James Higgs, M.D
NPI 1457783383 · Infectious Disease Physician · Boston, MA
Enrolled with Medicare as Practitioner - Infectious Disease · source: CMS PECOS Public Provider Enrollment (2026.04.01)
James Higgs, M.D is a Infectious Disease Physician provider in Boston, MA (NPI 1457783383).
Provider details
- NPI number
- 1457783383
- Entity type
- Individual
- Primary specialty
- Infectious Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D
- Sex
- Male
- Sole proprietor
- No
- License
- MD16759 (RI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
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
12 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
286 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) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 131 | $78 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 91 | $116 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 34 | $172 |
| Hospital Discharge Day Management, More Than 30 Minutes99239 | 30 | $114 |
Typical Medicare-allowed amounts for these services range $78–$172 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Additional practice locations (2)
- 101 Dudley StProvidence, RI 02905-2401Phone: (401) 453-7950Fax: (401) 453-7658
- 455 Toll Gate RdWarwick, RI 02886-2759Phone: (401) 737-7010Fax: (401) 736-4546
Registry dates
- Enumerated
- 2013-08-02
- Last updated
- 2020-03-12
- Certified
- 2020-03-12
Frequently asked questions
- What is James Higgs's NPI number?
- James Higgs's National Provider Identifier (NPI) is 1457783383, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is James Higgs's specialty?
- James Higgs is listed in the NPPES registry with a primary specialty of Infectious Disease Physician (Allopathic & Osteopathic Physicians).
- Where is James Higgs located?
- James Higgs's practice location on file with NPPES is 800 Washington St, Boston, MA 02111.
- What is James Higgs's phone number?
- The practice phone number listed in the NPPES registry for James Higgs is (617) 636-8877.
- Does James Higgs accept Medicare?
- James Higgs is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is James Higgs's NPI active?
- Yes — James Higgs's NPI (1457783383) is active in the NPPES registry as of the last update on 2020-03-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.