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DR. CHARLES MICHAEL HIGGINS M.D.
NPI 1932476199
Psychiatry & Neurology - Psychiatry in New Orleans, LA

Active since November 16, 2011PECOS EnrolledAccepts Medicare Assignment
2800 GRAVIER ST, NEW ORLEANS, LA 70119(504) 827-8519(504) 827-8584 Get Directions Write a Review

NPPES record last updated: November 16, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Charles Michael Higgins M.d. NPPES

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

DR. CHARLES MICHAEL HIGGINS M.D. (NPI 1932476199) is an individual psychiatry provider in New Orleans, Louisiana, licensed in Louisiana (23114) and active in the NPI registry since November 2011. He is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1932476199
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. CHARLES MICHAEL HIGGINSCredential: M.D.
Location Address2800 GRAVIER STNew Orleans, LA 70119-7330
Mailing Address1302 Jackson AveNew Orleans, LA 70130-5132 · (504) 234-5370 · Fax (504) 827-8584
Phone(504) 827-8519
Fax(504) 827-8584
Sole ProprietorYes
Medical School CMSOtherGraduated 1999
Enumeration DateNovember 16, 2011
✔ NPI 1932476199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in LA · 23114
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
2800 GRAVIER ST, New Orleans, LA 70119
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Other Names 1

Other Name (5)Dr. Mike Higgins M.d.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan 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 and accepts Medicare assignment

Dr. Charles Michael 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 ID3577866201
PECOS Enrollment IDI20210607002867
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

2

Medicare enrollment records show Charles Higgins reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Neurojust
2.9 mi
Psychiatry
701 METAIRIE RD # 1B-203
Metairie, LA 70005
  • Reassigned Medicare billing, Louisiana enrollment
  • 4 clinicians in this Medicare group
NPI 1528655701 (504) 481-3971
Greenbrier Hospital, LLC
34 mi
Psychiatric Hospital
201 GREENBRIAR BLVD.
Covington, LA 70433
  • Reassigned Medicare billing, Louisiana enrollment
  • 7 clinicians in this Medicare group
NPI 1659451664 (985) 249-7780

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 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.

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.
53 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.
19 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70119 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
$170.30 typical visit price
range $55.50 – $170.30
Typical copayment $42.57 (range $13.87 – $42.57)
Most-billed visit code 99205
Established Patient
$69.44 typical visit price
range $17.42 – $138.03
Typical copayment $17.36 (range $4.35 – $34.50)
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.

Other Providers at the Same Location NPPES

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

DR. SAMUEL PAYTON GORE M.D.
Internal Medicine
2800 GRAVIER ST, ORLEANS PARISH CRIMINAL SHERIFF'S OFFICE
NEW ORLEANS, LA 70119
Orleans Parish (504) 827-8528

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 Charles Higgins's NPI number?

The NPI number for Charles Higgins is 1932476199. It was assigned to this individual provider in the NPPES registry on November 16, 2011. The provider is also known as Dr. Mike Higgins M.D..

Where is Charles Higgins located?

Charles Higgins practices at 2800 Gravier St, New Orleans, LA 70119. The listed phone number is (504) 827-8519.

What is Charles Higgins's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Charles Higgins enrolled in Medicare?

Yes. Charles 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.

Which organizations bill Medicare for Charles Higgins's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charles Higgins reassigns Medicare benefits to 2 organizations: Neurojust (Metairie, LA) and Greenbrier Hospital, LLC (Covington, LA). 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 Charles Higgins's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Charles Higgins accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 2 other insurers list Charles 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.

When was this NPI record last updated?

The NPPES record for Charles Higgins was last updated on November 16, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.