Active NPI 1982648713 Individual Practitioner Male Practitioner

Dr. David L Higgins , MD

Orthopaedic Surgery • Olney, MD

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. David Higgins, MD is a certified Orthopaedic Surgery practicing in Olney, MD. With approximately 42 years of clinical experience since graduating from Georgetown University School Of Medicine in 1984, Dr. Higgins delivers high-quality medical care to the local community at 17904 GEORGIA AVENUE.

Dr. Higgins maintains professional affiliations with David L. Higgins, M.D., P.C., Amber Hill Physical Therapy Inc and accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

17904 Georgia Avenue
Suite 215

Olney, MD 20832

Telephone 3012321050

Fax 3012321044

Associated Practice Facility / Clinic

🏢 David L. Higgins, M.d., P.c. Facility NPI 1285781229

Medicare Profile & Education

Medical School

Georgetown University School Of Medicine

Graduation Year

1984

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Olney, MD

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

42 Yrs +9.0 yrs vs City Avg

City Avg: 33.0 Yrs

State Avg: 28.6 Yrs

Regional Practice Density

8 Specialists

Practicing in Olney, MD (490 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

85.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Higgins (42 Years) 42 Yrs

Olney Specialty Average (33.0 Years) 33.0 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	201	122	$179.85	$140.22
J1100 Injection, dexamethasone sodium phosphate, 1 mg	77	16	$20.00	$0.11
20610 Aspiration and/or injection of fluid from large joint	46	22	$207.39	$77.91
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	38	38	$273.16	$183.74
73030 X-ray of shoulder, minimum of 2 views	34	34	$128.00	$33.36
29806 Incision of should joint capsule using an endoscope	33	29	$4900.00	$646.23
29827 Repair of shoulder rotator cuff using an endoscope	33	29	$5000.00	$1178.28
29823 Removal of extensive shoulder joint tissue using an endoscope	33	29	$2870.00	$137.49
29807 Repair of shoulder socket cartilage using an endoscope	33	29	$4800.00	$619.32
29824 Partial removal of collar bone at shoulder using an endoscope	25	24	$1900.00	$231.72
29828 Release of shoulder biceps tendon using an endoscope	24	22	$2750.00	$488.40
99213 Established patient office or other outpatient visit, typically 15 minutes	20	19	$126.25	$99.85
29880 Removal of both knee cartilages using an endoscope	17	17	$5400.00	$548.50
G0289 Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) at the time of other surgical knee arthroscopy in a different compartment of the same knee	15	15	$3546.67	$91.73
73630 X-ray of foot, minimum of 3 views	15	11	$95.00	$36.45
73562 X-ray of knee, 3 views	15	14	$135.00	$42.46
73501 X-ray of hip with pelvis, 1 view	11	11	$110.00	$33.20

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	213	131	$180.00	$146.04
J1100 Injection, dexamethasone sodium phosphate, 1 mg	75	20	$20.00	$0.12
20610 Aspiration and/or injection of fluid from large joint	66	27	$215.30	$82.85
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	60	60	$273.00	$189.83
73562 X-ray of knee, 3 views	55	46	$135.00	$45.65
73030 X-ray of shoulder, minimum of 2 views	42	34	$128.00	$38.05
29827 Repair of shoulder rotator cuff using an endoscope	41	34	$5000.00	$1239.66
29823 Removal of extensive shoulder joint tissue using an endoscope	40	34	$2870.00	$142.75
29807 Repair of shoulder socket cartilage using an endoscope	39	34	$4800.00	$650.67
29806 Incision of should joint capsule using an endoscope	39	34	$4900.00	$676.23
29824 Partial removal of collar bone at shoulder using an endoscope	34	32	$1900.00	$242.22
29828 Release of shoulder biceps tendon using an endoscope	32	28	$2750.00	$511.78
99213 Established patient office or other outpatient visit, typically 15 minutes	30	26	$125.83	$102.10
29880 Removal of both knee cartilages using an endoscope	23	20	$5400.00	$610.99
G0289 Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) at the time of other surgical knee arthroscopy in a different compartment of the same knee	22	19	$3500.00	$96.54
73501 X-ray of hip with pelvis, 1 view	15	13	$110.00	$38.51

