Active NPI 1235104845 Individual Practitioner Male Practitioner

Dr. Stephen E Higgins , MD

Ophthalmology • Portage, MI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Stephen Higgins, MD is a certified Ophthalmology practicing in Portage, MI. With approximately 41 years of clinical experience since graduating from University Of Michigan Medical School in 1985, Dr. Higgins delivers high-quality medical care to the local community at 3142 W CENTRE AVE.

Dr. Higgins is affiliated with Kalamazoo Ophthalmology Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, removal of cataract with insertion of lens, measurement of corneal curvature and depth of eye. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3142 W Centre Ave

Portage, MI 490244860

Telephone 2693295870

Fax 2693295865

Medicare Profile & Education

Medical School

University Of Michigan Medical School

Graduation Year

1985

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Portage, MI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

41 Yrs +11.8 yrs vs City Avg

City Avg: 29.2 Yrs

State Avg: 27.6 Yrs

Regional Practice Density

6 Specialists

Practicing in Portage, MI (843 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

69.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Higgins (41 Years) 41 Yrs

Portage Specialty Average (29.2 Years) 29.2 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
92014 Established patient complete exam of visual system	368	362	$190.00	$119.24
66984 Removal of cataract with insertion of lens	206	127	$2200.00	$509.31
92136 Measurement of corneal curvature and depth of eye	191	123	$150.00	$40.64
99213 Established patient office or other outpatient visit, typically 15 minutes	180	133	$95.00	$87.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	124	118	$130.00	$122.68
92133 Imaging of optic nerve	101	97	$100.00	$34.40
92083 Exam of visual field with extended testing	93	91	$130.00	$59.39
66821 Removal of recurring cataract in lens capsule using a laser	66	54	$800.00	$312.58
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	44	44	$220.00	$159.23
92004 New patient complete exam of visual system	40	40	$220.00	$138.88
76519 Ultrasound of eye for determination of lens power	30	20	$150.00	$53.33
92134 Imaging of retina	21	21	$100.00	$37.58
66991 Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye	19	13	$3200.00	$634.93
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	14	$60.00	$54.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	338	337	$190.00	$120.20
66984 Removal of cataract with insertion of lens	222	141	$2200.00	$517.64
92136 Measurement of corneal curvature and depth of eye	217	143	$150.00	$41.78
99213 Established patient office or other outpatient visit, typically 15 minutes	188	145	$95.00	$87.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	148	148	$130.00	$123.83
92133 Imaging of optic nerve	104	101	$100.00	$34.93
92083 Exam of visual field with extended testing	99	95	$130.00	$59.16
66821 Removal of recurring cataract in lens capsule using a laser	62	51	$800.00	$315.74
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	54	54	$220.00	$161.96
76519 Ultrasound of eye for determination of lens power	42	29	$150.00	$56.47
92004 New patient complete exam of visual system	26	26	$220.00	$143.01
66982 Complex removal of cataract with insertion of prosthetic lens	18	14	$2400.00	$712.63
92134 Imaging of retina	18	18	$100.00	$37.76
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	17	$60.00	$54.43
68841 Insertion of drug delivery implant into tear duct of eye	13	11	$100.00	$15.70
92250 Photography of the retina	12	12	$120.00	$35.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	355	346	$190.00	$121.71
66984 Removal of cataract with insertion of lens	218	138	$2200.00	$520.40
92136 Measurement of corneal curvature and depth of eye	203	137	$150.00	$43.58
99213 Established patient office or other outpatient visit, typically 15 minutes	161	134	$95.00	$87.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	147	145	$130.00	$124.34
92133 Imaging of optic nerve	106	105	$100.00	$35.26
92083 Exam of visual field with extended testing	92	91	$130.00	$59.78
66821 Removal of recurring cataract in lens capsule using a laser	72	61	$800.00	$317.41
76519 Ultrasound of eye for determination of lens power	60	40	$150.00	$55.68
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	45	45	$220.00	$163.37
66982 Complex removal of cataract with insertion of prosthetic lens	25	17	$2400.00	$715.39
92004 New patient complete exam of visual system	25	25	$220.00	$144.40
92012 Established patient problem focused exam of visual system	19	19	$130.00	$85.51
92134 Imaging of retina	16	16	$100.00	$37.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	370	369	$190.00	$121.12
66984 Removal of cataract with insertion of lens	255	160	$2200.00	$518.47
92136 Measurement of corneal curvature and depth of eye	234	152	$150.00	$48.11
99213 Established patient office or other outpatient visit, typically 15 minutes	201	151	$90.00	$88.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	119	117	$125.00	$124.33
92133 Imaging of optic nerve	106	105	$100.00	$35.13
92083 Exam of visual field with extended testing	105	102	$130.00	$60.09
92004 New patient complete exam of visual system	71	71	$220.00	$140.54
66821 Removal of recurring cataract in lens capsule using a laser	65	53	$800.00	$320.51
92012 Established patient problem focused exam of visual system	57	56	$130.00	$85.92
76519 Ultrasound of eye for determination of lens power	54	35	$150.00	$57.03
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	37	37	$220.00	$156.90
66982 Complex removal of cataract with insertion of prosthetic lens	31	22	$2400.00	$717.66
0191T Internal insertion of eye fluid drainage device	29	20	$3700.00	$645.48
0376T Insertion of eye drainage device	28	20	$3000.00	$322.75
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	20	$55.00	$54.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	463	460	$190.00	$122.24
99213 Established patient office or other outpatient visit, typically 15 minutes	305	245	$90.00	$73.49
66984 Removal of cataract with insertion of lens	259	163	$2200.00	$534.44
92136 Measurement of corneal curvature and depth of eye	255	162	$150.00	$53.27
92133 Imaging of optic nerve	109	109	$100.00	$35.27
92083 Exam of visual field with extended testing	104	103	$130.00	$60.93
92004 New patient complete exam of visual system	60	60	$220.00	$146.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	38	38	$125.00	$107.08
66821 Removal of recurring cataract in lens capsule using a laser	38	36	$800.00	$325.26
76519 Ultrasound of eye for determination of lens power	31	20	$150.00	$54.52
66982 Complex removal of cataract with insertion of prosthetic lens	24	18	$2400.00	$742.67
0191T Internal insertion of eye fluid drainage device	22	16	$3700.00	$629.13
0376T Insertion of eye drainage device	21	15	$3000.00	$314.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	692	687	$175.00	$122.04
99213 Established patient office or other outpatient visit, typically 15 minutes	506	365	$85.00	$71.95
66984 Removal of cataract with insertion of lens	438	276	$2200.00	$625.83
92136 Measurement of corneal curvature and depth of eye	368	238	$150.00	$59.30
92133 Imaging of optic nerve	185	177	$100.00	$35.09
92083 Exam of visual field with extended testing	176	173	$130.00	$61.41
92004 New patient complete exam of visual system	130	130	$210.00	$146.51
66821 Removal of recurring cataract in lens capsule using a laser	115	97	$765.00	$322.49
76519 Ultrasound of eye for determination of lens power	88	61	$150.00	$56.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	61	57	$125.00	$105.97
83861 Microfluid analysis of tears	53	27	$50.00	$22.03
66982 Complex removal of cataract with insertion of prosthetic lens	32	26	$2400.00	$781.37
0376T Insertion of eye drainage device	30	20	$3000.00	$310.69
0191T Internal insertion of eye fluid drainage device	30	20	$3000.00	$621.37
92250 Photography of the retina	17	17	$120.00	$48.23
92134 Imaging of retina	15	15	$100.00	$38.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	740	734	$175.00	$120.48
99213 Established patient office or other outpatient visit, typically 15 minutes	606	422	$85.00	$69.92
66984 Removal of cataract with insertion of lens	517	333	$2200.00	$616.11
92136 Measurement of corneal curvature and depth of eye	468	301	$150.00	$66.87
92083 Exam of visual field with extended testing	183	177	$130.00	$60.77
92133 Imaging of optic nerve	175	167	$100.00	$35.31
92004 New patient complete exam of visual system	122	122	$210.00	$144.87
66821 Removal of recurring cataract in lens capsule using a laser	89	81	$765.00	$316.99
76519 Ultrasound of eye for determination of lens power	81	56	$150.00	$62.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	42	40	$125.00	$103.84
66982 Complex removal of cataract with insertion of prosthetic lens	28	21	$2400.00	$732.97
92134 Imaging of retina	22	21	$100.00	$38.95
0191T Internal insertion of eye fluid drainage device	21	14	$3000.00	$610.67
92250 Photography of the retina	16	16	$120.00	$53.60
65855 Laser repair to improve eye fluid flow	14	14	$1000.00	$262.75
92012 Established patient problem focused exam of visual system	13	13	$125.00	$83.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	751	744	$175.00	$115.13
99213 Established patient office or other outpatient visit, typically 15 minutes	664	452	$85.00	$68.38
66984 Removal of cataract with insertion of lens	514	325	$2200.00	$596.87
92136 Measurement of corneal curvature and depth of eye	454	291	$150.00	$65.32
92004 New patient complete exam of visual system	198	198	$210.00	$139.49
92083 Exam of visual field with extended testing	195	186	$130.00	$59.44
92133 Imaging of optic nerve	161	153	$100.00	$34.31
66821 Removal of recurring cataract in lens capsule using a laser	92	80	$764.08	$307.45
76519 Ultrasound of eye for determination of lens power	92	60	$150.00	$60.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	68	65	$125.00	$101.13
66982 Complex removal of cataract with insertion of prosthetic lens	33	27	$2400.00	$750.23
92250 Photography of the retina	24	24	$120.00	$60.48
92012 Established patient problem focused exam of visual system	22	22	$125.00	$79.73
0191T Internal insertion of eye fluid drainage device	16	11	$3000.00	$665.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$125.00	$101.69
92134 Imaging of retina	15	15	$100.00	$37.22
65855 Laser repair to improve eye fluid flow	14	14	$1285.71	$262.42

