Active NPI 1225003452 Individual Practitioner Male Practitioner

Dr. Andrew P Higgins , MD

Surgery • Bend, OR

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Andrew Higgins, MD is a certified Surgery practicing in Bend, OR. With approximately 33 years of clinical experience since graduating from University Of Colorado School Of Medicine, Denver in 1993, Dr. Higgins delivers high-quality medical care to the local community at 2450 NE MARY ROSE PL.

Dr. Higgins accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service;, partial removal of breast. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2450 Ne Mary Rose Pl
Suite 205

Bend, OR 977017132

Telephone 5417497000

Fax 5417497005

Associated Practice Facility / Clinic

🏢 Bend Ob-Gyn Llc Facility NPI 1730138777

Medicare Profile & Education

Medical School

University Of Colorado School Of Medicine, Denver

Graduation Year

1993

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Bend, OR

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

33 Yrs +11.5 yrs vs City Avg

City Avg: 21.5 Yrs

State Avg: 23.3 Yrs

Regional Practice Density

25 Specialists

Practicing in Bend, OR (555 Statewide)

Telehealth Adoption Rate

4.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

66.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Higgins (33 Years) 33 Yrs

Bend Specialty Average (21.5 Years) 21.5 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	57	49	$299.00	$123.29
99213 Established patient office or other outpatient visit, typically 15 minutes	35	35	$202.00	$87.50
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or	25	13	$119.00	$30.97
19301 Partial removal of breast	19	14	$1793.00	$556.76
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	17	17	$574.00	$211.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	54	50	$202.00	$86.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	44	42	$299.00	$122.59
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	28	28	$574.00	$210.08
19301 Partial removal of breast	27	24	$1859.41	$599.77
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or	27	17	$119.00	$30.79
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$460.00	$159.40
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$299.00	$107.08
76098 X-ray of surgical specimen	11	11	$54.00	$14.59
38900 Lymph node imaging during surgery	11	11	$381.00	$126.32
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	11	11	$1203.00	$206.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	70	58	$177.00	$87.26
19301 Partial removal of breast	37	28	$1572.00	$578.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	34	$262.00	$123.49
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	29	29	$503.00	$212.03
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	22	22	$1055.00	$221.31
38900 Lymph node imaging during surgery	22	22	$334.00	$128.23
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or	19	13	$104.00	$31.60
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$262.00	$107.41
76098 X-ray of surgical specimen	14	14	$47.00	$14.88
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$403.00	$160.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	55	48	$177.00	$88.53
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	40	40	$503.00	$214.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	34	$262.00	$125.78
19301 Partial removal of breast	30	28	$1572.00	$609.76
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	29	29	$1055.00	$220.12
38900 Lymph node imaging during surgery	27	27	$334.00	$129.97
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or	26	15	$104.00	$32.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$403.00	$162.42
76098 X-ray of surgical specimen	15	15	$47.00	$15.16
76998 Ultrasonic guidance during surgery	13	13	$156.00	$59.01
19303 Total removal of breast	12	11	$2636.83	$852.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	49	38	$177.00	$73.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	42	41	$262.00	$106.22
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	29	29	$1127.76	$232.79
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	28	28	$503.00	$202.79
19301 Partial removal of breast	28	27	$1572.00	$590.54
38900 Lymph node imaging during surgery	28	28	$357.86	$140.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$403.00	$160.66
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$262.00	$104.84
19285 Placement of locating device in breast using ultrasound guidance, first growth	15	15	$1140.00	$45.98
76998 Ultrasonic guidance during surgery	13	13	$156.00	$61.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	69	62	$177.00	$70.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	41	41	$262.00	$101.31
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	37	36	$1083.51	$228.36
38900 Lymph node imaging during surgery	36	35	$343.28	$133.73
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	33	33	$503.00	$195.11
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$403.00	$155.27
19301 Partial removal of breast	27	24	$1630.22	$576.81
19285 Placement of locating device in breast using ultrasound guidance, first growth	17	17	$1140.00	$41.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$262.00	$100.90
19303 Total removal of breast	13	13	$3182.92	$1013.84
76098 X-ray of surgical specimen	11	11	$47.00	$7.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	82	64	$177.00	$67.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	60	54	$262.00	$99.48
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	43	43	$503.00	$190.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	38	38	$403.00	$151.78
19301 Partial removal of breast	36	31	$1615.67	$515.92
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	28	28	$1130.36	$235.22
38900 Lymph node imaging during surgery	25	25	$360.72	$135.66
19285 Placement of locating device in breast using ultrasound guidance, first growth	21	21	$1194.29	$41.76
76098 X-ray of surgical specimen	16	16	$47.00	$7.54
76998 Ultrasonic guidance during surgery	14	14	$156.00	$58.39
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	12	12	$2882.00	$290.19
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$181.00	$68.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	67	55	$177.00	$66.61
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	37	37	$503.00	$187.84
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	29	$262.00	$94.97
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$403.00	$148.95
19301 Partial removal of breast	26	21	$1572.00	$495.78
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	18	18	$1055.00	$226.71
38900 Lymph node imaging during surgery	16	16	$334.00	$126.44
19285 Placement of locating device in breast using ultrasound guidance, first growth	12	11	$1140.00	$40.40
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$262.00	$98.76

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License OR MD21960

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

134199 (OR)

Commercial Insurance / Payer ID Railroad

00479100 (OR)

Practice Associates & Co-Workers

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

16 Associated Practitioners

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Otolaryngology

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Doctor of Medicine (M.D.)

Dr. Elizabeth Potvin , OD

Optometrist

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Doctor of Optometry

Dr. Robert Quinn , MD

Specialist

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Doctor of Medicine (M.D.)

Dr. Rebecca Frank , AuD

Audiologist

NPI 1255813713

Doctor of Audiology

Dr. Peter Palacio , MD

Obstetrics & Gynecology

NPI 1295730158

Doctor of Medicine (M.D.)

Dr. Michael Mastrangelo , MD

Specialist

NPI 1306802350

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 August 06, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location August 06, 2010

Registered at 2450 NE MARY ROSE PL, SUITE 205, BEND, OR 977017132 (Tel: 5417497000)

📍

Updated Business Mailing Address August 06, 2010

Registered at 2450 NE MARY ROSE PL, SUITE 205, BEND, OR 977017132 (Tel: 5417497000)

👤

Provider Name / Credentials Updated August 06, 2010

Recorded as ANDREW HIGGINS, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 06, 2010

Surgery (License #MD21960 in OR)

🟢

Initial NPI Registration & Enumeration February 21, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1225003452

Entity Type:

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

Enumeration Date: February 21, 2006

Last Update: August 06, 2010

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

2450 Ne Mary Rose Pl, Suite 205

Bend, OR 977017132

Phone: 5417497000

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.