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	124	88	$180.00	$146.12
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	55	55	$272.18	$192.93
73030 X-ray of shoulder, minimum of 2 views	41	36	$128.00	$38.96
73562 X-ray of knee, 3 views	26	24	$135.00	$45.76
29806 Incision of should joint capsule using an endoscope	13	13	$4900.00	$697.52
29827 Repair of shoulder rotator cuff using an endoscope	13	13	$5000.00	$1270.70
29824 Partial removal of collar bone at shoulder using an endoscope	13	13	$1900.00	$248.66
29823 Removal of extensive shoulder joint tissue using an endoscope	13	13	$2870.00	$146.65
29807 Repair of shoulder socket cartilage using an endoscope	13	13	$4800.00	$667.18
29828 Release of shoulder biceps tendon using an endoscope	11	11	$2750.00	$527.80

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	169	112	$180.00	$151.02
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	74	74	$274.05	$195.17
73562 X-ray of knee, 3 views	44	37	$135.00	$48.14
73030 X-ray of shoulder, minimum of 2 views	39	33	$128.00	$41.37
99213 Established patient office or other outpatient visit, typically 15 minutes	26	24	$126.92	$104.44
20610 Aspiration and/or injection of fluid from large joint	26	13	$186.92	$75.62
29823 Removal of extensive shoulder joint tissue using an endoscope	22	22	$2870.00	$145.09
29827 Repair of shoulder rotator cuff using an endoscope	22	22	$5000.00	$1280.41
29806 Incision of should joint capsule using an endoscope	21	21	$4900.00	$697.68
29880 Removal of both knee cartilages using an endoscope	21	21	$5400.00	$680.13
29807 Repair of shoulder socket cartilage using an endoscope	21	21	$4800.00	$669.57
29824 Partial removal of collar bone at shoulder using an endoscope	19	19	$1900.00	$246.74
G0289 Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) at the time of other surgical knee arthroscopy in a different compartment of the same knee	18	18	$3500.00	$100.45
29828 Release of shoulder biceps tendon using an endoscope	17	17	$2750.00	$529.64
73501 X-ray of hip with pelvis, 1 view	13	13	$110.00	$39.03

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	110	86	$180.00	$126.70
J1100 Injection, dexamethasone sodium phosphate, 1 mg	99	21	$20.00	$0.12
99213 Established patient office or other outpatient visit, typically 15 minutes	91	60	$125.82	$87.66
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	56	56	$270.00	$190.64
73030 X-ray of shoulder, minimum of 2 views	39	32	$128.00	$39.62
73562 X-ray of knee, 3 views	39	34	$135.00	$46.13
20610 Aspiration and/or injection of fluid from large joint	26	20	$207.69	$77.98
29827 Repair of shoulder rotator cuff using an endoscope	25	24	$5000.00	$1281.52
29823 Removal of extensive shoulder joint tissue using an endoscope	25	24	$2870.00	$188.44
29806 Incision of should joint capsule using an endoscope	24	24	$4900.00	$701.16
29807 Repair of shoulder socket cartilage using an endoscope	24	24	$4800.00	$674.20
29824 Partial removal of collar bone at shoulder using an endoscope	22	22	$1900.00	$245.05
29828 Release of shoulder biceps tendon using an endoscope	18	18	$2750.00	$534.57
73501 X-ray of hip with pelvis, 1 view	13	13	$110.00	$36.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	160	22	$20.00	$0.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	114	90	$179.74	$122.64
99213 Established patient office or other outpatient visit, typically 15 minutes	88	54	$126.42	$83.79
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	69	69	$271.74	$185.56
20610 Aspiration and/or injection of fluid from large joint	62	23	$238.06	$76.47
73030 X-ray of shoulder, minimum of 2 views	47	45	$128.00	$33.05
73562 X-ray of knee, 3 views	43	35	$135.00	$42.62
29827 Repair of shoulder rotator cuff using an endoscope	25	24	$5000.00	$669.18
29823 Removal of extensive shoulder joint tissue using an endoscope	25	24	$2870.00	$167.82
29806 Incision of should joint capsule using an endoscope	25	24	$4900.00	$1232.17
29824 Partial removal of collar bone at shoulder using an endoscope	23	22	$1900.00	$224.17
29807 Repair of shoulder socket cartilage using an endoscope	23	22	$4800.00	$654.67
29828 Release of shoulder biceps tendon using an endoscope	20	19	$2750.00	$501.61
73501 X-ray of hip with pelvis, 1 view	15	13	$110.00	$35.70
29880 Removal of both knee cartilages using an endoscope	11	11	$5400.00	$654.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	179	37	$20.00	$0.12
99213 Established patient office or other outpatient visit, typically 15 minutes	123	79	$127.44	$82.61
20610 Aspiration and/or injection of fluid from large joint	100	36	$189.00	$66.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	86	73	$180.00	$121.57
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	68	68	$273.53	$185.45
73030 X-ray of shoulder, minimum of 2 views	58	55	$128.00	$32.83
73562 X-ray of knee, 3 views	53	42	$135.00	$39.78
29806 Incision of should joint capsule using an endoscope	37	36	$4900.00	$1225.93
29827 Repair of shoulder rotator cuff using an endoscope	37	36	$5000.00	$664.68
29823 Removal of extensive shoulder joint tissue using an endoscope	37	36	$2870.00	$166.86
29807 Repair of shoulder socket cartilage using an endoscope	37	36	$4800.00	$649.81
29824 Partial removal of collar bone at shoulder using an endoscope	32	31	$1900.00	$222.86
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	25	$105.00	$50.44
23929 Shoulder procedure	25	24	$294.00	$286.67
29828 Release of shoulder biceps tendon using an endoscope	20	20	$2750.00	$499.86
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$211.76	$122.56
29880 Removal of both knee cartilages using an endoscope	16	16	$5400.00	$632.50
G0289 Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) at the time of other surgical knee arthroscopy in a different compartment of the same knee	13	13	$3500.00	$99.32
73501 X-ray of hip with pelvis, 1 view	12	12	$110.00	$33.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	141	30	$20.00	$0.11
99213 Established patient office or other outpatient visit, typically 15 minutes	103	78	$125.24	$82.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	77	65	$180.00	$120.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	60	60	$272.00	$184.25
20610 Aspiration and/or injection of fluid from large joint	58	32	$211.03	$73.27
73030 X-ray of shoulder, minimum of 2 views	57	52	$128.00	$31.00
73562 X-ray of knee, 3 views	54	49	$135.00	$38.94
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	47	35	$105.00	$49.78
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$212.14	$122.47
29823 Removal of extensive shoulder joint tissue using an endoscope	24	24	$2870.00	$166.63
29806 Incision of should joint capsule using an endoscope	24	24	$4900.00	$1224.47
29827 Repair of shoulder rotator cuff using an endoscope	24	24	$5000.00	$665.00
29807 Repair of shoulder socket cartilage using an endoscope	23	23	$4800.00	$648.07
29880 Removal of both knee cartilages using an endoscope	22	22	$5400.00	$620.91
G0289 Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) at the time of other surgical knee arthroscopy in a different compartment of the same knee	16	16	$3500.00	$100.15
29824 Partial removal of collar bone at shoulder using an endoscope	15	15	$1900.00	$222.15
29828 Release of shoulder biceps tendon using an endoscope	15	15	$2750.00	$500.70
23929 Shoulder procedure	12	11	$300.00	$295.20

