Active NPI 1588607717 Individual Practitioner Male Practitioner

Dr. Daniel J Higgins , MD

Urology • Neenah, WI

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Daniel Higgins, MD is a certified Urology practicing in Neenah, WI. With approximately 27 years of clinical experience since graduating from Medical College Of Wisconsin in 1999, Dr. Higgins delivers high-quality medical care to the local community at 1265 W AMERICAN DR STE 100.

Dr. Higgins maintains professional affiliations with Thedacare, Incorporated, Wisconsin Institute Of Urology Sc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, insertion of needle into vein for collection of blood sample, ultrasound measurement of bladder capacity after voiding. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1265 W American Dr Ste 100

Neenah, WI 54956

Telephone 9208868979

Associated Practice Facility / Clinic

🏢 Wisconsin Institute Of Urology Sc Facility NPI 1578872628

Medicare Profile & Education

Medical School

Medical College Of Wisconsin

Graduation Year

1999

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Neenah, WI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

27 Yrs +5.0 yrs vs City Avg

City Avg: 22.0 Yrs

State Avg: 25.7 Yrs

Regional Practice Density

11 Specialists

Practicing in Neenah, WI (278 Statewide)

Telehealth Adoption Rate

36.4% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

83.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Higgins (27 Years) 27 Yrs

Neenah Specialty Average (22.0 Years) 22.0 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
99213 Established patient office or other outpatient visit, typically 15 minutes	126	95	$217.22	$85.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	116	112	$317.69	$120.43
36415 Insertion of needle into vein for collection of blood sample	68	54	$34.55	$8.65
51798 Ultrasound measurement of bladder capacity after voiding	32	30	$112.31	$10.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$316.70	$103.98
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$484.89	$152.52
52000 Diagnostic exam of bladder and urethra using an endoscope	23	21	$1039.78	$223.83
52332 Insertion of stent in urinary duct (ureter) using an endoscope	12	12	$2641.13	$122.59
76872 Ultrasound scan of pelvic region through rectum	11	11	$751.73	$130.57

