Sean Higginson, MD
NPI 1235350299 · Diagnostic Radiology Physician · Fishersville, VA
Enrolled with Medicare as Practitioner - Diagnostic Radiology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sean Higginson, MD is a Diagnostic Radiology Physician provider in Fishersville, VA (NPI 1235350299).
Provider details
- NPI number
- 1235350299
- Entity type
- Individual
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 2007000360 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
3,963 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| X-Ray of Chest, 1 View71045 | 419 | $8 |
| Ct Scan Head Or Brain Without Contrast70450 | 330 | $38 |
| Mri Scan of Lower Spinal Canal Without Contrast72148 | 226 | $184 |
| X-Ray of Chest, 2 Views71046 | 201 | $10 |
| Blood Creatinine Level82565 | 187 | $5 |
| Mri Scan of Brain Without Contrast70551 | 114 | $68 |
| Ct Scan of Abdomen and Pelvis With Contrast |
Practice location
Mailing address
Additional practice locations (1)
- 1715 Deer Tracks TrlSuite 130Saint Louis, MO 63131-1839Phone: (314) 821-5600Fax: (314) 821-2180
Registry dates
- Enumerated
- 2007-05-01
- Last updated
- 2023-08-31
- Certified
- 2023-08-31
Frequently asked questions
- What is Sean Higginson's NPI number?
- Sean Higginson's National Provider Identifier (NPI) is 1235350299, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sean Higginson's specialty?
- Sean Higginson is listed in the NPPES registry with a primary specialty of Diagnostic Radiology Physician (Allopathic & Osteopathic Physicians).
- Where is Sean Higginson located?
- Sean Higginson's practice location on file with NPPES is 78 Medical Center Dr, Fishersville, VA 22939-2332.
- What is Sean Higginson's phone number?
- The practice phone number listed in the NPPES registry for Sean Higginson is (540) 932-4075.
- Does Sean Higginson accept Medicare?
- Sean Higginson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sean Higginson's NPI active?
- Yes — Sean Higginson's NPI (1235350299) is active in the NPPES registry as of the last update on 2023-08-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.