Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1477594075 Individual Practitioner Male Practitioner

Dr. Thomas F. Higgins , MD

Emergency Medicine • Cleveland, OH

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Higgins, MD is a certified Emergency Medicine practicing in Cleveland, OH. With approximately 41 years of clinical experience since graduating from Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University in 1985, Dr. Higgins delivers high-quality medical care to the local community at 18101 LORAIN AVENUE, CLEVELAND CLINIC-FAIRVIEW HOSPITAL.

Dr. Higgins is affiliated with Cleveland Clinic and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include emergency department visit with moderate level of medical decision making, telephone or internet assessment and management service provided by consultative physician with verbal and written report, emergency department visit with low level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

18101 Lorain Avenue, Cleveland Clinic-Fairview Hospital
Emergency Services

Cleveland, OH 441115612

Telephone 2164767312

Medicare Profile & Education

Medical School

Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University

Graduation Year

1985

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Emergency Medicine in Cleveland, OH

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
41 Yrs +25.4 yrs vs City Avg
City Avg: 15.6 Yrs
State Avg: 21.5 Yrs
Regional Practice Density
336 Specialists

Practicing in Cleveland, OH (3084 Statewide)

Telehealth Adoption Rate
2.4% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
89.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Higgins (41 Years) 41 Yrs
Cleveland Specialty Average (15.6 Years) 15.6 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
99284 Emergency department visit with moderate level of medical decision making
41 41 $1165.00 $115.96
99446 Telephone or internet assessment and management service provided by consultative physician with verbal and written report, 5-10 minutes of medical consultative discussion and review
20 20 $149.00 $16.96
99283 Emergency department visit with low level of medical decision making
14 14 $680.00 $68.31

Medical Specialties & State Licenses

Emergency Medicine Primary Specialty

NUCC Taxonomy Code: 207P00000X

State License OH 35060340H

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0971579 (OH)
Commercial Insurance / Payer ID Medicare Traverlers Rr-Ga
930028837 (OH)
Commercial Insurance / Payer ID Caresource
942460636279 (OH)

Hospital & Practice Group Affiliations

Cleveland Clinic

9500 Euclid Ave, Cleveland, OH 441950001

Phone: 2164442200

Practice Associates & Co-Workers

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

40 Associated Practitioners
NPI 1013354968

Doctor of Medicine (M.D.)

Dr. Pamela Ritchey , MD

Emergency Medicine

NPI 1033438783

Doctor of Medicine (M.D.)

Tiffany Kacmarek

Physician Assistant - Medical

NPI 1033562970
Karen Patel , PA-C

Physician Assistant

NPI 1104134121

Physician Assistant (Certified)

Andrea Dolenc

Physician Assistant - Medical

NPI 1114391620
Dr. Jacob Berriochoa , MD

Emergency Medicine

NPI 1144663659

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location June 28, 2018

Registered at 18101 LORAIN AVENUE, CLEVELAND CLINIC-FAIRVIEW HOSPITAL, EMERGENCY SERVICES, CLEVELAND, OH 441115612 (Tel: 2164767312)

📍
Updated Business Mailing Address June 28, 2018

Registered at 18101 LORAIN AVENUE, CLEVELAND CLINIC-FAIRVIEW HOSPITAL, EMERGENCY SERVICES, CLEVELAND, OH 441115612 (Tel: 2164767312)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 18101 LORAIN AVE, CLEVELAND, OH 441115612 (Tel: 2164767000)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1256 WINTERBERRY LN, MEDINA, OH 442568654

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as THOMAS HIGGINS, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Emergency Medicine (License #35060340H in OH)

🟢
Initial NPI Registration & Enumeration June 08, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Thomas Higgins. Be the first to share your experience!

Sign in to leave a review for Dr. Thomas Higgins

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1477594075
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 08, 2006
Last Update: June 28, 2018
Sole Proprietor: Yes

Mailing Address

18101 Lorain Avenue, Cleveland Clinic-Fairview Hospital, Emergency Services

Cleveland, OH 441115612

Phone: 2164767312

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.