JAMES B. HIGGS (M.D) – Infectious Disease Physician, NPI 1457783383
Infectious Disease Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
78 INFECTIOUS DISEASE in RI
Provider Addresses for JAMES B. HIGGS (M.D)
455 Toll Gate Rd
Warwick, RI 028862759
Phone: (401) 737-7010
Fax: (401) 736-4546
Type: Location
101 Dudley St
Providence, RI 029052401
Phone: (401) 453-7950
Fax: (401) 453-7658
Type: Location
800 WASHINGTON ST
TUFTS MEDICAL CENTER
BOSTON, MA 02111
Phone: (617) 636-8877
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2019-07-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190730002306 | I | Infectious Disease | RI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 142 | 96 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 68 | 51 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 55 | 55 | $0 |
| 99239 | Hospital discharge day management, more than 30 minutes | 54 | 53 | $0 |
Insurance plans in this area (ZIP 02886)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | RI | |
| Internal Medicine | RI | |
| Physician Assistant | RI | |
| A N E S T H E S I O L O G Y | RI | |
| A N E S T H E S I O L O G Y | RI | |
| Cardiovascular Disease (Cardiology), Interventional Cardiology, Interventional Cardiology, Cardiovascular Disease (Cardiology) | RI | |
| Cardiovascular Disease (Cardiology) | MA | |
| Internal Medicine, Pulmonary Disease, Pulmonary Disease | MA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | NY | |
| - | RI |
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