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License DC 22105

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.

Orthopaedic Surgery

NUCC Taxonomy Code: 207X00000X

State License MD D42000

Hospital & Practice Group Affiliations

Amber Hill Physical Therapy Inc

187 Thomas Johnson Dr, Frederick, MD 217024503

David L. Higgins, M.d., P.c.

17904 Georgia Ave, Olney, MD 208322277

Phone: 3012321050

Practice Associates & Co-Workers

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

6 Associated Practitioners

Tara Cepaitis , PHYSICAL THERAPIST

Physical Therapist - Orthopedic

NPI 1104869932

PHYSICALTHERAPIST

Audra Smith , PHYSICAL THERAPIST

Physical Therapist - Orthopedic

NPI 1295732915

PHYSICALTHERAPIST

Kristine James , PHYSICIAN ASSISTANT

Physician Assistant - Surgical

NPI 1679516439

PHYSICIANASSISTANT

Teresa Simpson , PHYSICAL THERAPIST

Physical Therapist - Orthopedic

NPI 1821181397

PHYSICALTHERAPIST

Rachel Gonzalez

Physician Assistant

NPI 1821712159

Elaina Faerber , PA-C

Physician Assistant

NPI 1871277368

Physician Assistant (Certified)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active October 24, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location October 24, 2013

Registered at 17904 GEORGIA AVENUE, SUITE 215, OLNEY, MD 20832 (Tel: 3012321050)

📍

Updated Business Mailing Address October 24, 2013

Registered at 17904 GEORGIA AVENUE, SUITE 215, OLNEY, MD 20832 (Tel: 3012321050)

👤

Provider Name / Credentials Updated October 24, 2013

Recorded as DAVID HIGGINS, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 24, 2013

Orthopaedic Surgery (License #22105 in DC)

🟢

Initial NPI Registration & Enumeration June 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: 1982648713

Entity Type:

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

Enumeration Date: June 15, 2006

Last Update: October 24, 2013

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

17904 Georgia Avenue, Suite 215

Olney, MD 20832

Phone: 3012321050

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

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