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Active NPI 1205867058 Individual Practitioner Male Practitioner

Dr. Herbert F Higgins , MD

Internal Medicine • Venice, FL

Professional Overview & Biography Verified Profile Summary

Dr. Herbert Higgins, MD is a registered healthcare professional specializing in Internal Medicine in Venice, FL. Practice services are available at 1700 E. VENICE AVENUE under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, urinalysis, manual test. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1700 E. Venice Avenue

Venice, FL 342923190

Telephone 9414839760
Fax 9414839775
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Venice, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 25.6 Yrs
State Avg: 26.5 Yrs
Regional Practice Density
45 Specialists

Practicing in Venice, FL (10650 Statewide)

Telehealth Adoption Rate
35.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
65.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
770 689 $182.00 $72.05
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
150 150 $273.00 $107.97
81002 Urinalysis, manual test
122 108 $17.85 $3.38
J1100 Injection, dexamethasone sodium phosphate, 1 mg
117 29 $12.60 $0.11
87804 Detection test by immunoassay with direct visual observation for influenza virus
80 40 $39.90 $16.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
79 76 $268.00 $106.87
71046 X-ray of chest, 2 views
59 59 $83.00 $29.75
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention
48 41 $64.00 $20.04
36415 Insertion of needle into vein for collection of blood sample
44 40 $23.00 $2.94
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
39 37 $42.00 $9.40
69209 Removal of impacted ear wax by washing
34 34 $35.00 $13.48
80053 Blood test, comprehensive group of blood chemicals
33 33 $67.00 $12.78
J1030 Injection, methylprednisolone acetate, 40 mg
31 30 $25.20 $6.71
73564 X-ray of knee, 4 or more views
14 13 $152.00 $38.48
72110 X-ray of lower and sacral spine, minimum of 4 views
14 14 $189.00 $47.56
73110 X-ray of wrist, minimum of 3 views
14 14 $119.00 $34.08
73630 X-ray of foot, minimum of 3 views
14 14 $123.00 $28.64
90471 Administration of 1 vaccine
14 14 $64.00 $20.01
90714 Vaccine for tetanus and diphtheria toxoids injection into muscle, patient 7 years or older
14 14 $32.55 $23.61
G0008 Administration of influenza virus vaccine
13 13 $25.00 $19.91
90662 Influenza vaccine split virus, preservative free
12 12 $84.00 $51.95

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License FL ME0081881

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License AK 5624

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
MD1879 (AK)
Commercial Insurance / Payer ID Wa L&i
0211595 (AK)

Practice Associates & Co-Workers

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

10 Associated Practitioners
Michelle Fallis , PA-C

Physician Assistant

NPI 1205259108

Physician Assistant (Certified)

Dr. Anthony Lyon , MD

Family Medicine

NPI 1215921531

Doctor of Medicine (M.D.)

Sarah Courtney , MSN, APRN, FNP

Nurse Practitioner - Family

NPI 1225725914

Master of Science in Nursing, Advanced Practice Registered Nurse, Family Nurse Practitioner

Lisa Bonin , PA-C

Physician Assistant

NPI 1235177601

Physician Assistant (Certified)

Julia Joslin , APRN

Nurse Practitioner - Family

NPI 1245826460

Advanced Practice Registered Nurse

Travis Prachar , ARNP

Nurse Practitioner - Family

NPI 1265428973

Advanced Registered Nurse Practitioner

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active August 15, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location August 15, 2016

Registered at 1700 E. VENICE AVENUE, VENICE, FL 342923190 (Tel: 9414839760)

📍
Updated Business Mailing Address August 15, 2016

Registered at 600 NOKOMIS AVE S, SUITE 102, VENICE, FL 342853209 (Tel: 9414838564)

👤
Provider Name / Credentials Updated August 15, 2016

Recorded as HERBERT HIGGINS, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 15, 2016

Internal Medicine (License #ME0081881 in FL)

🟢
Initial NPI Registration & Enumeration July 06, 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: 1205867058
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 06, 2006
Last Update: August 15, 2016
Sole Proprietor: No

Mailing Address

600 Nokomis Ave S, Suite 102

Venice, FL 342853209

Phone: 9414838564

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.