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Active NPI 1912957325 Individual Practitioner Male Practitioner

Dr. Michael Peter Higgins , OD

Optometrist • Danville, PA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michael Higgins, OD is a certified Optometrist practicing in Danville, PA. With approximately 23 years of clinical experience since graduating from Pennsylvania College Of Optometry in 2003, Dr. Higgins delivers high-quality medical care to the local community at 16 WOODBINE LANE.

Dr. Higgins is affiliated with Geisinger Clinic and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, new patient complete exam of visual system, imaging of optic nerve. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

16 Woodbine Lane

Danville, PA 178222120

Telephone 5702716531
Fax 5702717146
Associated Practice Facility / Clinic
🏢 Geisinger Clinic Facility NPI 1366493868

Medicare Profile & Education

Medical School

Pennsylvania College Of Optometry

Graduation Year

2003

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Danville, PA

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
23 Yrs +0.7 yrs vs City Avg
City Avg: 22.3 Yrs
State Avg: 24.8 Yrs
Regional Practice Density
11 Specialists

Practicing in Danville, PA (2764 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
75.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Higgins (23 Years) 23 Yrs
Danville Specialty Average (22.3 Years) 22.3 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
226 222 $265.83 $70.82
92014 Established patient complete exam of visual system
127 126 $268.55 $71.09
92004 New patient complete exam of visual system
37 37 $310.00 $86.70
92004 New patient complete exam of visual system
28 28 $310.00 $88.31
92133 Imaging of optic nerve
16 15 $115.00 $20.04
92083 Exam of visual field with extended testing
15 15 $156.67 $25.15
92133 Imaging of optic nerve
15 15 $112.40 $18.93
92134 Imaging of retina
14 14 $89.00 $23.25

Medical Specialties & State Licenses

CMS Verified: 2020-07-15
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License PA 0EG001260

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0019699750004 (PA)

Hospital & Practice Group Affiliations

Geisinger Clinic

100 N Academy Ave, Danville, PA 178229800

Phone: 5702716144

Geisinger Clinic

4200 Hospital Rd, Coal Township, PA 178669668

Phone: 5706444200

Geisinger Clinic

4203 Hospital Rd, Coal Township, PA 178669668

Phone: 5706484010

Geisinger Clinic

4203 Hospital Rd, Coal Township, PA 178669668

Phone: 5706484010

Practice Associates & Co-Workers

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

36 Associated Practitioners
NPI 1104133784

Doctor of Optometry

NPI 1114985207

Doctor of Osteopathic Medicine (D.O.)

NPI 1124286331

Doctor of Osteopathic Medicine (D.O.)

Paul Schiffmacher

Student in an Organized Health Care Education/Training Program

NPI 1134921430
NPI 1164417184

Doctor of Optometry

Dr. Michael Ward , DO

Ophthalmology - Retina Specialist

NPI 1174020689

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Practice Location July 15, 2020

Registered at 16 WOODBINE LANE, DANVILLE, PA 178222120 (Tel: 5702716531)

NPI Profile Active October 30, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location October 30, 2012

Registered at 100 N ACADEMY AVE, DANVILLE, PA 178222120 (Tel: 5702716531)

📍
Updated Business Mailing Address October 30, 2012

Registered at 100 N ACADEMY AVE, CREDENTIALS DEPT, DANVILLE, PA 178224903 (Tel: 5702716144)

👤
Provider Name / Credentials Updated October 30, 2012

Recorded as MICHAEL HIGGINS, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 30, 2012

Optometrist (License #0EG001260 in PA)

🟢
Initial NPI Registration & Enumeration May 10, 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: 1912957325
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 10, 2006
Last Update: July 15, 2020
Sole Proprietor: No

Mailing Address

100 N Academy Ave, Credentials Dept

Danville, PA 178224903

Phone: 5702716144

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.