DR. LOUISE LANGDON HIGHLEY MD
NPI 1952560120
Obstetrics & Gynecology in Durham, NC

Active since June 03, 2008PECOS EnrolledAccepts Medicare Assignment
3643 N ROXBORO ST, DURHAM, NC 27704(919) 684-8111 Get Directions Write a Review

NPPES record last updated: December 12, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Louise Langdon Highley Md NPPES

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

DR. LOUISE LANGDON HIGHLEY MD (NPI 1952560120) is an individual obstetrics & gynecology provider in Durham, North Carolina, licensed in North Carolina (2012-00859) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS, is affiliated with Duke University Hospital, and is a graduate of University Of North Carolina At Chapel Hill School Of Medicine (2008).

NPPES Registry Identity

NPI1952560120
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. LOUISE LANGDON HIGHLEYCredential: MD
Location Address3643 N ROXBORO STDurham, NC 27704-2702
Mailing Address5213 S Alston AveDurham, NC 27713-4430 · (919) 684-8111
Sole ProprietorNo
Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 2008
Enumeration DateJune 3, 2008
Last NPPES UpdateDecember 12, 2012
NPI 1952560120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in NC · 2012-00859
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
3643 N ROXBORO ST, Durham, NC 27704

Other Names 1

Former Name (1)Miss Louise Langdon Tomm

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

Dr. Louise Langdon Highley 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 ID6800045899
PECOS Enrollment IDI20121008000402
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 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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
17 services17 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.
15 services14 patients

Hospital Affiliations CMS Care Compare

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

Duke University Hospital

Acute Care Hospitals · Durham, NC
5/5 CMS rating
OwnershipProprietary
CMS Certification Number340030
Location2100 Erwin RdDurham, NC 27705 · Durham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27704 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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 20

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

Emergency Medicine
3643 N ROXBORO ST
DURHAM, NC 27704
Physician Assistant (Medical)
3643 N ROXBORO ST
DURHAM, NC 27704
Occupational Therapist
3643 N ROXBORO ST
DURHAM, NC 27704
Physical Therapist
3643 N ROXBORO ST
DURHAM, NC 27704
Pharmacist
3643 N ROXBORO ST
DURHAM, NC 27704
Anesthesiology
3643 N ROXBORO ST
DURHAM, NC 27704
Anesthesiology
3643 N ROXBORO ST
DURHAM, NC 27704
Internal Medicine
3643 N ROXBORO ST
DURHAM, NC 27704

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 Louise Highley's NPI number?

The NPI number for Louise Highley is 1952560120. It was assigned to this individual provider in the NPPES registry on June 3, 2008. The provider is also known as Miss Louise Langdon Tomm.

Where is Louise Highley located?

Louise Highley practices at 3643 N Roxboro St, Durham, NC 27704. The listed phone number is (919) 684-8111.

What is Louise Highley's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Louise Highley enrolled in Medicare?

Yes. Louise Highley 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 Louise Highley accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Louise Highley 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 Louise Highley affiliated with any hospitals?

According to CMS data, Louise Highley is affiliated with Duke University Hospital.

When was this NPI record last updated?

The NPPES record for Louise Highley was last updated on December 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.