Active NPI 1326488891 Individual Practitioner Female Practitioner

Dr. Alice A Higdon , DO

Surgery • Paducah, KY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Alice Higdon, DO is a certified Surgery practicing in Paducah, KY. With approximately 13 years of clinical experience since graduating from University Of Pikeville, Kentucky College Of Osteopathic Med in 2013, Dr. Higdon delivers high-quality medical care to the local community at 1532 LONE OAK RD STE 235.

Dr. Higdon is affiliated with Mercy Health Physicians Kentucky Specialty Care Llc and accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

1532 Lone Oak Rd Ste 235

Paducah, KY 42003

Telephone 2704429463

Fax 2704422241

Associated Practice Facility / Clinic

🏢 Grogan & Howard, P.s.c. Facility NPI 1255398525

Medicare Profile & Education

Medical School

University Of Pikeville, Kentucky College Of Osteopathic Med

Graduation Year

2013

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Paducah, KY

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

13 Yrs -3.1 yrs vs City Avg

City Avg: 16.1 Yrs

State Avg: 25.9 Yrs

Regional Practice Density

17 Specialists

Practicing in Paducah, KY (495 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

40.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Higdon (13 Years) 13 Yrs

Paducah Specialty Average (16.1 Years) 16.1 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
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	81	81	$166.78	$103.36
99213 Established patient office or other outpatient visit, typically 15 minutes	50	43	$134.84	$84.08
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$248.70	$155.59
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	29	17	$104.00	$73.92
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	26	26	$198.00	$122.72
47562 Removal of gallbladder using an endoscope	25	25	$1087.00	$594.55
99231 Follow-up hospital inpatient care per day, typically 15 minutes	20	14	$60.00	$46.29
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	18	$84.65	$51.84
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$192.67	$118.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	32	27	$134.00	$81.70
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$247.00	$155.19
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	28	20	$104.00	$74.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	24	$191.00	$118.87
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	23	23	$198.00	$118.19
99231 Follow-up hospital inpatient care per day, typically 15 minutes	19	17	$60.00	$47.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$165.00	$103.78
47562 Removal of gallbladder using an endoscope	12	12	$1087.00	$619.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	44	44	$247.00	$156.87
99213 Established patient office or other outpatient visit, typically 15 minutes	35	26	$134.00	$85.00
99221 Initial hospital inpatient care per day, typically 30 minutes	27	27	$146.00	$95.03
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	26	18	$104.00	$67.35
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	26	16	$149.00	$96.64
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$164.88	$105.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	22	$191.00	$120.18
47562 Removal of gallbladder using an endoscope	21	21	$1087.00	$603.62
99231 Follow-up hospital inpatient care per day, typically 15 minutes	19	19	$60.00	$36.67
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	18	$198.00	$127.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	59	50	$60.00	$36.29
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	46	46	$163.87	$105.94
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	40	26	$104.00	$68.67
99213 Established patient office or other outpatient visit, typically 15 minutes	27	23	$132.15	$83.72
99221 Initial hospital inpatient care per day, typically 30 minutes	27	27	$146.00	$93.74
47562 Removal of gallbladder using an endoscope	19	19	$1080.00	$636.64
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$246.95	$153.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	17	$189.22	$122.58
99202 New patient office or other outpatient visit, typically 20 minutes	18	18	$112.00	$68.40
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	16	$82.00	$52.55
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	14	14	$30.00	$18.05
76937 Ultrasonic guidance for blood vessel access	14	14	$24.00	$13.47
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	14	14	$1400.00	$309.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	30	15	$60.00	$38.36
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$246.00	$156.09
99221 Initial hospital inpatient care per day, typically 30 minutes	22	22	$146.00	$98.71
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	20	$198.00	$127.69
99213 Established patient office or other outpatient visit, typically 15 minutes	20	16	$109.00	$70.54
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$161.00	$101.61
47562 Removal of gallbladder using an endoscope	15	15	$1071.00	$643.20
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	14	$66.00	$42.36
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	14	12	$1686.86	$318.51
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	13	12	$30.00	$18.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	11	$159.00	$102.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	56	27	$149.00	$99.64
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$161.00	$101.08
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	22	22	$198.00	$131.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	17	$159.00	$101.83
99221 Initial hospital inpatient care per day, typically 30 minutes	15	15	$146.00	$97.01
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$246.00	$154.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$161.00	$100.79
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	15	12	$149.00	$100.16
99213 Established patient office or other outpatient visit, typically 15 minutes	14	12	$109.00	$68.19
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$146.00	$97.22

Medical Specialties & State Licenses

CMS Verified: 2022-08-19

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License KY 04313

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

Mercy Health Physicians Kentucky Specialty Care Llc

1532 Lone Oak Rd, Paducah, KY 420037941

Phone: 2704429463

Practice Associates & Co-Workers

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

8 Associated Practitioners

Dr. Clinton Kaufman , DO

Surgery

NPI 1134566805

Doctor of Osteopathic Medicine (D.O.)

Dr. David Mauterer , MD

Surgery

NPI 1306854963

Doctor of Medicine (M.D.)

Marcus Turnley , PA-C

Physician Assistant

NPI 1497742670

Physician Assistant (Certified)

Dr. Lindsey Lund , MD

Surgery

NPI 1578791018

Doctor of Medicine (M.D.)

Dr. Edwin Grogan , MD

Surgery

NPI 1750378022

Doctor of Medicine (M.D.)

Dr. Jared Frattini , MD

Surgery

NPI 1831367424

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

12 Historical Events

📍

Updated Business Mailing Address August 19, 2022

Registered at 2200 JEFFERSON AVE FL 5, TOLEDO, OH 436047102

👤

Provider Name / Credentials Updated August 19, 2022

Recorded as ALICE HIGDON, DO

📍

Updated Practice Location July 26, 2018

Registered at 1532 LONE OAK RD STE 235, PADUCAH, KY 42003 (Tel: 2704429463)

📍

Updated Business Mailing Address July 26, 2018

Registered at 2200 JEFFERSON AVE, 5TH FLOOR MERCY PHO, TOLEDO, OH 436047101

👤

Provider Name / Credentials Updated July 26, 2018

Recorded as ALICE HIGDON WILHAM, DO

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 26, 2018

Surgery (License #04313 in KY)

✅

NPI Profile Active June 28, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location June 28, 2013

Registered at 327 BEACH 19TH ST, FAR ROCKAWAY, NY 116914423 (Tel: 7188697000)

📍

Updated Business Mailing Address June 28, 2013

Registered at 327 BEACH 19TH ST, FAR ROCKAWAY, NY 116914423 (Tel: 7188697000)

👤

Provider Name / Credentials Updated June 28, 2013

Recorded as ALICE HIGDON, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 28, 2013

Student in an Organized Health Care Education/Training Program

🟢

Initial NPI Registration & Enumeration June 28, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1326488891

Entity Type:

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

Enumeration Date: June 28, 2013

Last Update: August 19, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2200 Jefferson Ave Fl 5

Toledo, OH 436047102

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.