Active NPI 1629205752 Individual Practitioner Male Practitioner

Dr. Matthew Douglas Higgins , MD

Orthopaedic Surgery • Chattanooga, TN

✓ Accepts Medicare Assignment Telehealth Available

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dr. Matthew Higgins, MD is a registered Orthopaedic Surgery practitioner in Chattanooga, TN. With approximately 17 years of clinical practice since graduating from Loma Linda University School Of Medicine in 2009, Dr. Higgins provides healthcare services at the registered practice location at 979 E 3RD ST.

Dr. Higgins maintains professional affiliations with Chattanooga Hamilton County Hospital Authority, Chattanooga Diagnostic Associates Llc, Erlanger Health and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include injection, methylprednisolone acetate, 1 mg, established patient outpatient office visit, x-ray of knee, 3 views. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

979 E 3rd St
Suite C-430

Chattanooga, TN 374032136

Telephone 4237784900

Fax 4237784901

Associated Practice Facility / Clinic

🏢 Plaza Surgery, G.p. Facility NPI 1497750400

Medicare Profile & Education

Medical School

Loma Linda University School Of Medicine

Graduation Year

2009

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Chattanooga, TN

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

17 Yrs -9.9 yrs vs City Avg

City Avg: 26.9 Yrs

State Avg: 27.4 Yrs

Regional Practice Density

36 Specialists

Practicing in Chattanooga, TN (509 Statewide)

Telehealth Adoption Rate

11.1% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

58.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Higgins (17 Years) 17 Yrs

Chattanooga Specialty Average (26.9 Years) 26.9 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
J1010 Injection, methylprednisolone acetate, 1 mg	2,920	30	$0.20	$0.13
99213 Established patient office or other outpatient visit, typically 15 minutes	291	240	$154.00	$82.50
73562 X-ray of knee, 3 views	218	174	$74.99	$36.01
73502 X-ray of hip, 2-3 views	192	162	$81.38	$41.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	168	157	$229.00	$116.81
27130 Replacement of thigh bone and hip joint with prosthesis	96	93	$3006.25	$1215.99
73564 X-ray of knee, 4 or more views	89	89	$90.83	$42.22
73501 X-ray of hip with pelvis, 1 view	84	72	$59.52	$28.88
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	77	77	$350.00	$153.78
27447 Replacement of knee joint, both sides of knee	75	70	$2943.72	$1178.09
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	71	71	$228.00	$102.08
20610 Aspiration and/or injection of fluid from large joint	43	38	$137.34	$60.17
99213 Established patient office or other outpatient visit, typically 15 minutes	20	20	$154.00	$63.81
72100 X-ray of lower and sacral spine, 2-3 views	19	19	$47.00	$24.19
20985 Computer-assisted surgery for muscle and bone procedure	16	16	$315.00	$130.60
73502 X-ray of hip, 2-3 views	13	13	$24.00	$10.53
73521 X-ray of both hips, 2 views	13	12	$78.08	$35.69
73522 X-ray of both hips, 3-4 views	13	13	$99.00	$48.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$229.00	$94.19
73523 X-ray of both hips, minimum of 5 views	12	12	$111.17	$54.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	318	258	$151.08	$82.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	150	141	$217.05	$116.38
73502 X-ray of hip, 2-3 views	132	114	$79.96	$41.58
73562 X-ray of knee, 3 views	119	98	$75.69	$36.04
27130 Replacement of thigh bone and hip joint with prosthesis	93	90	$2917.03	$1202.25
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	91	91	$209.99	$102.37
27447 Replacement of knee joint, both sides of knee	80	74	$2905.79	$1194.38
20610 Aspiration and/or injection of fluid from large joint	65	43	$134.74	$61.11
73564 X-ray of knee, 4 or more views	57	57	$93.92	$41.27
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	57	57	$350.00	$150.97
J1040 Injection, methylprednisolone acetate, 80 mg	49	32	$17.06	$10.93
73501 X-ray of hip with pelvis, 1 view	46	38	$58.02	$29.57
20985 Computer-assisted surgery for muscle and bone procedure	33	32	$309.38	$130.55
73522 X-ray of both hips, 3-4 views	18	17	$88.72	$47.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	275	233	$154.00	$84.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	160	144	$229.00	$117.73
27130 Replacement of thigh bone and hip joint with prosthesis	82	75	$2956.39	$1217.25
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	57	57	$228.00	$102.29
20610 Aspiration and/or injection of fluid from large joint	43	32	$144.72	$66.41
27447 Replacement of knee joint, both sides of knee	42	37	$2886.00	$1147.87
20985 Computer-assisted surgery for muscle and bone procedure	30	26	$315.00	$131.16
J1040 Injection, methylprednisolone acetate, 80 mg	27	23	$16.16	$10.35
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$350.00	$157.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	237	195	$154.00	$84.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	128	111	$229.00	$120.38
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	76	76	$228.00	$104.63
20610 Aspiration and/or injection of fluid from large joint	54	37	$149.34	$67.93
27130 Replacement of thigh bone and hip joint with prosthesis	48	46	$2946.13	$1237.63
J1040 Injection, methylprednisolone acetate, 80 mg	47	25	$16.98	$10.07
27447 Replacement of knee joint, both sides of knee	41	38	$2921.20	$1216.64
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	23	$92.00	$51.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	231	180	$154.00	$70.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	149	133	$229.00	$100.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	87	87	$228.00	$100.64
J1040 Injection, methylprednisolone acetate, 80 mg	81	49	$15.00	$11.60
20610 Aspiration and/or injection of fluid from large joint	80	53	$145.26	$65.99
27130 Replacement of thigh bone and hip joint with prosthesis	60	54	$2958.15	$1318.42
73501 X-ray of hip with pelvis, 1 view	52	45	$59.62	$28.75
73562 X-ray of knee, 3 views	46	41	$72.43	$34.50
27447 Replacement of knee joint, both sides of knee	33	30	$2929.73	$1237.73
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	20	$296.00	$132.91
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$350.00	$156.87
73564 X-ray of knee, 4 or more views	18	18	$98.83	$39.98
73502 X-ray of hip, 2-3 views	11	11	$76.45	$36.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	292	201	$154.00	$69.82
20610 Aspiration and/or injection of fluid from large joint	144	82	$141.99	$59.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	138	119	$229.00	$99.73
J1040 Injection, methylprednisolone acetate, 80 mg	138	72	$15.00	$11.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	94	94	$228.00	$101.95
73562 X-ray of knee, 3 views	71	54	$74.93	$34.10
73501 X-ray of hip with pelvis, 1 view	66	50	$60.00	$28.53
27130 Replacement of thigh bone and hip joint with prosthesis	57	56	$2886.00	$1239.73
27447 Replacement of knee joint, both sides of knee	32	31	$3021.28	$1244.42
73502 X-ray of hip, 2-3 views	25	25	$83.00	$39.68
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	24	23	$296.00	$131.43
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	14	$92.00	$42.31
73564 X-ray of knee, 4 or more views	13	13	$91.46	$38.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	295	196	$150.37	$65.37
20610 Aspiration and/or injection of fluid from large joint	148	81	$133.91	$55.04
J1040 Injection, methylprednisolone acetate, 80 mg	111	66	$14.46	$12.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	111	111	$221.66	$97.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	85	78	$224.47	$95.26
27130 Replacement of thigh bone and hip joint with prosthesis	46	44	$2823.46	$1185.65
27447 Replacement of knee joint, both sides of knee	28	27	$2817.50	$1228.97
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	17	$289.41	$125.85
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$89.82	$39.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	166	118	$88.00	$40.28
99213 Established patient office or other outpatient visit, typically 15 minutes	165	115	$147.00	$67.21
20610 Aspiration and/or injection of fluid from large joint	137	77	$124.53	$52.78
J1040 Injection, methylprednisolone acetate, 80 mg	122	71	$14.00	$10.79
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	102	102	$217.00	$97.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	57	51	$218.00	$96.87
27130 Replacement of thigh bone and hip joint with prosthesis	18	18	$2749.00	$1262.84
27447 Replacement of knee joint, both sides of knee	14	14	$2749.00	$1262.33

