Tyson Jay Higgins, M.D.
Emergency Medicine Physician · Provo, UT
Tyson Jay Higgins, M.D. is an emergency medicine physician with a practice address in Provo, Utah, and NPI 1417319799, issued on Mar 24, 2016. Check the license (Utah 12115660-1205, as entered in NPPES) on the Utah Medical Licensing Board; the Medicare figures below come from public CMS files.
- Name
- Tyson Jay Higgins
- Credential
- M.D.
- Primary taxonomy
- Emergency Medicine Physician 207P00000X
- License numbers
- 12115660-1205 UT
19103 NV
Self-reported in NPPES; status is on the state search - Practice location
- 1034 N 500 W, Provo, UT 84604
- Phone
- (801) 357-7850
- Enumerated
- Mar 24, 2016
- Record last updated
- Feb 24, 2021 (not updated in 5 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20210302001983); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest emergency medicine physician records → All 501 in Utah → Look up another NPI →
Also registered at 1034 N 500 W
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Tyson Jay Higgins in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersUtah Medical Licensing Board
Search for license 12115660-1205Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
33% fewer Medicare Part D claims than the average emergency medicine physician in 2024
151 Medicare Part D claims for 98 beneficiaries, against an average of 226 among the 54,106 providers of this specialty who prescribed in Part D. 15 claims were for opioids.
Most prescribed
- Cephalexin21 claims
- Ondansetron Odt19 claims
- Amoxicillin-Clavulanate Potass11 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
Industry payments in 2024: $35.19
2 payments; by number, the most common kind was food and beverage; the largest payer was Gilead Sciences, Inc. The 12,335 providers of this specialty with any payment received $953.79 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Utah Valley Emergency Physicians IncOrem, UT
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Tyson Jay Higgins among 501 emergency medicine physician records in Utah
Tyson Jay Higgins, M.D. is one of 501 emergency medicine physician records with a practice address in Utah. 80% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2016, is newer than 72% of them.
- NPI issued2016 · 72% of these records are older, 25% newer
- In a Medicare fileYes · 80% of these records are
- In the CMS Doctors and Clinicians fileYes · 69% of these records are
- Graduated2016 · median 2011 among the 344 with a school on file
- Record last updated2021 · 58% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207P00000X and a Utah practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Emergency Medicine Physician providers in Utah
There are 501 emergency medicine physician records in Utah.
All 501 in Utah → Every provider in Provo → Emergency Medicine Physician nationwide →
The 8 emergency medicine physician records with the nearest ZIP codes
- Reece BakerProvo, UT 846041285048363
- Audrey Bergeson, M.D.Provo, UT 846041427478577
- Ryan Davis, M.D.Provo, UT 846041376766220
- Ryley Enz, M.D.Provo, UT 846041952713299
- Juliet Evans, M.D.Provo, UT 846041902192164
- Richard Herlevi, D.O.Provo, UT 846041811932700
- Christopher Johnson, MDProvo, UT 846041013177328
- Taylor Kallas, M.D.Provo, UT 846041275729311
Common questions
What is Tyson Jay Higgins, M.D.'s NPI number?
Tyson Jay Higgins, M.D.'s National Provider Identifier (NPI) is 1417319799, issued on Mar 24, 2016. An NPI identifies a provider in billing; it is not a license.
Where is Tyson Jay Higgins, M.D. located?
The NPPES record lists a practice address at 1034 N 500 W, Provo, UT, 84604. Phone: (801) 357-7850. Providers update this record themselves, so call before visiting.
How can I verify Tyson Jay Higgins, M.D.'s license?
NPPES lists Utah license number 12115660-1205, as entered by the provider. Search the Utah Medical Licensing Board at https://secure.utah.gov/llv/search/index.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Tyson Jay Higgins, M.D. prescribe under Medicare Part D?
In 2024, Tyson Jay Higgins, M.D. had 151 Medicare Part D claims for 98 beneficiaries; the average among emergency medicine physician prescribers was 226. Part D covers Medicare prescriptions only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.