Active NPI 1538134903 Individual Practitioner Male Practitioner

Michael W Higgins , DOPA

Orthopaedic Surgery • Spring Hill, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Michael Higgins, DOPA is a certified Orthopaedic Surgery practicing in Spring Hill, FL. With approximately 30 years of clinical experience since graduating from Nova Southeastern College Of Osteo Medicine in 1996, Michael Higgins delivers high-quality medical care to the local community at 4055 MARINER BLVD.

Michael Higgins is affiliated with H2 Rehabilitation Services Of Florida Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, methylprednisolone acetate, 1 mg, aspiration and/or injection of fluid from large joint, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4055 Mariner Blvd

Spring Hill, FL 346092467

Telephone 3526886035

Fax 3526886219

Associated Practice Facility / Clinic

🏢 Michael W Higgins D O P A Facility NPI 1578758314

Medicare Profile & Education

Medical School

Nova Southeastern College Of Osteo Medicine

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Spring Hill, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

30 Yrs Matches City Avg

City Avg: 30.0 Yrs

State Avg: 27.1 Yrs

Regional Practice Density

2 Specialists

Practicing in Spring Hill, FL (1597 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

73.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Higgins (30 Years) 30 Yrs

Spring Hill Specialty Average (30.0 Years) 30.0 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
J1010 Injection, methylprednisolone acetate, 1 mg	9,608	156	$2.13	$0.13
20610 Aspiration and/or injection of fluid from large joint	560	190	$200.00	$64.38
99213 Established patient office or other outpatient visit, typically 15 minutes	504	265	$506.30	$86.15
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose	334	65	$200.00	$72.54
73560 X-ray of knee, 1-2 views	137	112	$85.00	$33.10
99221 Initial hospital inpatient care per day, typically 30 minutes	99	90	$149.00	$83.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	97	70	$200.00	$127.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	93	93	$250.00	$110.16
J1030 Injection, methylprednisolone acetate, 40 mg	93	79	$85.00	$6.34
20552 Injections of trigger points in 1 or 2 muscles	80	66	$161.00	$51.43
73030 X-ray of shoulder, minimum of 2 views	79	52	$113.00	$33.72
99202 New patient office or other outpatient visit, typically 20 minutes	74	74	$150.00	$71.81
72100 X-ray of lower and sacral spine, 2-3 views	54	49	$111.00	$38.48
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	47	31	$100.00	$56.19
73502 X-ray of hip, 2-3 views	38	38	$96.00	$45.64
73130 X-ray of hand, minimum of 3 views	30	26	$84.00	$35.94
27447 Replacement of knee joint, both sides of knee	21	21	$5994.00	$1325.12
73630 X-ray of foot, minimum of 3 views	15	13	$89.00	$30.94
72040 X-ray of upper spine, 2-3 views	13	13	$122.00	$38.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7331 Hyaluronan or derivative, synojoynt, for intra-articular injection, 1 mg	840	16	$39.36	$13.04
99213 Established patient office or other outpatient visit, typically 15 minutes	561	263	$100.01	$89.84
20610 Aspiration and/or injection of fluid from large joint	451	175	$200.00	$65.15
J1030 Injection, methylprednisolone acetate, 40 mg	271	186	$85.00	$7.64
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose	196	41	$200.00	$73.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	143	143	$250.00	$112.49
73562 X-ray of knee, 3 views	79	73	$100.00	$39.64
73030 X-ray of shoulder, minimum of 2 views	64	52	$113.00	$33.91
99221 Initial hospital inpatient care per day, typically 30 minutes	60	60	$149.00	$84.96
73560 X-ray of knee, 1-2 views	53	48	$85.00	$33.55
72100 X-ray of lower and sacral spine, 2-3 views	41	37	$111.00	$39.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	41	36	$200.00	$127.28
20552 Injections of trigger points in 1 or 2 muscles	37	34	$161.00	$53.17
99202 New patient office or other outpatient visit, typically 20 minutes	35	35	$150.00	$71.82
73502 X-ray of hip, 2-3 views	21	21	$96.00	$45.80
20605 Aspiration and/or injection of medium joint or joint capsule	13	12	$152.00	$55.78
72040 X-ray of upper spine, 2-3 views	13	13	$122.00	$38.78
73100 X-ray of wrist, 2 views	13	11	$74.00	$33.22
73120 X-ray of hand, 2 views	12	12	$76.00	$30.67
73610 X-ray of ankle, minimum of 3 views	11	11	$89.00	$36.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7328 Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg	15,120	29	$2.68	$2.21
J7331 Hyaluronan or derivative, synojoynt, for intra-articular injection, 1 mg	880	15	$40.00	$17.73
99213 Established patient office or other outpatient visit, typically 15 minutes	452	260	$99.81	$91.31
20610 Aspiration and/or injection of fluid from large joint	417	172	$200.00	$66.25
J1030 Injection, methylprednisolone acetate, 40 mg	257	180	$85.00	$6.39
99202 New patient office or other outpatient visit, typically 20 minutes	184	184	$150.00	$73.36
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose	116	23	$200.00	$75.02
73562 X-ray of knee, 3 views	91	79	$100.00	$40.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	60	50	$200.00	$128.49
99221 Initial hospital inpatient care per day, typically 30 minutes	54	53	$149.00	$102.62
20552 Injections of trigger points in 1 or 2 muscles	49	44	$160.55	$54.29
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	39	32	$100.00	$56.71
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$250.00	$113.36
73030 X-ray of shoulder, minimum of 2 views	20	20	$113.00	$34.34
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	19	$201.00	$137.17
20605 Aspiration and/or injection of medium joint or joint capsule	16	14	$151.88	$55.81
27447 Replacement of knee joint, both sides of knee	14	14	$5994.00	$1346.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7328 Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg	34,608	58	$2.68	$2.18
99213 Established patient office or other outpatient visit, typically 15 minutes	444	246	$123.82	$92.33
J1030 Injection, methylprednisolone acetate, 40 mg	403	183	$85.00	$5.68
20610 Aspiration and/or injection of fluid from large joint	384	178	$200.52	$66.10
99202 New patient office or other outpatient visit, typically 20 minutes	128	128	$150.00	$73.80
73562 X-ray of knee, 3 views	110	94	$100.00	$39.82
