Active NPI 1487632287 Individual Practitioner Female Practitioner

Dawn M Higgins , ARNP

Nurse Practitioner • Waterloo, IA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dawn Higgins, ARNP is a certified Nurse Practitioner practicing in Waterloo, IA. With approximately 25 years of clinical experience since completing medical education in 2001, Dawn Higgins delivers high-quality medical care to the local community at 1717 W RIDGEWAY AVE.

Dawn Higgins maintains professional affiliations with Iowa Physicians Clinic Medical Foundation, Unified Therapy Services, Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, follow-up hospital inpatient care per day, hospital discharge day management. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1717 W Ridgeway Ave

Waterloo, IA 507014543

Telephone 3198335700

Fax 3198335740

Associated Practice Facility / Clinic

🏢 Allen Memorial Hospital Corporation Facility NPI 1255657466

Medicare Profile & Education

Medical School

Other

Graduation Year

2001

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Waterloo, IA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

25 Yrs +14.5 yrs vs City Avg

City Avg: 10.5 Yrs

State Avg: 11.8 Yrs

Regional Practice Density

96 Specialists

Practicing in Waterloo, IA (1307 Statewide)

Telehealth Adoption Rate

16.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Higgins (25 Years) 25 Yrs

Waterloo Specialty Average (10.5 Years) 10.5 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
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	255	122	$182.22	$61.78
99231 Follow-up hospital inpatient care per day, typically 15 minutes	24	13	$114.33	$38.65
99238 Hospital discharge day management, 30 minutes or less	19	19	$187.00	$60.16
99221 Initial hospital inpatient care per day, typically 30 minutes	19	18	$220.37	$64.20
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	19	19	$60.79	$16.69
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$300.07	$102.12

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	284	145	$184.00	$62.82
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	33	33	$57.36	$17.00
99221 Initial hospital inpatient care per day, typically 30 minutes	28	23	$210.29	$65.25
99238 Hospital discharge day management, 30 minutes or less	20	20	$187.00	$64.06
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	19	$301.00	$103.01

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	319	129	$169.00	$56.85
99221 Initial hospital inpatient care per day, typically 30 minutes	33	32	$235.00	$79.24
99225 Subsequent observation care, typically 25 minutes per day	28	18	$168.00	$56.45
99213 Established patient office or other outpatient visit, typically 15 minutes	13	13	$172.00	$53.83

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	313	145	$156.00	$58.17
99225 Subsequent observation care, typically 25 minutes per day	60	46	$152.67	$58.38
99217 Hospital observation care on day of discharge	44	44	$156.00	$58.52
99219 Hospital observation care, typically 50 minutes	24	24	$286.88	$108.96
99213 Established patient office or other outpatient visit, typically 15 minutes	24	21	$160.00	$55.21
99221 Initial hospital inpatient care per day, typically 30 minutes	16	16	$211.94	$81.29
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$294.00	$110.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	12	$228.00	$81.63
99238 Hospital discharge day management, 30 minutes or less	13	13	$157.00	$58.53

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	260	120	$175.00	$59.02
99217 Hospital observation care on day of discharge	45	45	$174.00	$57.94
99231 Follow-up hospital inpatient care per day, typically 15 minutes	41	20	$95.00	$32.01
99219 Hospital observation care, typically 50 minutes	28	28	$327.00	$107.46
99221 Initial hospital inpatient care per day, typically 30 minutes	27	23	$244.00	$82.20
99213 Established patient office or other outpatient visit, typically 15 minutes	16	15	$141.00	$41.63
99225 Subsequent observation care, typically 25 minutes per day	15	13	$175.00	$59.49
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$331.00	$111.97

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	171	86	$175.00	$58.25
99221 Initial hospital inpatient care per day, typically 30 minutes	29	28	$242.00	$80.81
99231 Follow-up hospital inpatient care per day, typically 15 minutes	28	23	$94.00	$31.61
99217 Hospital observation care on day of discharge	23	23	$175.00	$58.61
99213 Established patient office or other outpatient visit, typically 15 minutes	18	16	$141.00	$41.07
99219 Hospital observation care, typically 50 minutes	12	12	$326.00	$109.22

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	15	14	$165.93	$58.69
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	12	12	$70.17	$12.21
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	12	12	$93.83	$18.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	99	99	$102.00	$18.14
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	99	99	$77.00	$12.13
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	20	15	$165.00	$58.12

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IA 087431

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0449272 (IA)

Medicaid State Provider ID

7449272 (IA)

Medicaid State Provider ID

3449272 (IA)

Medicaid State Provider ID

5449272 (IA)

Medicaid State Provider ID

1449272 (IA)

Medicaid State Provider ID

9449272 (IA)

Medicaid State Provider ID

2449272 (IA)

Medicaid State Provider ID

4449272 (IA)

Medicaid State Provider ID

6449272 (IA)

Commercial Insurance / Payer ID Rr Medicare

P00173600 (IA)

Hospital & Practice Group Affiliations

Iowa Physicians Clinic Medical Foundation

4480 Utica Ridge Rd, Bettendorf, IA 527221644

Iowa Physicians Clinic Medical Foundation

1825 Logan Ave, Waterloo, IA 507031916

Phone: 3192353886

Unified Therapy Services, Inc

4135 Pennsylvania Ave, Dubuque, IA 520022628

Practice Associates & Co-Workers

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

3 Associated Practitioners

Dr. Thomas Spragg , MD

Internal Medicine

NPI 1093793580

Doctor of Medicine (M.D.)

Dr. Pratibha Dua , MD

Internal Medicine

NPI 1235116369

Doctor of Medicine (M.D.)

Dr. Kindra Welter , PharmD

Pharmacist

NPI 1780412726

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active October 22, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location October 22, 2007

Registered at 1717 W RIDGEWAY AVE, WATERLOO, IA 507014543 (Tel: 3198335700)

📍

Updated Business Mailing Address October 22, 2007

Registered at 1717 W RIDGEWAY AVE, WATERLOO, IA 507014543 (Tel: 3198335700)

👤

Provider Name / Credentials Updated October 22, 2007

Recorded as DAWN HIGGINS, ARNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 22, 2007

Nurse Practitioner (License #087431 in IA)

🟢

Initial NPI Registration & Enumeration January 03, 2006

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: 1487632287

Entity Type:

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

Enumeration Date: January 03, 2006

Last Update: October 22, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1717 W Ridgeway Ave

Waterloo, IA 507014543

Phone: 3198335700

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.