MR. GREGORY MALCOLM HIGGINS
NPI 1912529397
Nurse Practitioner in Wellington, OH

Active since May 08, 2020PECOS EnrolledAccepts Medicare Assignment
79.48/100
CMS Quality Rating
19934 STATE ROUTE 58, WELLINGTON, OH 44090(440) 310-6637 Get Directions Write a Review

NPPES record last updated: May 8, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Gregory Malcolm Higgins NPPES

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

MR. GREGORY MALCOLM HIGGINS (NPI 1912529397) is an individual nurse practitioner in Wellington, Ohio, licensed in Ohio (APRN.CNP.026699) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS, is affiliated with Uh Cleveland Medical Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1912529397
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameMR. GREGORY MALCOLM HIGGINS
Location Address19934 STATE ROUTE 58Wellington, OH 44090-9468
Mailing Address19934 State Route 58Wellington, OH 44090-9468 · (440) 310-6637
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMay 8, 2020
NPPES CertifiedMay 8, 2020
NPI 1912529397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in OH · APRN.CNP.026699
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

19934 STATE ROUTE 58, Wellington, OH 44090

Accepted 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

Mr. Gregory Malcolm Higgins 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 ID648698829
PECOS Enrollment IDI20200921001747
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 2

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

Uh Cleveland Medical Center

Acute Care Hospitals · Cleveland, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360137
Location11100 Euclid AvenueCleveland, OH 44106 · Cuyahoga County
Emergency services Birthing friendly

University Hospitals - Elyria Medical Center

Acute Care Hospitals · Elyria, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360145
Location630 East River StreetElyria, OH 44035 · Lorain County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44090 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.

79.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.51
Promoting Interoperability100
Improvement Activities40
Cost63.09

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912529397, enumerated as an "individual" on May 08, 2020.

The provider is located at 19934 STATE ROUTE 58 WELLINGTON, OH 44090 and the phone number is (440) 310-6637.

Nurse Practitioner with taxonomy code 363L00000X.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.

Gregory Higgins is affiliated with: UH CLEVELAND MEDICAL CENTER and UNIVERSITY HOSPITALS - ELYRIA MEDICAL CENTER.