Active NPI 1225141468 Individual Practitioner Male Practitioner

Dr. Daniel Roland Higgins , MD

Surgery • West Palm Beach, FL

Professional Overview & Biography Verified Profile Summary

Dr. Daniel Higgins, MD is a registered healthcare professional specializing in Surgery in West Palm Beach, FL. Practice services are available at 1201 N OLIVE AVE under active NPI credentials.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, repair of groin hernia using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1201 N Olive Ave

West Palm Beach, FL 334013515

Telephone 5616554334

Fax 5616554864

Associated Practice Facility / Clinic

🏢 Graduate Surgical Pa Facility NPI 1043511728

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in West Palm Beach, FL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 33.7 Yrs

State Avg: 26.3 Yrs

Regional Practice Density

17 Specialists

Practicing in West Palm Beach, FL (2030 Statewide)

Telehealth Adoption Rate

5.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

51.8% 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 (2023)

Reporting Year:

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	55	55	$413.00	$171.09
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	40	17	$66.00	$57.66
99213 Established patient office or other outpatient visit, typically 15 minutes	16	16	$187.00	$92.13

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	73	73	$413.00	$172.78
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	29	23	$66.00	$58.99
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$269.00	$118.29
99213 Established patient office or other outpatient visit, typically 15 minutes	20	17	$187.00	$94.01

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	40	40	$520.34	$176.90
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$299.05	$118.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99202 New patient office or other outpatient visit, typically 20 minutes	66	66	$234.49	$79.90
49650 Repair of groin hernia using an endoscope	14	14	$1464.53	$532.19
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$136.10	$47.40
99213 Established patient office or other outpatient visit, typically 15 minutes	12	12	$226.12	$78.36
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$439.72	$146.99

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	60	60	$525.99	$164.13
99213 Established patient office or other outpatient visit, typically 15 minutes	45	41	$226.12	$74.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$362.11	$110.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$334.56	$108.39

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	72	72	$344.18	$113.05
99213 Established patient office or other outpatient visit, typically 15 minutes	61	44	$226.12	$74.80
49505 Repair of groin hernia (5 years or older)	19	19	$2070.82	$675.67
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$525.99	$171.78

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	114	114	$341.62	$108.89
99213 Established patient office or other outpatient visit, typically 15 minutes	69	54	$226.12	$72.24

Medical Specialties & State Licenses

CMS Verified: 2022-10-06

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License FL ME0044715

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

258925700 (FL)

Commercial Insurance / Payer ID Dimension

7436 (FL)

Commercial Insurance / Payer ID Bcbs

61477 (FL)

Commercial Insurance / Payer ID Wellcare

969146 (FL)

Commercial Insurance / Payer ID Freedom

P1036219 (FL)

Commercial Insurance / Payer ID Tax Id

650752513 (FL)

Commercial Insurance / Payer ID Rr Medicare

P01607921 (FL)

Commercial Insurance / Payer ID Optimum

P971850 (FL)

Commercial Insurance / Payer ID Aetna

4008104 (FL)

Commercial Insurance / Payer ID Cigna

1687756 (FL)

Practice Associates & Co-Workers

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

3 Associated Practitioners

Dr. Jason Hechtman , MD

Surgery

NPI 1245229574

Doctor of Medicine (M.D.)

Holly Huddleston , PA-C

Physician Assistant - Surgical

NPI 1245419761

Physician Assistant (Certified)

Dr. Itzhak Shasha , MD

Surgery

NPI 1306940887

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Business Mailing Address January 13, 2022

Registered at 1 TAMPA GENERAL CIR, TAMPA, FL 336063571 (Tel: 8138447000)

✅

NPI Profile Active November 14, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location November 14, 2016

Registered at 1201 N OLIVE AVE, WEST PALM BEACH, FL 334013515 (Tel: 5616554334)

📍

Updated Business Mailing Address November 14, 2016

Registered at 2234 COLONIAL BLVD, ATTN: PAYER CONTRACTING & RELATIONS DEPT., FORT MYERS, FL 339071412 (Tel: 2399317342)

👤

Provider Name / Credentials Updated November 14, 2016

Recorded as DANIEL HIGGINS, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 14, 2016

Surgery (License #ME0044715 in FL)

🟢

Initial NPI Registration & Enumeration August 15, 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: 1225141468

Entity Type:

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

Enumeration Date: August 15, 2006

Last Update: October 06, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1 Tampa General Cir

Tampa, FL 336063571

Phone: 8138447000

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.