excela Health Westmoreland Regional Hospital

Acute Care Hospitals · Greensburg, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390145
Location532 West Pittsburgh StreetGreensburg, PA 15601 · Westmoreland County
Emergency services Birthing friendly

Excela Health - Frick Hospital

Acute Care Hospitals · Mount Pleasant, PA
OwnershipVoluntary non-profit - Other
CMS Certification Number390217
Location508 South Church StreetMount Pleasant, PA 15666 · Westmoreland County
Emergency services

Excela Health Latrobe Hospital

Acute Care Hospitals · Latrobe, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390219
LocationOne Mellon WayLatrobe, PA 15650 · Westmoreland County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15666 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers15 claims26 services$6.82 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers31 claims31 services$61.11 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
2 suppliers20 claims20 services$29.58 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 8

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

DR. ANGEL B BALCITA JR. MD
Internal Medicine
525 W MAIN ST
MT PLEASANT, PA 15666
Westmoreland County (724) 547-4536
MANJUSHA KAD MD
Family Medicine
525 W MAIN ST
MT PLEASANT, PA 15666
Westmoreland County (724) 547-4536
MAIN STREET MEDICAL ASSOCIATES P C
Internal Medicine
525 W MAIN ST
MT PLEASANT, PA 15666
Westmoreland County (724) 547-4536
JARRETT J BENDER DO
Family Medicine
525 W MAIN ST
MOUNT PLEASANT, PA 15666
Westmoreland County (724) 547-4536
RAJNI MADAAN MD
Internal Medicine
525 W MAIN ST
MT PLEASANT, PA 15666
Westmoreland County (724) 613-5211
EXCELA HEALTH PHYSICIAN PRACTICES, INC.
Family Medicine
525 W MAIN ST
MT PLEASANT, PA 15666
Westmoreland County (724) 547-4536
RICHARD OWEN QUINN II PT
Physical Therapist
525 W MAIN ST
MT PLEASANT, PA 15666
Westmoreland County (724) 547-6090
DR. WILLIAM MARK WEISEL M.D.
Family Medicine
525 W MAIN ST
MT PLEASANT, PA 15666
Westmoreland County (724) 547-4536

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 Tiffany Higgins's NPI number?

The NPI number for Tiffany Higgins is 1902217052. It was assigned to this individual provider in the NPPES registry on May 12, 2014.

Where is Tiffany Higgins located?

Tiffany Higgins practices at 525 W Main St, Mt Pleasant, PA 15666. The listed phone number is (724) 547-4537.

What is Tiffany Higgins's specialty?

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

Is Tiffany Higgins enrolled in Medicare?

Yes. Tiffany 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 Tiffany Higgins accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Tiffany 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 Tiffany Higgins affiliated with any hospitals?

According to CMS data, Tiffany Higgins is affiliated with Clarion Hospital, Excela Health Westmoreland Regional Hospital, Excela Health - Frick Hospital and Excela Health Latrobe Hospital.

When was this NPI record last updated?

The NPPES record for Tiffany Higgins was last updated on September 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.