Active NPI 1730251661 Individual Practitioner Male Practitioner

Dr. Michael Jude Higgins , MD

Internal Medicine • Norfolk, MA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Michael Higgins, MD is a certified Internal Medicine practicing in Norfolk, MA. With approximately 44 years of clinical experience since graduating from Tufts University School Of Medicine in 1982, Dr. Higgins delivers high-quality medical care to the local community at 31 PINE STREET.

Dr. Higgins is affiliated with Atrius Health Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, insertion of needle into vein for collection of blood sample, complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

31 Pine Street
Suite 300

Norfolk, MA 02056

Telephone 5086233700

Fax 5086233701

Associated Practice Facility / Clinic

🏢 Pondville Medical Associates, Llc Facility NPI 1477963460

Medicare Profile & Education

Medical School

Tufts University School Of Medicine

Graduation Year

1982

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Norfolk, MA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

44 Yrs -0.8 yrs vs City Avg

City Avg: 44.8 Yrs

State Avg: 29.3 Yrs

Regional Practice Density

5 Specialists

Practicing in Norfolk, MA (7127 Statewide)

Telehealth Adoption Rate

60.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

65.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Higgins (44 Years) 44 Yrs

Norfolk Specialty Average (44.8 Years) 44.8 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	392	223	$337.03	$134.94
36415 Insertion of needle into vein for collection of blood sample	266	167	$20.00	$8.65
99213 Established patient office or other outpatient visit, typically 15 minutes	242	168	$263.10	$94.46
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	179	147	$31.00	$7.61
81003 Automated urinalysis test	171	138	$8.98	$2.20
80053 Blood test, comprehensive group of blood chemicals	168	149	$43.00	$10.35
84443 Blood test, thyroid stimulating hormone (TSH)	156	140	$68.00	$16.46
80061 Blood test, lipids (cholesterol and triglycerides)	143	132	$67.00	$13.12
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	133	133	$361.53	$136.02
83036 Hemoglobin A1C level	98	81	$39.00	$9.46
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	97	94	$32.00	$17.10
82607 Cyanocobalamin (vitamin B-12) level	54	52	$61.00	$14.78
84153 Psa (prostate specific antigen) measurement, total	48	44	$74.00	$18.02
93000 Routine ekg using at least 12 leads including interpretation and report	45	45	$34.00	$15.73
82043 Urine microalbumin (protein) level	33	30	$23.00	$5.66
87086 Bacterial colony count, urine	33	24	$33.00	$7.91
G0008 Administration of influenza virus vaccine	32	32	$70.00	$35.22
82570 Creatinine level to test for kidney function or muscle injury	32	29	$21.00	$5.08
90653 Vaccine for influenza for injection into muscle	32	32	$141.25	$81.82
80048 Blood test, basic group of blood chemicals (calcium, total)	28	23	$34.00	$8.29
83735 Magnesium level	26	24	$27.00	$6.57
82270 Stool analysis for blood to screen for colon tumors	24	24	$9.00	$4.29
82306 Vitamin d-3 level	24	24	$119.00	$29.01
84439 Thyroxine (thyroid chemical), free	20	18	$36.00	$8.84
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	18	15	$14.00	$4.18
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	15	11	$35.00	$8.48
87077 Bacterial culture for aerobic isolates	15	11	$33.00	$7.92

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	426	248	$292.00	$140.55
93000 Routine ekg using at least 12 leads including interpretation and report	182	173	$34.00	$16.12
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	118	118	$298.00	$141.83
99213 Established patient office or other outpatient visit, typically 15 minutes	111	86	$206.00	$99.56
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	97	97	$376.00	$180.30
82270 Stool analysis for blood to screen for colon tumors	70	70	$9.00	$4.29
G0008 Administration of influenza virus vaccine	64	64	$50.00	$33.84
90662 Influenza vaccine split virus, preservative free	62	62	$122.00	$71.77
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	38	38	$450.00	$281.62
G0009 Administration of pneumococcal vaccine	38	38	$50.00	$33.84
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	26	21	$128.00	$62.03
99495 Transitional care management services for problem of at least moderate complexity	16	16	$467.00	$226.12

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	563	288	$325.00	$143.02
93000 Routine ekg using at least 12 leads including interpretation and report	286	254	$85.00	$16.16
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	226	226	$200.00	$145.91
99213 Established patient office or other outpatient visit, typically 15 minutes	211	127	$275.00	$101.51
82272 Stool analysis for blood	189	187	$33.00	$4.18
G0008 Administration of influenza virus vaccine	89	89	$98.00	$33.72
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	86	86	$176.00	$70.03
G0009 Administration of pneumococcal vaccine	79	79	$98.00	$33.88
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	58	58	$710.00	$278.59
99496 Transitional care management services for problem of high complexity	29	26	$700.00	$311.93
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	21	20	$195.00	$59.64
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	19	19	$364.00	$132.91
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	17	17	$265.00	$185.13
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	15	15	$85.00	$16.25
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	12	12	$275.00	$185.35

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	581	293	$306.74	$145.71
93000 Routine ekg using at least 12 leads including interpretation and report	285	253	$77.00	$16.88
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	216	216	$260.25	$148.81
99213 Established patient office or other outpatient visit, typically 15 minutes	200	127	$244.78	$102.99
82272 Stool analysis for blood	191	188	$30.07	$4.23
G0008 Administration of influenza virus vaccine	97	97	$96.81	$19.50
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	89	89	$176.00	$66.43
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	31	25	$169.19	$59.99
G0009 Administration of pneumococcal vaccine	30	30	$89.57	$19.36
99496 Transitional care management services for problem of high complexity	30	25	$631.30	$305.81
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	29	29	$332.14	$123.85
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	18	18	$80.56	$16.88
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	17	17	$372.06	$187.72
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	17	17	$305.71	$188.14
99495 Transitional care management services for problem of at least moderate complexity	11	11	$481.55	$233.10

