Active NPI 1649594805 Individual Practitioner Female Practitioner

Dr. Anna Michelle Higham , MD

Surgery • Urbana, IL

Professional Overview & Biography Verified Profile Summary

Dr. Anna Higham, MD is a registered healthcare professional specializing in Surgery in Urbana, IL. Practice services are available at 611 W. PARK ST. under active NPI credentials.

Frequently performed procedures and clinical services include prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service;, new patient outpatient office visit, established 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

611 W. Park St.

Urbana, IL 618012500

Telephone 2173836636

Fax 2173833466

Associated Practice Facility / Clinic

🏢 Carle Health Care Incorporated Facility NPI 1588988653

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Urbana, IL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 18.4 Yrs

State Avg: 27.3 Yrs

Regional Practice Density

40 Specialists

Practicing in Urbana, IL (1624 Statewide)

Telehealth Adoption Rate

7.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

89.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

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
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or	27	15	$96.00	$30.11
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	17	17	$731.18	$175.79
99213 Established patient office or other outpatient visit, typically 15 minutes	14	12	$151.79	$62.84
19301 Partial removal of breast	13	13	$4084.62	$559.25
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	12	12	$3966.67	$238.69
38900 Lymph node imaging during surgery	11	11	$1997.27	$150.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	33	31	$140.00	$66.64
19301 Partial removal of breast	25	25	$3310.00	$493.86
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	20	20	$3339.00	$225.33
38900 Lymph node imaging during surgery	19	19	$1663.16	$144.12
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	18	18	$690.00	$176.17
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	14	14	$5720.00	$866.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	32	32	$653.75	$186.03
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	25	25	$3040.00	$217.45
38900 Lymph node imaging during surgery	23	23	$1510.00	$137.61
99213 Established patient office or other outpatient visit, typically 15 minutes	22	21	$130.00	$66.50
19301 Partial removal of breast	21	21	$3160.00	$536.15
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	12	12	$5470.00	$726.73
14001 Repair of wound of trunk by transferring skin, 10.1-30.0 sq cm	11	11	$3880.00	$355.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	19	19	$640.00	$171.89
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	18	18	$3040.00	$229.15
38900 Lymph node imaging during surgery	17	17	$1510.00	$147.97
19301 Partial removal of breast	15	15	$3060.00	$667.51
99213 Established patient office or other outpatient visit, typically 15 minutes	15	14	$125.00	$52.27
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$340.00	$77.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	24	23	$120.00	$51.18
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$330.00	$76.72
38900 Lymph node imaging during surgery	11	11	$1510.00	$145.73
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	11	11	$3040.00	$246.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	31	29	$115.00	$49.05
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	22	22	$3040.00	$232.40
38900 Lymph node imaging during surgery	21	21	$1510.00	$139.90
19301 Partial removal of breast	17	16	$2880.00	$585.36
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$470.00	$128.37
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$320.00	$76.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	29	26	$110.00	$50.29
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	24	24	$3166.67	$226.69
38900 Lymph node imaging during surgery	24	24	$1510.00	$143.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	16	$170.00	$77.48
19301 Partial removal of breast	17	17	$2880.00	$643.75
19303 Total removal of breast	13	13	$6271.54	$989.38
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$250.45	$72.32
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	11	11	$506.36	$167.16

Medical Specialties & State Licenses

CMS Verified: 2022-06-01

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License IL 036133507

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.

Practice Associates & Co-Workers

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

29 Associated Practitioners

Dr. Ronald Kimball , MD

Obstetrics & Gynecology - Gynecologic Oncology

NPI 1003806514

Doctor of Medicine (M.D.)

Dr. James Egner , MD

Internal Medicine - Hematology & Oncology

NPI 1053330993

Doctor of Medicine (M.D.)

Dr. Tanmay Sahai , MD

Internal Medicine - Medical Oncology

NPI 1104265347

Doctor of Medicine (M.D.)

Dr. Maria Grosse-Perdekamp , MD

Internal Medicine - Hematology & Oncology

NPI 1124077714

Doctor of Medicine (M.D.)

Maddie Johnson , NP

Nurse Practitioner

NPI 1285287789

Nurse Practitioner

Dr. Sinisa Stanic , MD

Radiology - Radiation Oncology

NPI 1316149479

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Business Mailing Address June 09, 2022

Registered at 611 W. PARK ST., FAPC, URBANA, IL 618012500

✅

NPI Profile Active April 17, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location April 17, 2015

Registered at 611 W. PARK ST., URBANA, IL 618012500 (Tel: 2173836636)

📍

Updated Business Mailing Address April 17, 2015

Registered at 611 W. PARK ST., BWPC, URBANA, IL 618012500 (Tel: 2173836792)

👤

Provider Name / Credentials Updated April 17, 2015

Recorded as ANNA HIGHAM, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 17, 2015

Surgery (License #036133507 in IL)

🟢

Initial NPI Registration & Enumeration March 17, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1649594805

Entity Type:

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

Enumeration Date: March 17, 2010

Last Update: June 09, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

611 W. Park St., Fapc

Urbana, IL 618012500

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.