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DR. SEAN THOMAS HIGGINS M.D.
NPI 1972957603
Emergency Medicine in Anchorage, AK

Active since April 19, 2016PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
2801 DEBARR RD, ANCHORAGE, AK 99508(907) 276-1131 Get Directions Write a Review

NPPES record last updated: February 5, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Sean Thomas Higgins M.d. NPPES

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

DR. SEAN THOMAS HIGGINS M.D. (NPI 1972957603) is an individual emergency medicine provider in Anchorage, Alaska, licensed in Alaska (153421) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS and is a graduate of University Of Virginia School Of Medicine (2016).

NPPES Registry Identity

NPI1972957603
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. SEAN THOMAS HIGGINSCredential: M.D.
Location Address2801 DEBARR RDAnchorage, AK 99508-2932
Mailing Address11085 Snowline DrAnchorage, AK 99507-6105 · (208) 720-6591
Phone(907) 276-1131
Sole ProprietorNo
Medical School CMSUniversity Of Virginia School Of MedicineGraduated 2016
Enumeration DateApril 19, 2016
Last NPPES UpdateFebruary 5, 2026
NPPES CertifiedFebruary 5, 2026
✔ NPI 1972957603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in AK · 153421
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
2801 DEBARR RD, Anchorage, AK 99508
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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. Sean Thomas 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 ID3072803675
PECOS Enrollment IDI20200402001234
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 Reassignment

Medicare enrollment records show Sean Higgins reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Denali Emergency Medicine Assoc PC
Same address
Emergency Medicine
2801 DEBARR RD
Anchorage, AK 99508
  • Reassigned Medicare billing, Alaska enrollment
  • 26 clinicians in this Medicare group
NPI 1669406831 (877) 346-2211

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 7

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
265 services249 patients
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.
207 services194 patients
Electrocardiogram (ecg) 1 to 3 leads with review by physician only 93042
An Electrocardiogram (ECG) is a non-invasive test that records the electrical activity of your heart. 1 to 3 leads or sensors are placed on your body to capture this data. A physician then reviews the results to evaluate your heart's health.
154 services153 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
116 services104 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
68 services68 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
24 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99508 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
$111.57 typical visit price
range $71.33 – $222.64
Typical copayment $27.89 (range $17.83 – $55.66)
Most-billed visit code 99203
Established Patient
$128.73 typical visit price
range $21.84 – $181.48
Typical copayment $32.18 (range $5.46 – $45.37)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost90.14

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.

ANCHORAGE POST ACUTE SERVICES LLC
Hospitalist
2801 DEBARR RD
ANCHORAGE, AK 99508
Anchorage Municipality (907) 276-1131
KODI STONEROCK KNOTT CRNA
Nurse Anesthetist, Certified Registered
2801 DEBARR RD
ANCHORAGE, AK 99508
Anchorage Municipality (907) 264-9999
SUSAN MARY LANE C.R.N.A.
Nurse Anesthetist, Certified Registered
2801 DEBARR RD
ANCHORAGE, AK 99508
Anchorage Municipality (907) 258-2149
TARA MCCUTCHEON CRNA
Nurse Anesthetist, Certified Registered
2801 DEBARR RD
ANCHORAGE, AK 99508
Anchorage Municipality (801) 915-1873
ROBERT C GUDOR M.D.
Anesthesiology
2801 DEBARR RD
ANCHORAGE, AK 99508
Anchorage Municipality (907) 258-2149
DR. DONNA MUKESH MICHAUD PHARMD.
Pharmacist
2801 DEBARR RD
ANCHORAGE, AK 99508
Anchorage Municipality (907) 264-1138
DR. STEVEN A JAYICH M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
2801 DEBARR RD, DEPARTMENT OF PATHOLOGY
ANCHORAGE, AK 99508
Anchorage Municipality (907) 264-1171
SOUTH SOUND INPATIENT PHYSICIANS, PLLC
Internal Medicine
2801 DEBARR RD
ANCHORAGE, AK 99508
Anchorage Municipality (907) 375-3338

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 Sean Higgins's NPI number?

The NPI number for Sean Higgins is 1972957603. It was assigned to this individual provider in the NPPES registry on April 19, 2016.

Where is Sean Higgins located?

Sean Higgins practices at 2801 Debarr Rd, Anchorage, AK 99508. The listed phone number is (907) 276-1131.

What is Sean Higgins's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Sean Higgins enrolled in Medicare?

Yes. Sean 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 organization bills Medicare for Sean Higgins's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sean Higgins reassigns Medicare benefits to Denali Emergency Medicine Assoc PC (Anchorage, AK). The 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 Sean Higgins's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sean Higgins was last updated on February 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.