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	520	285	$278.64	$122.04
93000 Routine ekg using at least 12 leads including interpretation and report	279	253	$65.00	$19.49
99213 Established patient office or other outpatient visit, typically 15 minutes	191	124	$201.73	$84.19
82272 Stool analysis for blood	189	188	$25.00	$4.21
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	166	166	$325.00	$130.45
G0008 Administration of influenza virus vaccine	120	119	$75.00	$19.01
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	105	105	$135.00	$61.00
G0009 Administration of pneumococcal vaccine	72	72	$75.00	$18.98
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	68	68	$272.76	$118.98
99442 Telephone medical discussion with physician, 11-20 minutes	23	22	$180.65	$84.29
99496 Transitional care management services for problem of high complexity	19	16	$499.00	$275.70
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	16	16	$365.00	$191.13
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	12	12	$353.00	$185.52

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	689	315	$275.00	$120.96
93000 Routine ekg using at least 12 leads including interpretation and report	306	268	$65.00	$19.30
99213 Established patient office or other outpatient visit, typically 15 minutes	215	136	$205.00	$82.59
82272 Stool analysis for blood	195	194	$25.00	$4.15
G0008 Administration of influenza virus vaccine	115	114	$75.00	$18.65
90653 Vaccine for influenza for injection into muscle	109	108	$109.95	$58.08
G0009 Administration of pneumococcal vaccine	44	44	$75.00	$18.65
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	30	30	$157.00	$110.03
99497 Advance care planning, first 30 minutes	18	18	$180.56	$93.25
90670 Pneumococcal vaccine for injection into muscle	14	14	$310.00	$208.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	459	249	$205.00	$80.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	404	286	$275.00	$118.98
93000 Routine ekg using at least 12 leads including interpretation and report	314	274	$65.00	$19.11
82272 Stool analysis for blood	204	200	$25.00	$4.15
G0008 Administration of influenza virus vaccine	116	116	$75.00	$23.21
90653 Vaccine for influenza for injection into muscle	110	110	$59.27	$51.12
G0009 Administration of pneumococcal vaccine	42	42	$75.00	$23.21
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	31	31	$157.00	$105.59
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	16	16	$65.00	$19.22
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	15	15	$353.00	$183.18
90670 Pneumococcal vaccine for injection into muscle	11	11	$310.00	$197.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	490	273	$205.00	$75.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	300	265	$275.00	$110.93
93000 Routine ekg using at least 12 leads including interpretation and report	291	261	$65.00	$17.87
82272 Stool analysis for blood	210	207	$25.00	$4.37
G0008 Administration of influenza virus vaccine	99	97	$75.00	$28.66
G0009 Administration of pneumococcal vaccine	73	73	$75.00	$28.66
90662 Influenza vaccine split virus, preservative free	53	53	$95.00	$47.47
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	39	39	$157.00	$94.41
90670 Pneumococcal vaccine for injection into muscle	34	34	$310.00	$185.79
Q2039 Influenza virus vaccine, not otherwise specified	26	26	$51.00	$22.33
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	20	20	$65.00	$18.04
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	20	20	$59.00	$23.57
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	17	17	$353.00	$168.73
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$135.00	$43.61

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License MA 59128

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

3034097 (MA)

Hospital & Practice Group Affiliations

Atrius Health Inc

133 Brookline Ave, Boston, MA 022153904

Phone: 6174211000

Atrius Health Inc

1 Lyons St, Dedham, MA 020265599

Phone: 7813291400

Atrius Health Inc

100 2nd Ave, Needham, MA 024942809

Phone: 7817264800

Atrius Health Inc

21 Bristol Dr, South Easton, MA 023751199

Phone: 7743025700

Atrius Health Inc

31 Pine St, Norfolk, MA 020561680

Phone: 7814937200

Atrius Health Inc

36 Shops At 5 Way, Plymouth, MA 023602677

Phone: 7746083700

Practice Associates & Co-Workers

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

5 Associated Practitioners

Dr. Mohamad El-Zaru , MD

Internal Medicine - Cardiovascular Disease

NPI 1366440794

Doctor of Medicine (M.D.)

Dr. Ahmed Basheer , MD

Internal Medicine

NPI 1467416958

Doctor of Medicine (M.D.)

Dr. John Adams , MD

Internal Medicine

NPI 1699875161

Doctor of Medicine (M.D.)

Dr. Rezene Berhane , MD

Internal Medicine

NPI 1851316137

Doctor of Medicine (M.D.)

Dr. Riad Mortada , MD

Internal Medicine

NPI 1902974256

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active January 06, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location January 06, 2017

Registered at 31 PINE STREET, SUITE 300, NORFOLK, MA 02056 (Tel: 5086233700)

📍

Updated Business Mailing Address January 06, 2017

Registered at 31 PINE STREET, SUITE 300, NORFOLK, MA 02056 (Tel: 5086233700)

👤

Provider Name / Credentials Updated January 06, 2017

Recorded as MICHAEL HIGGINS, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 06, 2017

Internal Medicine (License #59128 in MA)

🟢

Initial NPI Registration & Enumeration November 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: 1730251661

Entity Type:

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

Enumeration Date: November 15, 2006

Last Update: January 06, 2017

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

31 Pine Street, Suite 300

Norfolk, MA 02056

Phone: 5086233700

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.