DR. ROBERT S.D. HIGGINS MD
NPI 1154434496
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Columbus, OH
NPI Status: Active since August 17, 2006
Contact Information
410 W 10TH AVE
COLUMBUS, OH
ZIP 43210
Phone: (614) 293-5502
Fax: (614) 293-4726
- Individual
- Male
- Thoracic Surgery (Cardiothoracic Vascula...
- PECOS Enrolled
About ROBERT HIGGINS
This page provides the complete NPI Profile along with additional information for Robert Higgins, a provider established in Columbus, Ohio with a medical specialization in Thoracic Surgery (cardiothoracic Vascular Surgery). The healthcare provider is registered in the NPI registry with number 1154434496 assigned on August 2006. The practitioner's primary taxonomy code is 208G00000X with license number 35096145 (OH). The provider is registered as an individual and his NPI record was last updated 11 years ago.
- NPI
- 1154434496
- Provider Name
- DR. ROBERT S.D. HIGGINS MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 410 W 10TH AVE COLUMBUS, OH 43210
- Location Phone
- (614) 293-5502
- Location Fax
- (614) 293-4726
- Mailing Address
- 700 ACKERMAN RD SUITE 570 COLUMBUS, OH 43202
- Mailing Phone
- (614) 293-5502
- Mailing Fax
- (614) 293-4726
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-17-2006
- Last Update Date
- 02-26-2015
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Thoracic Surgery (Cardiothoracic Vascular Surgery)
- Taxonomy Code
- 208G00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 35096145
- License State
- OH
- Taxonomy Description
- A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| P01369491 | OTHER (01) | OH | RAILROAD MEDICARE |
| HI4305171 | MEDICARE PIN (08) | OH | |
| 3100905 | MEDICAID (05) | OH |
Medicare Participation & PECOS Enrollment Status
Robert Higgins is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 43210 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99205
- Average New Patient Price $166.65
- Minimum New Patient Price $54.34
- Maximum New Patient Price $166.65
- Average New Patient Copayment $41.66
- Minimum New Patient Copayment $13.58
- Maximum New Patient Copayment $41.66
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $68.07
- Minimum Established Patient Price $17.1
- Maximum Established Patient Price $135.4
- Average Established Patient Copayment $17.01
- Minimum Established Patient Copayment $4.27
- Maximum Established Patient Copayment $33.85
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 5 | 4 | 4 | 3 | 4 | 4 | 9 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 10 | 4 | 8 | 3 | 8 | 4 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 0 + 4 + 8 + 3 + 8 + 4 + 1 + 8 + 24 = 64 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 64 = 6 | 6 | ||||||||
The NPI number 1154434496 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1144229626 | SELECT SPECIALTY HOSPITAL - COLUMBUS/UNIVERSITY, INC. Organization | General Acute Care Hospital | 410 W 10TH AVE 1129 DOAN HALL COLUMBUS, OH 43210 (717) 972-1100 |
| 1750374328 | DR. DOUGLAS MICHAEL LEVIN MD Individual | Internal Medicine (Gastroenterology) | 410 W 10TH AVE COLUMBUS, OH 43210 (614) 293-6255 |
| 1164407037 | DR. RONALD STANLEY MILLER M.D. Individual | Internal Medicine (Gastroenterology) | 410 W 10TH AVE COLUMBUS, OH 43210 (614) 293-6255 |
| 1972552875 | ISMET SARIKAYA MD Individual | Radiology (Nuclear Radiology) | 410 W 10TH AVE COLUMBUS, OH 43210 (614) 293-8315 |
| 1972552818 | DIMITRIOS GEORGE SPIGOS MD Individual | Radiology (Diagnostic Radiology) | 410 W 10TH AVE COLUMBUS, OH 43210 (614) 293-8315 |
| 1073563383 | MARCELLA DARDANI DO Individual | Radiology (Diagnostic Radiology) | 410 W 10TH AVE COLUMBUS, OH 43210 (614) 293-8315 |
| 1053362442 | ERIC C BOUREKAS MD Individual | Radiology (Neuroradiology) | 410 W 10TH AVE COLUMBUS, OH 43210 (614) 293-8315 |
| 1952351462 | MARK ALAN KING MD Individual | Radiology (Diagnostic Radiology) | 410 W 10TH AVE COLUMBUS, OH 43210 (614) 293-8315 |
| 1194775601 | SUNGKYU CHRISTOPHER LEE MD Individual | Radiology (Diagnostic Radiology) | 410 W 10TH AVE COLUMBUS, OH 43210 (614) 293-8315 |
| 1023069564 | GREGORY A CHRISTOFORIDIS MD Individual | Radiology (Vascular & Interventional Radiology) | 410 W 10TH AVE COLUMBUS, OH 43210 (614) 293-8315 |
| 1558312454 | ROBERT RAGOSIN MD Individual | Radiology (Nuclear Radiology) | 410 W 10TH AVE COLUMBUS, OH 43210 (614) 293-8315 |
| 1336190263 | JOSEPH S YU MD Individual | Radiology (Diagnostic Radiology) | 410 W 10TH AVE COLUMBUS, OH 43210 (614) 293-8315 |
| 1144271099 | JOHANNES OLSEN MD Individual | Radiology (Nuclear Radiology) | 410 W 10TH AVE COLUMBUS, OH 43210 (614) 293-8315 |
| 1265485676 | CHISTINE LAWLESS M.D. Individual | Internal Medicine (Cardiovascular Disease) | 410 W 10TH AVE COLUMBUS, OH 43210 (614) 798-7905 |
| 1336192350 | CARL LEIER II M.D. Individual | Internal Medicine (Cardiovascular Disease) | 410 W 10TH AVE COLUMBUS, OH 43210 (614) 293-4967 |
| 1174560791 | DR. DANIEL D SEDMAK MD Individual | Specialist | 410 W 10TH AVE COLUMBUS, OH 43210 (614) 292-4692 |
| 1457393738 | DR. MICHAEL T CUDNIK M.D. Individual | Emergency Medicine | 410 W 10TH AVE COLUMBUS, OH 43210 (614) 293-5883 |
| 1679515662 | DR. GERARD J NUOVO MD Individual | Specialist | 410 W 10TH AVE COLUMBUS, OH 43210 (614) 293-8687 |
| 1982647426 | DR. LAWRENCE A DERENNE MD Individual | Specialist | 410 W 10TH AVE COLUMBUS, OH 43210 (614) 257-3490 |
| 1164465761 | DR. WILLIAM J BECKER MD Individual | Specialist | 410 W 10TH AVE COLUMBUS, OH 43210 (614) 293-4421 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1154434496, enumerated in the NPI registry as an "individual" on August 17, 2006
The provider is located at 410 W 10th Ave Columbus, Oh 43210 and the phone number is (614) 293-5502
The provider's speciality is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X
The provider might be accepting Accepts: Railroad Medicare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $166.65 with an average copayment of $41.66 for new patient appointments. Established patients should expect a typical charge of $68.07 and an average copayment of 17.01. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on August 17, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.