Thomas S Higgins Jr, MD - Medicare Otolaryngology in Louisville, KY

Thomas S Higgins Jr, MD is a medicare enrolled "Otolaryngology" physician in Louisville, Kentucky. He went to University Of Louisville School Of Medicine and graduated in 2006 and has 18 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Ent Care Centers Pllc, Ent Care Centers Pllc and his current practice location is 6420 Dutchmans Pkwy Ste 380, Louisville, Kentucky. You can reach out to his office (for appointments etc.) via phone at (502) 894-8441.

Thomas S Higgins Jr is licensed to practice in Kentucky (license number TP529) 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 1750543237.

Contact Information

Thomas S Higgins Jr, MD
6420 Dutchmans Pkwy Ste 380,
Louisville, KY 40205-3355
(502) 894-8441
(502) 894-4453

Map and Direction




Physician's Profile

Full NameThomas S Higgins Jr
GenderMale
SpecialityOtolaryngology
Experience18 Years
Location6420 Dutchmans Pkwy Ste 380, Louisville, Kentucky
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 S Higgins Jr attended and graduated from University Of Louisville School Of Medicine in 2006
  NPI Data:
  • NPI Number: 1750543237
  • Provider Enumeration Date: 06/26/2008
  • Last Update Date: 02/03/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4486824935
  • Enrollment ID: I20120611000655

Medical Identifiers

Medical identifiers for Thomas S Higgins Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750543237NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Y00000XOtolaryngology TP529 (Kentucky)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Norton Hospitals, IncLouisville, KYHospital
Jewish Hospital & St Mary's HealthcareLouisville, KYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ent Care Centers Pllc296189683220
Ent Care Centers Pllc296189683220

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 S Higgins Jr allows following entities to bill medicare on his behalf.
Entity NameKentuckiana Ear Nose & Throat Psc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194771592
PECOS PAC ID: 9133195902
Enrollment ID: O20040903000141
Entity NameEnt Care Centers Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093381485
PECOS PAC ID: 2961896832
Enrollment ID: O20220218002399

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 S Higgins Jr 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 S Higgins Jr, MD
6420 Dutchmans Pkwy Ste 380,
Louisville, KY 40205-3355

Ph: (502) 894-8441
Thomas S Higgins Jr, MD
6420 Dutchmans Pkwy Ste 380,
Louisville, KY 40205-3355

Ph: (502) 894-8441

Reviews and Comments


Otolaryngology Doctors in Louisville, KY

Dr. Michael J Brown, MD
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 3999 Dutchmans Ln, Suite #3a, Suburban Plaza One, Louisville, KY 40207
Phone: 502-897-7300    Fax: 502-897-3332
Dr. Carl D Coppola, M.D.
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 3950 Kresge Way Ste 402, Louisville, KY 40207
Phone: 502-893-3683    
Mr. Stanley S. Chmiel, M.D.
Otolaryngology
Medicare: Medicare Enrolled
Practice Location: 4003 Kresge Way, Ste 227, Louisville, KY 40207
Phone: 502-893-3342    Fax: 502-893-9575
Dr. Marion D Eyre, MD
Otolaryngology
Medicare: Not Enrolled in Medicare
Practice Location: 6420 Dutchmans Pkwy, Suite 380, Louisville, KY 40205
Phone: 502-894-9753    Fax: 502-371-0929
Dr. Sean Matthew Miller, M.D.
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 6420 Dutchmans Pkwy Ste 380, Louisville, KY 40205
Phone: 502-894-8441    Fax: 502-894-4453
Ziad A Katrib, MD
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 401 E Chestnut St Unit 170, Louisville, KY 40202
Phone: 502-583-3687    Fax: 502-588-7840
Mary Katherine Alexandra Spiker, PA-C
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 4950 Norton Healthcare Blvd Ste 205, Louisville, KY 40241
Phone: 502-394-6390    Fax: 502-394-6388

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.