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	91	64	$200.00	$131.14
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	56	56	$250.00	$113.88
20552 Injections of trigger points in 1 or 2 muscles	43	38	$160.74	$55.03
73030 X-ray of shoulder, minimum of 2 views	42	39	$113.00	$33.87
20605 Aspiration and/or injection of medium joint or joint capsule	26	24	$152.00	$55.38
72100 X-ray of lower and sacral spine, 2-3 views	24	24	$111.00	$39.28
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	18	$100.00	$56.42
27447 Replacement of knee joint, both sides of knee	22	21	$7493.36	$1358.91
99221 Initial hospital inpatient care per day, typically 30 minutes	18	17	$149.00	$103.71
73610 X-ray of ankle, minimum of 3 views	16	12	$89.00	$36.19
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$201.00	$138.58
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	12	12	$5569.00	$1232.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7328 Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg	8,907	21	$2.83	$2.18
99213 Established patient office or other outpatient visit, typically 15 minutes	292	174	$148.85	$74.92
20610 Aspiration and/or injection of fluid from large joint	288	123	$200.00	$63.25
J1030 Injection, methylprednisolone acetate, 40 mg	185	110	$85.00	$6.03
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose	123	26	$250.00	$79.79
73562 X-ray of knee, 3 views	110	68	$71.27	$25.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	99	69	$200.00	$108.75
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	86	86	$250.00	$108.43
99202 New patient office or other outpatient visit, typically 20 minutes	64	64	$150.00	$75.78
73030 X-ray of shoulder, minimum of 2 views	56	33	$74.25	$19.11
72100 X-ray of lower and sacral spine, 2-3 views	31	19	$68.03	$20.68
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	19	$100.00	$45.17
73100 X-ray of wrist, 2 views	23	14	$52.78	$19.51
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	19	17	$355.95	$205.32
20605 Aspiration and/or injection of medium joint or joint capsule	18	18	$152.00	$53.56
20552 Injections of trigger points in 1 or 2 muscles	11	11	$161.00	$56.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	539	191	$200.00	$60.96
99213 Established patient office or other outpatient visit, typically 15 minutes	462	258	$150.00	$73.69
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose	363	69	$250.00	$79.54
73562 X-ray of knee, 3 views	329	135	$51.43	$15.57
J1030 Injection, methylprednisolone acetate, 40 mg	237	165	$85.00	$6.22
99202 New patient office or other outpatient visit, typically 20 minutes	220	220	$150.00	$76.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	219	134	$200.00	$108.31
73030 X-ray of shoulder, minimum of 2 views	119	59	$58.30	$13.10
72100 X-ray of lower and sacral spine, 2-3 views	107	52	$57.66	$15.32
73502 X-ray of hip, 2-3 views	82	40	$51.51	$18.28
73100 X-ray of wrist, 2 views	61	21	$38.59	$13.65
73120 X-ray of hand, 2 views	46	22	$38.65	$12.28
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	46	45	$247.00	$204.86
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	42	40	$100.00	$44.66
73610 X-ray of ankle, minimum of 3 views	40	14	$45.83	$13.94
72040 X-ray of upper spine, 2-3 views	32	16	$61.00	$15.45
73620 X-ray of foot, 2 views	31	15	$44.39	$11.86
20605 Aspiration and/or injection of medium joint or joint capsule	23	19	$152.00	$50.30
20552 Injections of trigger points in 1 or 2 muscles	14	14	$161.00	$55.69
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$250.00	$108.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	561	191	$200.00	$60.89
99213 Established patient office or other outpatient visit, typically 15 minutes	494	279	$150.00	$71.83
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose	376	73	$250.00	$84.38
73562 X-ray of knee, 3 views	328	148	$51.77	$17.14
J1030 Injection, methylprednisolone acetate, 40 mg	263	192	$85.00	$6.67
99202 New patient office or other outpatient visit, typically 20 minutes	228	228	$150.00	$74.34
73030 X-ray of shoulder, minimum of 2 views	195	87	$56.56	$14.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	162	115	$200.00	$104.62
72100 X-ray of lower and sacral spine, 2-3 views	132	66	$56.67	$16.56
73502 X-ray of hip, 2-3 views	115	53	$49.74	$19.57
73120 X-ray of hand, 2 views	52	24	$39.46	$13.95
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	40	40	$247.00	$204.46
20605 Aspiration and/or injection of medium joint or joint capsule	40	34	$152.00	$50.95
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	40	35	$100.00	$43.23
73100 X-ray of wrist, 2 views	36	16	$37.00	$14.95
73620 X-ray of foot, 2 views	31	16	$45.48	$12.74
20550 Injection into tendon or ligament	29	27	$152.00	$53.51
73610 X-ray of ankle, minimum of 3 views	28	12	$44.50	$14.87
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$250.00	$108.16
27447 Replacement of knee joint, both sides of knee	14	14	$5994.00	$1412.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	576	187	$199.43	$58.69
99213 Established patient office or other outpatient visit, typically 15 minutes	567	300	$148.84	$69.72
73562 X-ray of knee, 3 views	414	166	$50.72	$16.91
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose	402	73	$249.25	$85.07
J1030 Injection, methylprednisolone acetate, 40 mg	247	183	$84.47	$5.76
99202 New patient office or other outpatient visit, typically 20 minutes	214	214	$149.11	$71.13
73030 X-ray of shoulder, minimum of 2 views	147	61	$57.96	$13.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	133	96	$200.00	$102.59
72100 X-ray of lower and sacral spine, 2-3 views	119	57	$55.97	$16.60
73502 X-ray of hip, 2-3 views	93	41	$49.72	$20.20
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	51	42	$100.00	$41.40
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	50	48	$247.00	$196.42
20605 Aspiration and/or injection of medium joint or joint capsule	41	33	$152.00	$48.78
73120 X-ray of hand, 2 views	40	18	$38.00	$12.31
73610 X-ray of ankle, minimum of 3 views	35	13	$44.74	$14.95
73100 X-ray of wrist, 2 views	32	12	$37.00	$13.68
73070 X-ray of elbow, 2 views	29	13	$42.31	$12.96
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$247.64	$101.49
27447 Replacement of knee joint, both sides of knee	22	22	$5994.00	$1356.45
20550 Injection into tendon or ligament	20	16	$152.00	$50.05