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License TN 47906

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Hospital & Practice Group Affiliations

Chattanooga Diagnostic Associates Llc

2333 Mccallie Ave, Chattanooga, TN 374043258

Phone: 4236986061

Chattanooga Hamilton County Hospital Authority

979 E 3rd St G, Chattanooga, TN 374032136

Phone: 4237787485

Chattanooga Diagnostic Associates Llc

1000 Hwy 28, Jasper, TN 373473638

Phone: 4238379500

Chattanooga Diagnostic Associates Llc

1247 Riverfront Pkwy, Chattanooga, TN 374022108

Phone: 4232069000

Chattanooga Hamilton County Hospital Authority

975 E 3rd St, Chattanooga, TN 374032147

Chattanooga Hamilton County Hospital Authority

1751 Gunbarrel Rd, Chattanooga, TN 374217162

Chattanooga Hamilton County Hospital Authority

979 E 3rd St, Chattanooga, TN 374032136

Erlanger Health

979 E 3rd St, Chattanooga, TN 374033358

Phone: 4236246584

Chattanooga Diagnostic Associates Llc

1008 Hwy 28, Jasper, TN 373473638

Phone: 4238373350

Practice Associates & Co-Workers

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

2 Associated Practitioners

Jessica Mclendon , PA-C

Physician Assistant

NPI 1154659589

Physician Assistant (Certified)

Dr. Kristopher Sanders , MD

Orthopaedic Surgery

NPI 1730405531

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 September 21, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location September 21, 2015

Registered at 979 E 3RD ST, SUITE C-430, CHATTANOOGA, TN 374032136 (Tel: 4237784900)

📍

Updated Business Mailing Address September 21, 2015

Registered at 975 E 3RD ST, ATTN: PROVIDER ENROLLMENT, CHATTANOOGA, TN 374032147 (Tel: 4237785630)

👤

Provider Name / Credentials Updated September 21, 2015

Recorded as MATTHEW HIGGINS, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 21, 2015

Orthopaedic Surgery (License #47906 in TN)

🟢

Initial NPI Registration & Enumeration June 16, 2009

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: 1629205752

Entity Type:

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

Enumeration Date: June 16, 2009

Last Update: September 21, 2015

Sole Proprietor: No

Update or Correct Profile

Mailing Address

975 E 3rd St, Attn: Provider Enrollment

Chattanooga, TN 374032147

Phone: 4237785630

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.