THOMAS F HIGGINS (MD) – Orthopaedic Surgery Physician, NPI 1376598615

THOMAS F HIGGINS (MD) is a healthcare provider. based in Salt lake city, Utah. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials MD. They hold a License No. 4788500-1205 (UT). The NPI Number for THOMAS F HIGGINS (MD) is 1376598615

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
THOMAS F HIGGINS (MD)
NPI
1376598615
Phone
(801) 581-3998
Address
PO BOX 413067
Enumeration Date
24 May 2006
Last Update Date
3 November 2021

Doctor Profile

Medical School Name
WARREN ALPERT MEDICAL SCHOOL OF BROWN UNIVERSITY
Secondary Phone
8012132995
Graduation Year
1994 (32 years ago)
PAC ID
8820050792
Group Practice PAC ID
0941525273
Professional Enrollment ID
I20041102000977
Address ID
UT841320100SA50XXXDRXX400

Contacts

Secure Messaging
thiggins49544@direct.med.utah.edu
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

325 ORTHOPEDIC SURGERY in UT

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Provider Addresses for THOMAS F HIGGINS (MD)

  • PO BOX 413067

    SALT LAKE CITY, UT 841413067

    Phone: (801) 581-3998

    Type: Mailing

  • 590, Wakara Way, Research Park, Salt Lake City, Salt Lake County, Utah, 84108, United States

    SALT LAKE CITY, UT 841081200

    Phone: (801) 587-7109

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 42 Open Payments records for all available years, with a total value of $448,065.

Total Amount is formed as General ($448,065) + Research ($0) + Ownership ($0) = $448,065.

Last reported payment date: 2024-11-06 • Largest payer in this snapshot: DePuy Synthes Products, Inc. ($416,586).

Total Amount

$448,065

General + Research + Ownership

Payments

42

Total payment records

General Amount

$448,065

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

2

Ownership records

Last Payment Date

2024-11-06

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2004-11-02

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20041102000977IOrthopedic SurgeryUTTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes3124$0
99214Established patient office or other outpatient visit, 30-39 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 84141)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0941525273View full group profile
NameSpecialtyState
-UT
-UT
Emergency MedicineCO
-UT
A N E S T H E S I O L O G YUT
Physician AssistantUT
-IL
Plastic And Reconstructive SurgeryOH
Physician AssistantCA
A N E S T H E S I O L O G YUT

Reviews

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Frequently asked questions

How do payers reference THOMAS F HIGGINS (MD)?
For THOMAS F HIGGINS (MD), use NPI 1376598615 as the unique 10-digit identifier.
Is THOMAS F HIGGINS (MD) still an active registrant?
THOMAS F HIGGINS (MD) carries an active NPI according to the public dataset.
What expertise is attributed to THOMAS F HIGGINS (MD)?
THOMAS F HIGGINS (MD)'s specialty line reads Orthopaedic Surgery Physician. Clinical services aligned with this taxonomy classification.
Where in Utah is THOMAS F HIGGINS (MD) registered?
Use Salt Lake City, Utah as the headline location for THOMAS F HIGGINS (MD) here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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