Active NPI 1871763540 Individual Practitioner Male Practitioner

Dr. Guillermo Higa Sansone , MD

Surgery • Tucson, AZ

Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Guillermo Higa Sansone, MD is a certified Surgery practicing in Tucson, AZ. With approximately 26 years of clinical experience since completing medical education in 2000, Dr. Higa Sansone delivers high-quality medical care to the local community at 1712 W ANKLAM RD STE 101.

Dr. Higa Sansone is affiliated with Tucson Weight Loss Surgery and does not directly accept Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, initial hospital care with moderate level of medical decision making, if using time, at least, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1712 W Anklam Rd Ste 101

Tucson, AZ 857452660

Telephone 5202072384

Fax 5203674297

Associated Practice Facility / Clinic

🏢 Tucson Weight Loss Surgery Facility NPI 1265149488

Medicare Profile & Education

Medical School

Other

Graduation Year

2000

Medicare Assignment

Not Specified

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Tucson, AZ

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

26 Yrs +3.3 yrs vs City Avg

City Avg: 22.7 Yrs

State Avg: 23.6 Yrs

Regional Practice Density

184 Specialists

Practicing in Tucson, AZ (801 Statewide)

Telehealth Adoption Rate

6.5% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

56.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Higa Sansone (26 Years) 26 Yrs

Tucson Specialty Average (22.7 Years) 22.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	49	29	$178.84	$80.84
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	25	25	$397.13	$157.84
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	20	$252.56	$111.27
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$329.78	$153.29
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	13	13	$436.30	$201.59
47562 Removal of gallbladder using an endoscope	11	11	$1319.16	$559.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	43	24	$198.75	$74.29
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	41	41	$388.36	$162.68
99213 Established patient office or other outpatient visit, typically 15 minutes	26	19	$178.84	$83.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	14	$252.56	$113.93
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$329.78	$155.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	105	50	$255.00	$114.72
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	46	45	$392.00	$195.09
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	43	26	$141.00	$70.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	41	41	$331.00	$162.01
99213 Established patient office or other outpatient visit, typically 15 minutes	17	15	$180.00	$90.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	109	38	$254.38	$126.54
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	38	38	$385.68	$196.58
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	33	33	$434.18	$218.81
99213 Established patient office or other outpatient visit, typically 15 minutes	20	19	$176.10	$90.02
47562 Removal of gallbladder using an endoscope	18	18	$1299.17	$641.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$325.69	$165.63
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$255.09	$133.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	25	24	$346.00	$137.05
99231 Follow-up hospital inpatient care per day, typically 15 minutes	25	14	$99.12	$39.21
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$406.74	$162.86
99213 Established patient office or other outpatient visit, typically 15 minutes	16	13	$186.00	$69.75
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$275.00	$105.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	25	18	$186.00	$67.49
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$419.00	$162.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$275.00	$100.26
99231 Follow-up hospital inpatient care per day, typically 15 minutes	16	12	$104.75	$37.26
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	14	$112.00	$44.45
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	14	14	$413.00	$131.56
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$359.50	$135.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	90	49	$196.00	$68.45
11042 Removal of skin and tissue, 20.0 sq cm or less	89	27	$294.00	$61.03
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$425.33	$146.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$283.60	$100.65
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	13	$119.00	$42.87
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$381.71	$134.42
99213 Established patient office or other outpatient visit, typically 15 minutes	13	11	$196.00	$50.36
47562 Removal of gallbladder using an endoscope	12	12	$2023.75	$603.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	397	82	$294.00	$57.27
99213 Established patient office or other outpatient visit, typically 15 minutes	219	88	$196.00	$68.59
99183 Management and supervision of oxygen chamber therapy per session	210	18	$604.00	$101.26
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	97	19	$105.00	$16.93
99213 Established patient office or other outpatient visit, typically 15 minutes	39	30	$196.00	$48.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$294.00	$103.14
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	29	12	$213.00	$70.58
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	26	24	$119.00	$23.88
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	26	25	$391.00	$128.42
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	17	17	$1031.00	$139.72
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$294.00	$69.42
47562 Removal of gallbladder using an endoscope	16	16	$2118.00	$602.68
99231 Follow-up hospital inpatient care per day, typically 15 minutes	16	11	$119.00	$38.33
99221 Initial hospital inpatient care per day, typically 30 minutes	15	14	$287.00	$98.76
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$452.00	$159.94
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	11	$119.00	$40.83

Medical Specialties & State Licenses

CMS Verified: 2024-06-04

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License AZ 52155

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Hospital & Practice Group Affiliations

Tucson Weight Loss Surgery

1712 W Anklam Rd, Tucson, AZ 857452660

Phone: 5202072384

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Anali Martinez , RD

Dietitian, Registered

NPI 1326873589

Registered Dietitian

Jenifer Seidner

Nurse Practitioner

NPI 1801664008

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

16 Historical Events

📍

Updated Practice Location June 04, 2024

Registered at 1712 W ANKLAM RD STE 101, TUCSON, AZ 857452660 (Tel: 5202072384)

📍

Updated Business Mailing Address June 04, 2024

Registered at 1712 W ANKLAM RD STE 101, TUCSON, AZ 857452660 (Tel: 5202072384)

📍

Updated Practice Location November 30, 2020

Registered at 6422 E SPEEDWAY BLVD STE 150, TUCSON, AZ 857101149 (Tel: 5203183004)

📍

Updated Business Mailing Address October 20, 2020

Registered at 6422 E SPEEDWAY BLVD, STE 150, TUCSON, AZ 857101149 (Tel: 5203183004)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 20, 2020

Surgery (License #52155 in AZ)

✅

NPI Profile Active May 19, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location May 19, 2017

Registered at 254 NE NORTON LN, MCMINNVILLE, OR 971288470 (Tel: 5034346060)

📍

Updated Business Mailing Address May 19, 2017

Registered at 2700 SE STRATUS AVE, MCMINNVILLE, OR 971288872 (Tel: (503) 435-4514)

👤

Provider Name / Credentials Updated May 19, 2017

Recorded as GUILLERMO HIGA SANSONE, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 19, 2017

Surgery (License #MD153919 in OR)

✅

NPI Profile Active July 25, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location July 25, 2011

Registered at 392 NE NORTON LN, MCMINNVILLE, OR 971288481 (Tel: 5034346060)

📍

Updated Business Mailing Address July 25, 2011

Registered at 2700 SE STRATUS AVE, MCMINNVILLE, OR 971288872 (Tel: 5034354514)

👤

Provider Name / Credentials Updated July 25, 2011

Recorded as GUILLERMO HIGA SANSONE, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 25, 2011

Surgery (License #MD153919 in OR)

🟢

Initial NPI Registration & Enumeration March 10, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1871763540

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: March 10, 2008

Last Update: June 04, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1712 W Anklam Rd Ste 101

Tucson, AZ 857452660

Phone: 5202072384

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.