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License FL OS7550

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

271767100 (FL)

Hospital & Practice Group Affiliations

H2 Rehabilitation Services Of Florida Llc

6280 Central Ave, St Petersburg, FL 337071429

Phone: 8006999395

H2 Rehabilitation Services Of Florida Llc

6280 Central Ave, St Petersburg, FL 337071429

Phone: 8006999395

Practice Associates & Co-Workers

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

1 Associated Practitioners

Marjory Jones

Podiatrist - Foot & Ankle Surgery

NPI 1689293763

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active February 14, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location February 14, 2014

Registered at 4055 MARINER BLVD, SPRING HILL, FL 346092467 (Tel: 3526886035)

📍

Updated Business Mailing Address February 14, 2014

Registered at 4055 MARINER BLVD, SPRING HILL, FL 346092467 (Tel: 3526886035)

👤

Provider Name / Credentials Updated February 14, 2014

Recorded as MICHAEL HIGGINS, D O P A

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 14, 2014

Orthopaedic Surgery (License #OS7550 in FL)

🟢

Initial NPI Registration & Enumeration February 21, 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: 1538134903

Entity Type:

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

Enumeration Date: February 21, 2006

Last Update: February 14, 2014

Sole Proprietor: No

Update or Correct Profile

Mailing Address

4055 Mariner Blvd

Spring Hill, FL 346092467

Phone: 3526886035

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.