Active NPI 1619053659 Individual Practitioner Male Practitioner

Robert T Higginson , PA

Physician Assistant • Richmond, VA

Professional Overview & Biography Verified Profile Summary

Robert Higginson, PA is a registered healthcare professional specializing in Physician Assistant in Richmond, VA. Practice services are available at 1250 E MARSHALL STREET under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, sarscov2 vac 30mcg/0.3ml im. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1250 E Marshall Street
Internal Medicine

Richmond, VA 232980510

Telephone 8046280153

Fax 8048282338

Associated Practice Facility / Clinic

🏢 Mcv Associated Physicians Facility NPI 1770517807

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Richmond, VA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 9.8 Yrs

State Avg: 10.5 Yrs

Regional Practice Density

285 Specialists

Practicing in Richmond, VA (4432 Statewide)

Telehealth Adoption Rate

6.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

74.1% 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	66	48	$302.00	$77.66
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	23	21	$49.26	$13.48

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	182	70	$299.09	$80.44

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	186	74	$297.00	$82.92
91300 Sarscov2 vac 30mcg/0.3ml im	24	23	$0.01	$0.01
0004A Fee covid-19 vac 1 res	19	19	$94.00	$39.14

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	183	75	$296.48	$84.27
99213 Established patient office or other outpatient visit, typically 15 minutes	43	31	$201.00	$57.45
99442 Telephone medical discussion with physician, 11-20 minutes	32	21	$221.00	$57.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99442 Telephone medical discussion with physician, 11-20 minutes	89	59	$217.38	$44.46
99213 Established patient office or other outpatient visit, typically 15 minutes	75	55	$198.84	$44.39
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	49	37	$118.55	$22.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	19	$292.50	$68.20
99442 Telephone medical discussion with physician, 11-20 minutes	14	13	$85.43	$56.17

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	114	67	$284.11	$67.34
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	112	69	$115.88	$21.80
99213 Established patient office or other outpatient visit, typically 15 minutes	80	54	$193.30	$43.66
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	11	$380.00	$94.95

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	180	79	$282.00	$66.51
99213 Established patient office or other outpatient visit, typically 15 minutes	79	50	$191.00	$43.49
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	54	24	$380.00	$93.97
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	16	$114.00	$21.57

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	190	78	$282.00	$66.16
99213 Established patient office or other outpatient visit, typically 15 minutes	77	53	$191.00	$42.88
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	40	20	$380.00	$93.58

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License VA 0110840343

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

010107130 541581185 (VA)

Practice Associates & Co-Workers

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

5 Associated Practitioners

Dr. Veronica Ayala-Sims , MD

Internal Medicine

NPI 1013124395

Doctor of Medicine (M.D.)

Jane Kaatz , RN, ANP

Nurse Practitioner - Adult Health

NPI 1356462196

Registered Nurse, Adult Nurse Practitioner

Elizabeth Winthrop , FNP

Nurse Practitioner - Family

NPI 1366786790

Family Nurse Practitioner

Dr. Sangeeta Sastry , MD

Internal Medicine - Infectious Disease

NPI 1487859476

Doctor of Medicine (M.D.)

Jane Settle , FNP

Nurse Practitioner - Family

NPI 1811994882

Family Nurse Practitioner

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active August 30, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location August 30, 2011

Registered at 1250 E MARSHALL STREET, INTERNAL MEDICINE, RICHMOND, VA 232980510 (Tel: 8046280153)

📍

Updated Business Mailing Address August 30, 2011

Registered at PO BOX 91734, RICHMOND, VA 232911734 (Tel: 8043586100)

👤

Provider Name / Credentials Updated August 30, 2011

Recorded as ROBERT HIGGINSON, P.A.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 30, 2011

Physician Assistant (License #0110840343 in VA)

🟢

Initial NPI Registration & Enumeration October 31, 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: 1619053659

Entity Type:

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

Enumeration Date: October 31, 2006

Last Update: August 30, 2011

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 91734

Richmond, VA 232911734

Phone: 8043586100

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.