Active NPI 1649488925 Individual Practitioner Male Practitioner

Dr. Craig Louis-Albert Higgs , MD

Pediatrics • Peoria, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Craig Higgs, MD is a certified Pediatrics practicing in Peoria, IL. With approximately 23 years of clinical experience since graduating from Southern Illinois University School Of Medicine in 2003, Dr. Higgs delivers high-quality medical care to the local community at 5114 N GLEN PARK PLACE RD.

Dr. Higgs is affiliated with Osf Multi-Specialty Group and accepts Medicare assignment.

Frequently performed procedures and clinical services include insertion of needle into vein for collection of blood sample, established patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5114 N Glen Park Place Rd

Peoria, IL 616144686

Telephone 3096835600

Fax 3096835607

Medicare Profile & Education

Medical School

Southern Illinois University School Of Medicine

Graduation Year

2003

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Peoria, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

23 Yrs +5.7 yrs vs City Avg

City Avg: 17.3 Yrs

State Avg: 21.7 Yrs

Regional Practice Density

103 Specialists

Practicing in Peoria, IL (3277 Statewide)

Telehealth Adoption Rate

1.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

57.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Higgs (23 Years) 23 Yrs

Peoria Specialty Average (17.3 Years) 17.3 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
36415 Insertion of needle into vein for collection of blood sample	772	548	$30.00	$8.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	445	297	$293.95	$122.75
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	100	98	$49.00	$15.90
99213 Established patient office or other outpatient visit, typically 15 minutes	78	69	$207.69	$85.94
G0008 Administration of influenza virus vaccine	78	78	$33.99	$31.15
90653 Vaccine for influenza for injection into muscle	74	74	$75.00	$73.50
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	71	12	$60.00	$13.51
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	46	17	$184.00	$60.14
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	40	24	$60.00	$21.43
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	24	21	$152.00	$50.69
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	19	19	$482.00	$291.60
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	18	17	$411.56	$173.46
G0009 Administration of pneumococcal vaccine	18	18	$33.00	$31.15
91320 Sarscv2 vac 30mcg trs-suc im	14	14	$148.00	$134.39
90480 Admn sarscov2 vacc 1 dose	14	14	$33.00	$32.34
69209 Removal of impacted ear wax by washing	12	12	$143.50	$19.00
99495 Transitional care management services for problem of at least moderate complexity	12	12	$595.00	$195.76
17000 Destruction of skin growth	12	11	$334.00	$63.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	463	300	$282.00	$122.61
36415 Insertion of needle into vein for collection of blood sample	274	192	$29.00	$8.37
G0008 Administration of influenza virus vaccine	104	104	$32.97	$29.66
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	94	94	$75.00	$73.50
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	64	12	$11.00	$1.07
99213 Established patient office or other outpatient visit, typically 15 minutes	61	53	$200.00	$86.87
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	57	13	$58.00	$13.43
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	34	19	$56.00	$21.71
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	30	28	$400.00	$172.55
G0009 Administration of pneumococcal vaccine	18	18	$32.00	$29.66
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	18	18	$450.00	$281.55
17000 Destruction of skin growth	14	13	$321.00	$63.76
91320 Sarscv2 vac 30mcg trs-suc im	12	12	$148.00	$128.48
81002 Urinalysis, manual test	12	11	$22.00	$3.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	474	306	$269.78	$123.82
36415 Insertion of needle into vein for collection of blood sample	376	238	$27.54	$2.96
G0008 Administration of influenza virus vaccine	99	98	$31.98	$28.00
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	82	82	$47.98	$47.02
99213 Established patient office or other outpatient visit, typically 15 minutes	81	69	$191.17	$87.96
0004A Fee covid-19 vac 1 res	41	40	$60.00	$37.31
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	36	17	$55.33	$21.87
G0009 Administration of pneumococcal vaccine	27	27	$30.81	$28.11
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	22	22	$497.00	$278.44
81002 Urinalysis, manual test	19	17	$20.53	$3.44
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	17	17	$26.94	$21.06
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	15	14	$287.00	$30.38
69209 Removal of impacted ear wax by washing	13	13	$113.46	$17.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	508	312	$266.00	$126.66
36415 Insertion of needle into vein for collection of blood sample	390	236	$27.00	$3.00
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	123	123	$26.00	$20.52
G0008 Administration of influenza virus vaccine	122	122	$30.00	$16.21
99213 Established patient office or other outpatient visit, typically 15 minutes	98	84	$174.92	$89.26
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	80	12	$11.00	$1.28
81002 Urinalysis, manual test	30	26	$24.00	$3.48
0002A Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, diluent reconstituted; second dose	23	23	$60.00	$38.01
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	20	16	$54.30	$21.65
0004A Fee covid-19 vac 1 res	16	16	$60.00	$38.01
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$387.88	$165.13
0001A Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, diluent reconstituted; first dose	15	15	$40.00	$38.01
69209 Removal of impacted ear wax by washing	14	14	$93.50	$16.62
G0009 Administration of pneumococcal vaccine	11	11	$30.00	$16.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	354	246	$254.23	$106.63
36415 Insertion of needle into vein for collection of blood sample	339	211	$27.00	$2.98
99213 Established patient office or other outpatient visit, typically 15 minutes	139	105	$161.37	$73.25
G0008 Administration of influenza virus vaccine	110	109	$29.00	$16.16
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	110	109	$26.00	$19.54
85610 Blood test, clotting time	99	12	$31.00	$4.25
93793 Anticoagulant management of patient taking warfarin	91	14	$59.95	$11.52
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	60	12	$11.00	$1.43
G0009 Administration of pneumococcal vaccine	24	24	$28.83	$16.12
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	23	15	$52.43	$22.04
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	20	20	$189.50	$118.72
99442 Telephone medical discussion with physician, 11-20 minutes	17	16	$131.29	$73.11
81002 Urinalysis, manual test	16	15	$26.00	$3.46
99443 Telephone medical discussion with physician, 21-30 minutes	15	15	$193.33	$105.83
69209 Removal of impacted ear wax by washing	15	13	$99.13	$15.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	432	257	$241.89	$104.97
36415 Insertion of needle into vein for collection of blood sample	383	222	$27.00	$2.94
99213 Established patient office or other outpatient visit, typically 15 minutes	202	138	$153.70	$71.52
93793 Anticoagulant management of patient taking warfarin	135	11	$58.53	$11.73
G0008 Administration of influenza virus vaccine	96	95	$27.96	$15.85
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	95	94	$25.96	$18.65
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	53	11	$52.23	$15.94
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	38	16	$48.26	$21.51
G0009 Administration of pneumococcal vaccine	25	25	$27.36	$15.85
90670 Pneumococcal vaccine for injection into muscle	17	17	$326.00	$209.25
17000 Destruction of skin growth	14	12	$280.50	$60.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	475	237	$27.00	$2.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	440	263	$235.39	$104.60
99213 Established patient office or other outpatient visit, typically 15 minutes	215	148	$148.07	$69.97
85610 Blood test, clotting time	126	13	$29.00	$4.75
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	113	19	$43.67	$20.54
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	111	108	$25.00	$18.65
G0008 Administration of influenza virus vaccine	109	106	$26.27	$19.39
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	59	11	$11.00	$1.78
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	36	11	$50.44	$19.51
G0009 Administration of pneumococcal vaccine	33	33	$25.42	$19.39
81002 Urinalysis, manual test	21	20	$25.00	$3.41
90670 Pneumococcal vaccine for injection into muscle	20	20	$298.10	$197.34
17000 Destruction of skin growth	18	14	$271.33	$58.52
69209 Removal of impacted ear wax by washing	15	15	$91.20	$17.18
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	13	13	$154.85	$105.59
20610 Aspiration and/or injection of fluid from large joint	13	11	$349.15	$64.37
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$95.36	$42.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	428	212	$26.25	$2.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	392	235	$228.80	$103.35
99213 Established patient office or other outpatient visit, typically 15 minutes	246	166	$143.20	$69.83
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	135	30	$41.49	$19.09
G0008 Administration of influenza virus vaccine	111	108	$25.00	$23.77
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	103	103	$25.00	$18.65
G0009 Administration of pneumococcal vaccine	41	41	$25.00	$23.77
90670 Pneumococcal vaccine for injection into muscle	32	32	$295.00	$185.60
81002 Urinalysis, manual test	15	13	$24.40	$3.43
69209 Removal of impacted ear wax by washing	12	11	$87.83	$14.46
17000 Destruction of skin growth	12	11	$263.00	$63.92
90662 Influenza vaccine split virus, preservative free	11	11	$35.00	$34.30

