JOHN VINCENT HIGGINS MD
NPI 1942564919
Internal Medicine - Cardiovascular Disease in Omaha, NE

Active since June 25, 2012PECOS EnrolledAccepts Medicare Assignment
1120 N 103RD PLZ STE 100, OMAHA, NE 68114(402) 391-5055 Get Directions Write a Review

NPPES record last updated: September 30, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 30, 2022, Aug 21, 2018 (2 updates tracked since 2018).

About John Vincent Higgins Md NPPES

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

JOHN VINCENT HIGGINS MD (NPI 1942564919) is an individual cardiovascular disease provider in Omaha, Nebraska, licensed in Nebraska (30728) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, is affiliated with The Nebraska Medical Center, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1942564919
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameJOHN VINCENT HIGGINSCredential: MD
Location Address1120 N 103RD PLZ STE 100Omaha, NE 68114-1119
Mailing AddressPo Box 3755Omaha, NE 68103-0755 · (402) 354-2100
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJune 25, 2012
Last NPPES UpdateSeptember 30, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2022
NPI 1942564919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in NE · 30728
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal MedicineTaxonomy 207R00000X · License 56571 (MN)
1120 N 103RD PLZ STE 100, Omaha, NE 68114

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

John Vincent 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 ID1557507423
PECOS Enrollment IDI20180613000293
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 29

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
1,556 services1,264 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.
517 services330 patients
Injection, regadenoson, 0.1 mg J2785
Regadenoson injection, 0.1 mg, is a medication used to help visualize the heart during a stress test. It works by increasing blood flow in the arteries of the heart. It's injected into a vein and is generally well-tolerated.
444 services111 patients
Technetium tc-99m tetrofosmin, diagnostic, per study dose A9502
Technetium Tc-99m Tetrofosmin is a radiopharmaceutical used in diagnostic imaging. It helps highlight areas of concern in the heart by emitting signals captured by a special camera. This assists doctors in detecting heart conditions.
300 services150 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
282 services274 patients
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.
248 services100 patients

Hospital Affiliations CMS Care Compare 5

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

The Nebraska Medical Center

Acute Care Hospitals · Omaha, NE
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280013
Location987400 Nebraska Medical CenterOmaha, NE 68198 · Douglas County
Emergency services Birthing friendly

The Nebraska Methodist Hospital

Acute Care Hospitals · Omaha, NE
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280040
Location8303 Dodge StOmaha, NE 68114 · Douglas County
Emergency services Birthing friendly

Methodist Fremont Health

Acute Care Hospitals · Fremont, NE
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280077
Location450 East 23rd StFremont, NE 68025 · Dodge County
Emergency services Birthing friendly

Nebraska Orthopaedic Hospital

Acute Care Hospitals · Omaha, NE
OwnershipPhysician
CMS Certification Number280129
Location2808 South 143rd PlazaOmaha, NE 68144 · Douglas County
Emergency services

Chi Health Lakeside

Acute Care Hospitals · Omaha, NE
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number280130
Location16901 Lakeside Hills CtOmaha, NE 68130 · Douglas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68114 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
$121.35 typical visit price
range $52.69 – $160.21
Typical copayment $30.33 (range $13.17 – $40.05)
Most-billed visit code 99204
Established Patient
$66.00 typical visit price
range $16.90 – $131.25
Typical copayment $16.50 (range $4.22 – $32.81)
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 14

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

Internal Medicine (Interventional Cardiology)
1120 N 103RD PLZ STE 100
OMAHA, NE 68114
Internal Medicine (Cardiovascular Disease)
1120 N 103RD PLZ STE 100
OMAHA, NE 68114
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1120 N 103RD PLZ STE 100
OMAHA, NE 68114
Nurse Practitioner
1120 N 103RD PLZ STE 100
OMAHA, NE 68114
Internal Medicine (Interventional Cardiology)
1120 N 103RD PLZ STE 100
OMAHA, NE 68114
Internal Medicine (Interventional Cardiology)
1120 N 103RD PLZ STE 100
OMAHA, NE 68114
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1120 N 103RD PLZ STE 100
OMAHA, NE 68114
Nurse Practitioner
1120 N 103RD PLZ STE 100
OMAHA, NE 68114

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 John Higgins's NPI number?

The NPI number for John Higgins is 1942564919. It was assigned to this individual provider in the NPPES registry on June 25, 2012.

Where is John Higgins located?

John Higgins practices at 1120 N 103rd Plz Ste 100, Omaha, NE 68114. The listed phone number is (402) 391-5055.

What is John Higgins's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is John Higgins enrolled in Medicare?

Yes. John 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 John Higgins accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Blue Cross and Blue Shield of Nebraska and 3 other insurers list John 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 John Higgins affiliated with any hospitals?

According to CMS data, John Higgins is affiliated with The Nebraska Medical Center, The Nebraska Methodist Hospital, Methodist Fremont Health, Nebraska Orthopaedic Hospital and Chi Health Lakeside.

When was this NPI record last updated?

The NPPES record for John Higgins was last updated on September 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.