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Active NPI 1285642470 Individual Practitioner Male Practitioner

Dr. Patrick M. Higgins , MD

Ophthalmology • Bloomfield, NJ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Patrick Higgins, MD is a certified Ophthalmology practicing in Bloomfield, NJ. With approximately 33 years of clinical experience since completing medical education in 1993, Dr. Higgins delivers high-quality medical care to the local community at 1255 BROAD ST.

Dr. Higgins maintains professional affiliations with Ny Retina Eye Care, Pllc, Eye Centers Of America Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include chloroprocaine hcl ophthalmic, 3% gel, 1 mg, injection, faricimab-svoa, 0.1 mg, injection, pegcetacoplan, intravitreal, 1 mg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1255 Broad St
Ste 104

Bloomfield, NJ 070033000

Telephone 9737075632
Fax 9737077349
Associated Practice Facility / Clinic
🏢 Charles M Cummins Od Pa Facility NPI 1578529707

Medicare Profile & Education

Medical School

Other

Graduation Year

1993

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Bloomfield, NJ

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
33 Yrs +3.9 yrs vs City Avg
City Avg: 29.1 Yrs
State Avg: 32.1 Yrs
Regional Practice Density
12 Specialists

Practicing in Bloomfield, NJ (700 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
53.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Higgins (33 Years) 33 Yrs
Bloomfield Specialty Average (29.1 Years) 29.1 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
J2403 Chloroprocaine hcl ophthalmic, 3% gel, 1 mg
293,601 97 $0.85 $0.64
J2777 Injection, faricimab-svoa, 0.1 mg
30,301 99 $60.00 $34.53
J2781 Injection, pegcetacoplan, intravitreal, 1 mg
2,985 39 $200.00 $146.78
92134 Imaging of retina
1,444 580 $100.90 $44.06
92014 Established patient complete exam of visual system
1,302 537 $337.20 $138.62
67028 Injection of drug into eye
862 170 $480.00 $129.61
92202 Extended exam of the back part of the eye with optic nerve drawing
603 346 $44.60 $16.58
J2778 Injection, ranibizumab, 0.1 mg
446 29 $500.00 $156.03
92201 Extended exam of the back part of the eye with retinal drawing
274 208 $59.32 $26.64
92012 Established patient problem focused exam of visual system
273 137 $170.82 $98.15
92235 Exam of retinal blood vessels using a special camera after injection of a dye
187 157 $213.27 $181.40
92287 Imaging of front third of eye using a special camera after injection of a dye
107 91 $271.87 $158.86
J0178 Injection, aflibercept, 1 mg
98 20 $1400.00 $830.78
83036 Hemoglobin A1C level
73 54 $20.00 $9.52
92004 New patient complete exam of visual system
49 49 $279.43 $162.06
76512 Ultrasound of eye disease, growth, or structure
44 25 $101.82 $52.70
J7999 Compounded drug, not otherwise classified
43 31 $439.53 $84.78
92250 Photography of the retina
39 36 $157.44 $38.16
92083 Exam of visual field with extended testing
23 18 $125.22 $66.43
67041 Removal of membrane from the retina
22 22 $2363.64 $1030.02

Medical Specialties & State Licenses

CMS Verified: 2023-06-09
Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License NJ 25MA06558600

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
8255105 (NJ)

Hospital & Practice Group Affiliations

Ny Retina Eye Care, Pllc

257 Lafayette Ave, Suffern, NY 109014831

Phone: 8453628500

Eye Centers Of America Llc

1255 Broad St, Bloomfield, NJ 070033061

Phone: 9737075632

Secondary Practice Locations

1086 Teaneck Rd Ste 2a

Teaneck, NJ 076664858

Phone: 2018713414

1095 Morris Ave Ste 103a

Union, NJ 070837170

Phone: 9083121001

500 N Franklin Tpke Ste 205

Ramsey, NJ 074461160

Phone: 2019629396

6121 Kennedy Blvd

North Bergen, NJ 070473483

Phone: 2017665151

1 Corporate Dr

Wayne, NJ 074703112

Phone: 9739873380

Practice Associates & Co-Workers

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

4 Associated Practitioners
NPI 1023017357

Doctor of Medicine (M.D.)

NPI 1437597366

Doctor of Medicine (M.D.)

NPI 1881693059

Doctor of Medicine (M.D.)

NPI 1972823763

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 09, 2023

Ophthalmology (License #25MA06558600 in NJ)

📍
Updated Business Mailing Address March 10, 2022

Registered at 1 CORPORATE DR, WAYNE, NJ 074703112 (Tel: 9739873380)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 30, 2019

Ophthalmology (License #MA65586 in NJ)

NPI Profile Active June 17, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location June 17, 2016

Registered at 1255 BROAD ST, STE 104, BLOOMFIELD, NJ 070033000 (Tel: 9737075632)

📍
Updated Business Mailing Address June 17, 2016

Registered at 1255 BROAD ST, STE 104, BLOOMFIELD, NJ 070033000 (Tel: 9737075632)

👤
Provider Name / Credentials Updated June 17, 2016

Recorded as PATRICK HIGGINS, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 17, 2016

Ophthalmology (License #25MA06558600 in NJ)

🟢
Initial NPI Registration & Enumeration August 03, 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: 1285642470
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 03, 2006
Last Update: June 09, 2023
Sole Proprietor: Yes

Mailing Address

1 Corporate Dr

Wayne, NJ 074703112

Phone: 9739873380

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.