Active NPI 1487655866 Individual Practitioner Female Practitioner

Dr. Clara M Higgins , DO

Surgery • Lewes, DE

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Clara Higgins, DO is a certified Surgery practicing in Lewes, DE. With approximately 33 years of clinical experience since graduating from Philadelphia College Of Osteopathic Medicine in 1993, Dr. Higgins delivers high-quality medical care to the local community at 33672 BAYVIEW MEDICAL DR.

Dr. Higgins is affiliated with Beebe Physician Network Inc. and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with straightforward or low-level medical decision making, if using time, at least, follow-up hospital inpatient care per day. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

33672 Bayview Medical Dr

Lewes, DE 199581687

Telephone 3027033630

Fax 3026458473

Medicare Profile & Education

Medical School

Philadelphia College Of Osteopathic Medicine

Graduation Year

1993

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Lewes, DE

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

33 Yrs +9.3 yrs vs City Avg

City Avg: 23.7 Yrs

State Avg: 23.3 Yrs

Regional Practice Density

9 Specialists

Practicing in Lewes, DE (115 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

54.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Higgins (33 Years) 33 Yrs

Lewes Specialty Average (23.7 Years) 23.7 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
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	48	31	$155.19	$78.11
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	35	34	$285.87	$129.44
99231 Follow-up hospital inpatient care per day, typically 15 minutes	26	20	$96.69	$49.05
99213 Established patient office or other outpatient visit, typically 15 minutes	26	22	$180.61	$90.81
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$235.61	$111.00
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$419.00	$171.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$339.62	$158.46
99213 Established patient office or other outpatient visit, typically 15 minutes	20	12	$184.50	$86.10
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	11	$113.31	$53.03
45380 Biopsy of large bowel using an endoscope	15	15	$412.00	$142.90
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$225.18	$105.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	47	26	$171.30	$80.88
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$227.09	$104.81
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$341.00	$149.42
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$248.75	$123.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	45	27	$158.00	$71.09
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$230.00	$101.95
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$219.17	$97.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	57	40	$193.35	$68.49
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	57	57	$289.93	$100.87
45380 Biopsy of large bowel using an endoscope	32	32	$739.38	$171.59
99221 Initial hospital inpatient care per day, typically 30 minutes	30	28	$265.67	$93.07
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	27	24	$390.70	$111.32
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	25	17	$197.08	$69.07
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	13	$118.65	$41.80
43450 Dilation of esophagus	16	15	$230.75	$38.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	60	60	$306.42	$98.50
99213 Established patient office or other outpatient visit, typically 15 minutes	59	45	$206.44	$67.74
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	50	18	$204.36	$58.75
99221 Initial hospital inpatient care per day, typically 30 minutes	36	32	$286.03	$95.67
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	23	20	$502.30	$104.66
45380 Biopsy of large bowel using an endoscope	18	18	$875.00	$164.55
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	14	$124.06	$40.84
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$467.33	$153.91
43450 Dilation of esophagus	12	11	$300.00	$38.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	48	48	$301.00	$93.48
99213 Established patient office or other outpatient visit, typically 15 minutes	32	22	$204.00	$61.39
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	28	11	$201.00	$64.38
45380 Biopsy of large bowel using an endoscope	22	22	$859.00	$121.09
99221 Initial hospital inpatient care per day, typically 30 minutes	17	17	$281.00	$89.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$461.00	$137.43
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	16	15	$495.00	$94.49
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	12	12	$1123.00	$165.26
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	11	11	$1021.00	$193.98

Medical Specialties & State Licenses

CMS Verified: 2023-07-06

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License DE C20006485

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License TN 3108

Surgery

NUCC Taxonomy Code: 208600000X

State License DE C2-0024243

Hospital & Practice Group Affiliations

Beebe Physician Network Inc.

33672 Bayview Medical Dr, Lewes, DE 199581687

Phone: 8336290820

Practice Associates & Co-Workers

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

11 Associated Practitioners

Dr. Mudiwa Munyikwa , MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

NPI 1073509410

Doctor of Medicine (M.D.)

Dr. Erik Stancofski , MD

Surgery

NPI 1104828094

Doctor of Medicine (M.D.)

Kristin Cordrey , PA-C

Physician Assistant

NPI 1164850566

Physician Assistant (Certified)

Lauren Freebery , PA

Surgery

NPI 1225915515

Physician Assistant

Darra Hallowell , PA

Physician Assistant

NPI 1275082877

Physician Assistant

Lauren Trapp , AGACNP-BC

Nurse Practitioner

NPI 1326437583

Adult-Gerontology Acute Care Nurse Practitioner (Board Certified)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location July 06, 2023

Registered at 33672 BAYVIEW MEDICAL DR, LEWES, DE 199581687 (Tel: 3027033630)

📍

Updated Business Mailing Address July 06, 2023

Registered at 33672 BAYVIEW MEDICAL DR, LEWES, DE 199581687 (Tel: 3027033630)

✅

NPI Profile Active September 01, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location September 01, 2016

Registered at 110 ANGLERS RD, UNIT 104 SAFE HARBOR, LEWES, DE 199581105 (Tel: 3026449644)

📍

Updated Business Mailing Address September 01, 2016

Registered at 110 ANGLERS RD, UNIT 104 SAFE HARBOR, LEWES, DE 199581105 (Tel: 3026449644)

👤

Provider Name / Credentials Updated September 01, 2016

Recorded as CLARA HIGGINS, DO

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 01, 2016

Surgery (License #3108 in TN)

🟢

Initial NPI Registration & Enumeration August 09, 2005

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: 1487655866

Entity Type:

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

Enumeration Date: August 09, 2005

Last Update: July 06, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

33672 Bayview Medical Dr

Lewes, DE 199581687

Phone: 3027033630

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.