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License PA MD432119

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License IL 036-116366

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.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License IL 036-116366

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License PA MD432119

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

036116366 (IL)

Commercial Insurance / Payer ID Rr Medicare Group Ptan

CA4079 (IL)

Commercial Insurance / Payer ID Medicare Group #

809840 (IL)

Commercial Insurance / Payer ID Rr Medicare Member Ptan

P00617108 (IL)

Hospital & Practice Group Affiliations

Osf Multi-Specialty Group

5114 N Glen Park Place Rd, Peoria, IL 616144686

Phone: 3096838156

Osf Multi-Specialty Group

8600 State Route 91, Peoria, IL 616157829

Phone: 3096835050

Practice Associates & Co-Workers

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

15 Associated Practitioners

Pooja Clary , APN

Nurse Practitioner

NPI 1063865400

Advanced Practice Nurse

Daniel Leman , APRN, CNP

Nurse Practitioner - Family

NPI 1285264523

Advanced Practice Registered Nurse, Certified Nurse Practitioner

Lauren Irwin , PA-C

Physician Assistant

NPI 1346892346

Physician Assistant (Certified)

Megan San Jose , APN, NP-C

Nurse Practitioner - Family

NPI 1558641662

Advanced Practice Nurse, Nurse Practitioner (Certified)

Elise Joos , APN

Nurse Practitioner

NPI 1558714154

Advanced Practice Nurse

Cally Smith , APN

Nurse Practitioner

NPI 1588118178

Advanced Practice Nurse

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active September 26, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location September 26, 2008

Registered at 5114 N GLEN PARK PLACE RD, PEORIA, IL 616144686 (Tel: 3096835600)

📍

Updated Business Mailing Address September 26, 2008

Registered at 5114 N GLEN PARK PLACE RD, PEORIA, IL 616144686 (Tel: 3096835600)

👤

Provider Name / Credentials Updated September 26, 2008

Recorded as CRAIG HIGGS, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 26, 2008

Internal Medicine (License #036-116366 in IL)

🟢

Initial NPI Registration & Enumeration May 18, 2007

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: 1649488925

Entity Type:

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

Enumeration Date: May 18, 2007

Last Update: September 26, 2008

Sole Proprietor: No

Update or Correct Profile

Mailing Address

5114 N Glen Park Place Rd

Peoria, IL 616144686

Phone: 3096835600

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.