MRS. AMBER MAY HIGGINS MD
NPI 1619464054
Family Medicine in Newark, DE

NPI Status: Active since April 20, 2018

Contact Information

4755 OGLETOWN STANTON RD
NEWARK, DE
ZIP 19718
Phone: (302) 733-1000

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  • Individual
  • Female
  • Family Medicine
  • PECOS Enrolled

About AMBER HIGGINS

This page provides the complete NPI Profile along with additional information for Amber Higgins, a primary care provider established in Newark, Delaware with a medical specialization in Family Medicine. The healthcare provider is registered in the NPI registry with number 1619464054 assigned on April 2018. The practitioner's primary taxonomy code is 207Q00000X with license number C1-0026142 (DE). The provider is registered as an individual and her NPI record was last updated 2 years ago.

NPI
1619464054
Provider Name
MRS. AMBER MAY HIGGINS MD
Gender
Female
Entity Type
Individual
Location Address
4755 OGLETOWN STANTON RD NEWARK, DE 19718
Location Phone
(302) 733-1000
Mailing Address
4755 OGLETOWN STANTON RD NEWARK, DE 19718
Mailing Phone
(302) 733-1000
Is Sole Proprietor?
No
Enumeration Date
04-20-2018
Last Update Date
07-31-2023
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A primary care provider (PCP) like Amber Higgins sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

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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

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License No.
C1-0026142
License State
DE
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Medicare Participation & PECOS Enrollment Status

Amber 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: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) 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: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • 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 19718 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $88.37
  • Minimum New Patient Price $57.12
  • Maximum New Patient Price $173.08
  • Average New Patient Copayment $22.09
  • Minimum New Patient Copayment $14.28
  • Maximum New Patient Copayment $43.27

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $100.68
  • Minimum Established Patient Price $18.36
  • Maximum Established Patient Price $141.05
  • Average Established Patient Copayment $25.17
  • Minimum Established Patient Copayment $4.59
  • Maximum Established Patient Copayment $35.26

* 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.

Reviews for MRS. AMBER MAY HIGGINS MD

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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.
1619464054
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2629868010
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 2 + 9 + 8 + 6 + 8 + 0 + 1 + 0 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1619464054 is valid because the calculated check digit 4 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
1336145861DR. CYNTHIA ELLEN FLYNN MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)4755 OGLETOWN STANTON RD
NEWARK, DE 19718
(302) 454-9830
1689670119DR. MARY VIRGINIA IACOCCA MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)4755 OGLETOWN STANTON RD
NEWARK, DE 19718
(302) 454-9830
1194721639DR. MICHAEL DOUGLAS KANZER MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)4755 OGLETOWN STANTON RD
NEWARK, DE 19718
(302) 454-9830
1396741849DR. GARY BRUCE WITKIN MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)4755 OGLETOWN STANTON RD
NEWARK, DE 19718
(302) 454-9830
1487650594DR. MARK L MITCHELL MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)4755 OGLETOWN STANTON RD
NEWARK, DE 19718
(302) 454-9830
1265438360DR. WILLIAM MACLEOD KIRBY MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)4755 OGLETOWN STANTON RD
NEWARK, DE 19718
(302) 454-9830
1477538791 MATTHEW K HOFFMAN MD
Individual
Obstetrics & Gynecology4755 OGLETOWN STANTON RD DEPT. OF OB/GYN
NEWARK, DE 19718
(302) 733-6518
1538144266 DIANE C BOHNER MD
Individual
Internal Medicine4755 OGLETOWN STANTON RD NEWARK
NEWARK, DE 19718
(302) 733-1000
1487632303 PAUL R SIERZENSKI MD
Individual
Emergency Medicine4755 OGLETOWN STANTON RD
NEWARK, DE 19718
(302) 733-1000
1306824107 STEVEN KUSHNER MD
Individual
Emergency Medicine4755 OGLETOWN STANTON RD
NEWARK, DE 19718
(302) 733-1000
1477531275 JASON E NACE MD
Individual
Emergency Medicine4755 OGLETOWN STANTON RD
NEWARK, DE 19718
(302) 733-1000
1295713006 JAMES M CARROLL MD
Individual
Emergency Medicine4755 OGLETOWN STANTON RD
NEWARK, DE 19718
(302) 733-1000
1194703900 ANITA H HODSON MD
Individual
Emergency Medicine4755 OGLETOWN STANTON RD
NEWARK, DE 19718
(302) 733-1000
1285612093 CORY T CARPENTER MD
Individual
Emergency Medicine4755 OGLETOWN STANTON RD
NEWARK, DE 19718
(302) 733-1000
1154309078 LAURA A LAWLER MD
Individual
Pediatrics4755 OGLETOWN STANTON RD CHRISTIANA HOSPITAL, DEPT OF PEDIATRICS
NEWARK, DE 19718
(302) 733-6500
1598743312DR. CEM SOYKAN MD
Individual
Pediatrics (Neonatal-Perinatal Medicine)4755 OGLETOWN STANTON RD DEPT. OF PEDIATRICS
NEWARK, DE 19718
(302) 733-4200
1114905924 THOMAS A SWEENEY MD
Individual
Emergency Medicine4755 OGLETOWN STANTON RD
NEWARK, DE 19718
(302) 733-1000
1578541389 BRIAN J LEVINE MD
Individual
Emergency Medicine4755 OGLETOWN STANTON RD
NEWARK, DE 19718
(302) 733-1000
1467430173 SUNANDA NABHA MD
Individual
Emergency Medicine4755 OGLETOWN STANTON RD
NEWARK, DE 19718
(302) 733-1000
1598743304 JEREMIAH L DRISCOLL PAC
Individual
Physician Assistant4755 OGLETOWN STANTON RD
NEWARK, DE 19718
(302) 733-1000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619464054, enumerated in the NPI registry as an "individual" on April 20, 2018

The provider is located at 4755 Ogletown Stanton Rd Newark, De 19718 and the phone number is (302) 733-1000

The provider's speciality is Family Medicine with taxonomy code 207Q00000X

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: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $88.37 with an average copayment of $22.09 for new patient appointments. Established patients should expect a typical charge of $100.68 and an average copayment of 25.17. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on April 20, 2018. 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.