SUSAN A HIGGINS MD
NPI 1962485987
Radiology - Radiation Oncology in New Haven, CT

Active since November 23, 2005PECOS EnrolledAccepts Medicare Assignment
73.56/100
CMS Quality Rating
15 YORK ST, HUNTER BUILDING - 1ST FLOOR, NEW HAVEN, CT 06510(203) 688-4344(203) 737-1281 Get Directions Write a Review

NPPES record last updated: July 7, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Susan A Higgins Md NPPES

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

SUSAN A HIGGINS MD (NPI 1962485987) is an individual radiation oncology provider in New Haven, Connecticut, licensed in Connecticut (035504) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS and is a graduate of University Of Rochester School Of Medicine And Dentistry (1990).

NPPES Registry Identity

NPI1962485987
Entity TypeIndividualFemale
Primary Taxonomy2085R0001X
Provider Legal NameSUSAN A HIGGINSCredential: MD
Location Address15 YORK ST, HUNTER BUILDING - 1ST FLOORNew Haven, CT 06510-3221
Mailing AddressPo Box 9805, 300 George St 6th FloorNew Haven, CT 06536-0805
Fax(203) 737-1281
Sole ProprietorNo
Medical School CMSUniversity Of Rochester School Of Medicine And DentistryGraduated 1990
Enumeration DateNovember 23, 2005
Last NPPES UpdateJuly 7, 2008
NPI 1962485987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0001X
License Licensed in CT · 035504
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
15 YORK ST, New Haven, CT 06510

Other Identifiers 3

Medicare ID-Type Unspecified920000021CT
Medicaid001355040CT
Medicare UPINF90254

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

Susan A 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 ID4385838101
PECOS Enrollment IDI20101104001565
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 10

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.

Ct guidance for insertion of radiation therapy fields 77014
CT guidance for insertion of radiation therapy fields involves using a CT scan to accurately map the area of your body where radiation will be applied. This ensures the radiation targets only the necessary area, minimizing impact to healthy tissues.
213 services32 patients
Design and construction of complex radiation treatment device 77334
The design and construction of a complex radiation treatment device is a process where a specialized instrument is created. This device targets harmful cells with high-energy rays to destroy or damage them, while minimizing impact on healthy cells. This aids in treating conditions like cancer.
129 services26 patients
Radiation treatment management, 5 treatment sessions 77427
Radiation treatment management involves a series of 5 sessions where targeted radiation is used to destroy or shrink cancer cells in your body. Each session is carefully planned to maximize effectiveness while minimizing harm to healthy tissues. You may experience side effects which will be closely monitored and managed for your comfort.
92 services30 patients
Calculation of radiation therapy dose 77300
Radiation therapy dose calculation is a process to determine the exact amount of radiation needed to treat a specific area in the body. This calculation helps ensure the treatment is effective while minimizing harm to healthy tissues. It's a key part of planning your radiation therapy.
80 services23 patients
Obtaining data needed to develop the optimal radiation treatment, 1 treatment area 77280
This procedure involves gathering essential information to create the best radiation treatment plan for a specific area. It includes scanning the treatment area and using this data to calculate the precise dose of radiation needed to target the disease effectively, while sparing healthy tissue.
25 services21 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06510 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
$183.10 typical visit price
range $60.82 – $183.10
Typical copayment $45.77 (range $15.20 – $45.77)
Most-billed visit code 99205
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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.

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.

73.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.84
Promoting Interoperability74
Improvement Activities40
Cost51.43

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.

Student in an Organized Health Care Education/Training Program
15 YORK ST
NEW HAVEN, CT 06510
Student in an Organized Health Care Education/Training Program
15 YORK ST, YNHH DEPT OF MEDICINE, LMP 1092
NEW HAVEN, CT 06510
Dermatology (Dermatopathology)
15 YORK ST, LMP 5031
NEW HAVEN, CT 06510
Dermatology
15 YORK ST, DERMATOLOGY, LCI ROOM 609
NEW HAVEN, CT 06510
Internal Medicine
15 YORK ST, YNHH DEPT OF MEDICINE, LMP 1092
NEW HAVEN, CT 06510
Dermatology
15 YORK ST
NEW HAVEN, CT 06510
Internal Medicine (Infectious Disease)
15 YORK ST, NATHAN SMITH BUILDING
NEW HAVEN, CT 06510
Physician Assistant
15 YORK ST
NEW HAVEN, CT 06510

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 Susan Higgins's NPI number?

The NPI number for Susan Higgins is 1962485987. It was assigned to this individual provider in the NPPES registry on November 23, 2005.

Where is Susan Higgins located?

Susan Higgins practices at 15 York St Hunter Building - 1st Floor, New Haven, CT 06510. The listed phone number is (203) 688-4344.

What is Susan Higgins's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

Is Susan Higgins enrolled in Medicare?

Yes. Susan 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.

When was this NPI record last updated?

The NPPES record for Susan Higgins was last updated on July 7, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.