Medical Specialties & State Licenses

CMS Verified: 2022-11-17

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License MI 4301405954

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

2669516 (MI)

Hospital & Practice Group Affiliations

Kalamazoo Ophthalmology Pc

3412 W Centre Ave, Portage, MI 490244624

Phone: 2693295860

Practice Associates & Co-Workers

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

4 Associated Practitioners

Dr. Lynnette Blostica , OD

Optometrist

NPI 1053524884

Doctor of Optometry

Dr. Ferris Standiford , OD

Optometrist

NPI 1164485801

Doctor of Optometry

Dr. Ariel Goodman , OD

Optometrist

NPI 1790424067

Doctor of Optometry

Dr. Gregory Bibart , MD

Ophthalmology

NPI 1871568485

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 July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 3142 W CENTRE AVE, PORTAGE, MI 490244860 (Tel: 2693295870)

📍

Updated Business Mailing Address July 08, 2007

Registered at 3142 W CENTRE AVE, PORTAGE, MI 490244860 (Tel: 2693295870)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as STEPHEN HIGGINS, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Ophthalmology (License #4301405954 in MI)

🟢

Initial NPI Registration & Enumeration February 18, 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: 1235104845

Entity Type:

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

Enumeration Date: February 18, 2006

Last Update: November 17, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3142 W Centre Ave

Portage, MI 490244860

Phone: 2693295870

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.