MR. SEAN N HIGGINSON (MD) – Diagnostic Radiology Physician, NPI 1235350299
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,529 DIAGNOSTIC RADIOLOGY in VA
Provider Addresses for MR. SEAN N HIGGINSON (MD)
PO BOX 388
FISHERSVILLE, VA 229390388
Phone:
Type: Mailing
78 MEDICAL CENTER DR
FISHERSVILLE, VA 229392332
Phone: (540) 932-4075
Fax: (540) 932-5199
Type: Location
1715 Deer Tracks Trl
SUITE 130
Saint Louis, MO 631311839
Phone: (314) 821-5600
Fax: (314) 821-2180
Type: Location
1715 DEER TRACKS TRL
SUITE 130
SAINT LOUIS, MO 631311839
Phone: (314) 821-5600
Fax: (314) 821-2180
Type: Mailing
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: 2014-10-08
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 |
|---|---|---|---|---|
| I20141008002580 | I | Diagnostic Radiology | VA | 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 |
|---|---|---|---|---|
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 13,423 | 143 | $0 |
| A9585 | Injection, gadobutrol, 0.1 ml | 8,575 | 119 | $0 |
| A9575 | Injection, gadoterate meglumine, 0.1 ml | 5,900 | 35 | $0 |
| 71045 | X-ray of chest, 1 view | 650 | 589 | $0 |
| 71046 | X-ray of chest, 2 views | 556 | 545 | $0 |
Insurance plans in this area (ZIP 22939)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | MO | 71010 | X-ray of chest, 1 view, front | 22 | 21 |
| DIAGNOSTIC RADIOLOGY | MO | 71250 | CT scan chest | 117 | 114 |
| DIAGNOSTIC RADIOLOGY | MO | 73110 | X-ray of wrist, minimum of 3 views | 37 | 33 |
| DIAGNOSTIC RADIOLOGY | MO | 73140 | X-ray of fingers, minimum of 2 views | 17 | 16 |
| DIAGNOSTIC RADIOLOGY | MO | 73562 | X-ray of knee, 3 views | 33 | 32 |
| DIAGNOSTIC RADIOLOGY | MO | 73630 | X-ray of foot, minimum of 3 views | 57 | 55 |
| DIAGNOSTIC RADIOLOGY | MO | 74177 | CT scan of abdomen and pelvis with contrast | 318 | 307 |
| DIAGNOSTIC RADIOLOGY | MO | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 140 | 136 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | VA | |
| - | VA | |
| - | VA | |
| - | VA |
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