Thomas L Higgins, MD - Medicare Hospitalist in Springfield, MA

Thomas L Higgins, MD is a medicare enrolled "Internal Medicine - Critical Care Medicine" physician in Springfield, Massachusetts. He went to Boston University School Of Medicine and graduated in 1978 and has 46 years of diverse experience with area of expertise as Hospitalist. He is a member of the group practice Baystate Medical Practices Inc and his current practice location is 759 Chestnut St, Springfield, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (413) 794-5439.

Thomas L Higgins is licensed to practice in Massachusetts (license number 50590) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1689788499.

Contact Information

Thomas L Higgins, MD
759 Chestnut St,
Springfield, MA 01199-1001
(413) 794-5439
(413) 794-5389

Map and Direction




Physician's Profile

Full NameThomas L Higgins
GenderMale
SpecialityHospitalist
Experience46 Years
Location759 Chestnut St, Springfield, Massachusetts
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Thomas L Higgins attended and graduated from Boston University School Of Medicine in 1978
  NPI Data:
  • NPI Number: 1689788499
  • Provider Enumeration Date: 08/18/2006
  • Last Update Date: 01/09/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 0244287274
  • Enrollment ID: I20050401000618

Medical Identifiers

Medical identifiers for Thomas L Higgins such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689788499NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0200XInternal Medicine - Critical Care Medicine 50590 (Massachusetts)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Baystate Medical CenterSpringfield, MAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Baystate Medical Practices Inc59916029711008

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Thomas L Higgins allows following entities to bill medicare on his behalf.
Entity NameBaystate Medical Practices Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548205909
PECOS PAC ID: 5991602971
Enrollment ID: O20040225000080
Entity NameAdfinitas Health At The Mercy Hospital Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669036737
PECOS PAC ID: 9032442298
Enrollment ID: O20190604000980
Entity NameAdfinitas Health Palliative Services, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336879279
PECOS PAC ID: 1355743584
Enrollment ID: O20230210000461

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Thomas L Higgins is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Thomas L Higgins, MD
280 Chestnut St, 2nd Floor,
Springfield, MA 01199-1000

Ph: (413) 794-5700
Thomas L Higgins, MD
759 Chestnut St,
Springfield, MA 01199-1001

Ph: (413) 794-5439

Reviews and Comments


Internal Medicine Doctors in Springfield, MA

Grace Makari-judson, MD
Critical Care Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3350 Main Street, Springfield, MA 01107
Phone: 413-794-9338    Fax: 413-794-9754
Peter Whittredge, M.D.
Critical Care Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2 Medical Center Dr, Suite 410, Springfield, MA 01107
Phone: 413-781-5735    Fax: 413-732-0225
Dr. Marc A Goldman, MD
Critical Care Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 175 Carew St Ste 200, Springfield, MA 01104
Phone: 413-732-4269    Fax: 413-785-4619
Twara K Tarasaria, MD
Critical Care Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 759 Chestnut St, Springfield, MA 01107
Phone: 413-794-6297    Fax: 413-794-1767
Dr. Sai R. Vadhula, MD, PHD
Critical Care Medicine
Medicare: Medicare Enrolled
Practice Location: 759 Chestnut St Ste C3350, Springfield, MA 01107
Phone: 413-794-6297    Fax: 413-794-1767
Dr. Joan Wanda Lisak, M.D.
Critical Care Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 780 Chestnut St, Suite 20, Springfield, MA 01107
Phone: 413-781-2200    Fax: 413-781-2202
Dr. Eva Karacsonyi, MD
Critical Care Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2150 Main Street, Springfield, MA 01104
Phone: 413-739-5676    Fax: 413-739-2278

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.