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	91	75	$304.99	$120.60
99213 Established patient office or other outpatient visit, typically 15 minutes	69	56	$208.22	$84.38
51798 Ultrasound measurement of bladder capacity after voiding	38	36	$115.29	$9.93
36415 Insertion of needle into vein for collection of blood sample	35	29	$31.86	$8.40
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$468.00	$156.40
52000 Diagnostic exam of bladder and urethra using an endoscope	22	20	$985.50	$227.21
55700 Biopsy of prostate gland	17	17	$1115.00	$118.49
52332 Insertion of stent in urinary duct (ureter) using an endoscope	16	13	$2589.06	$121.22
52356 Crushing of stone of ureter with insertion of stent using an endoscope	15	13	$4299.93	$377.02
81003 Automated urinalysis test	13	11	$38.00	$2.20
55874 Injection of biodegradable material next to prostate	12	12	$14500.00	$2756.25
52000 Diagnostic exam of bladder and urethra using an endoscope	12	11	$1056.75	$73.28
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$315.58	$104.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	81	61	$201.86	$84.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	60	55	$293.15	$119.70
51798 Ultrasound measurement of bladder capacity after voiding	47	39	$101.85	$9.81
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$443.97	$149.20
36415 Insertion of needle into vein for collection of blood sample	28	24	$30.54	$2.97
52000 Diagnostic exam of bladder and urethra using an endoscope	20	19	$943.80	$227.12
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	15	$130.89	$53.66
76872 Ultrasound scan of pelvic region through rectum	16	16	$454.00	$31.56
55700 Biopsy of prostate gland	16	16	$1115.00	$120.42
81003 Automated urinalysis test	14	13	$38.00	$2.21
52000 Diagnostic exam of bladder and urethra using an endoscope	11	11	$1058.09	$74.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	102	75	$187.76	$85.40
51798 Ultrasound measurement of bladder capacity after voiding	73	49	$95.88	$9.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	58	57	$281.28	$124.32
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$426.93	$159.69
36415 Insertion of needle into vein for collection of blood sample	26	24	$30.12	$3.00
52000 Diagnostic exam of bladder and urethra using an endoscope	23	21	$914.91	$216.55
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	19	$128.74	$53.87
52000 Diagnostic exam of bladder and urethra using an endoscope	12	11	$1071.00	$75.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	49	39	$184.45	$69.08
51798 Ultrasound measurement of bladder capacity after voiding	35	28	$104.94	$9.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	28	$290.14	$104.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$273.29	$102.92
74018 X-ray of abdomen, 1 view	27	25	$66.78	$18.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$411.50	$157.28
81003 Automated urinalysis test	20	20	$37.00	$2.20
36415 Insertion of needle into vein for collection of blood sample	14	13	$29.86	$2.97
52000 Diagnostic exam of bladder and urethra using an endoscope	14	12	$878.00	$181.58
52332 Insertion of stent in urinary duct (ureter) using an endoscope	14	13	$2464.75	$124.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	2,200	20	$1.10	$0.11
81003 Automated urinalysis test	290	230	$36.00	$2.44
99213 Established patient office or other outpatient visit, typically 15 minutes	175	140	$203.00	$70.86
51798 Ultrasound measurement of bladder capacity after voiding	110	91	$169.00	$12.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	109	104	$300.00	$103.99
52000 Diagnostic exam of bladder and urethra using an endoscope	53	44	$1010.00	$77.46
36415 Insertion of needle into vein for collection of blood sample	52	47	$29.00	$2.94
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	47	43	$140.00	$43.16
74018 X-ray of abdomen, 1 view	42	35	$64.00	$18.13
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$305.00	$102.75
51720 Instillation of anti-cancer drug into bladder	26	14	$1540.00	$80.83
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$448.00	$151.39
84153 Psa (prostate specific antigen) measurement, total	22	20	$141.00	$20.03
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	22	13	$203.00	$29.60
52332 Insertion of stent in urinary duct (ureter) using an endoscope	22	19	$2639.16	$138.09
74178 Ct scan of abdomen and pelvis before and after contrast	20	19	$4134.00	$235.10
51702 Simple insertion of temporary bladder tube	18	14	$471.00	$59.44
51705 Removal of skin suture with change of bladder tube	17	11	$469.00	$90.02
99202 New patient office or other outpatient visit, typically 20 minutes	16	16	$234.00	$73.02
76872 Ultrasound scan of pelvic region through rectum	16	16	$428.00	$32.89
76770 Complete ultrasound scan behind abdominal cavity	13	13	$699.00	$68.88
55700 Biopsy of prostate gland	13	13	$1051.00	$126.19
74176 Ct scan of abdomen and pelvis without contrast	12	12	$1637.00	$107.65
G0103 Prostate cancer screening; prostate specific antigen test (psa)	11	11	$148.91	$20.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	275	225	$34.01	$2.71
99213 Established patient office or other outpatient visit, typically 15 minutes	172	140	$193.26	$69.53
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	136	122	$133.43	$41.85
51798 Ultrasound measurement of bladder capacity after voiding	81	66	$161.20	$15.06
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	48	48	$290.00	$102.38
99202 New patient office or other outpatient visit, typically 20 minutes	33	33	$223.00	$69.57
51702 Simple insertion of temporary bladder tube	29	16	$445.69	$61.57
51705 Removal of skin suture with change of bladder tube	27	15	$447.00	$88.08
52000 Diagnostic exam of bladder and urethra using an endoscope	24	23	$962.00	$77.69
36415 Insertion of needle into vein for collection of blood sample	23	21	$28.00	$2.94
52000 Diagnostic exam of bladder and urethra using an endoscope	22	20	$962.00	$159.11
52332 Insertion of stent in urinary duct (ureter) using an endoscope	17	15	$2455.29	$134.37
74018 X-ray of abdomen, 1 view	16	16	$61.00	$17.11
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	14	12	$192.36	$29.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	284	198	$32.00	$2.98
99213 Established patient office or other outpatient visit, typically 15 minutes	145	120	$200.00	$68.06
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	111	94	$141.00	$41.62
51798 Ultrasound measurement of bladder capacity after voiding	78	67	$161.00	$17.64
52000 Diagnostic exam of bladder and urethra using an endoscope	49	35	$962.00	$156.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$294.00	$102.58
99202 New patient office or other outpatient visit, typically 20 minutes	19	19	$218.00	$70.10
52332 Insertion of stent in urinary duct (ureter) using an endoscope	17	16	$2150.35	$105.41
51702 Simple insertion of temporary bladder tube	17	11	$337.00	$60.21
36415 Insertion of needle into vein for collection of blood sample	15	15	$40.00	$2.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$290.00	$97.56
52005 Insertion of tube into ureter using an endoscope through bladder area	11	11	$1570.00	$120.27

Medical Specialties & State Licenses

CMS Verified: 2025-08-26

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License WI 42948

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1588607717 (WI)

Hospital & Practice Group Affiliations

Wisconsin Institute Of Urology Sc

1265 W American Dr, Neenah, WI 549561405

Phone: 9207227747

Thedacare, Incorporated

1265 W American Dr, Neenah, WI 549561405

Phone: 9208868979

Secondary Practice Locations

1611 S Madison St

Appleton, WI 549151844

Phone: 9207382000

1506 S Oneida St

Appleton, WI 549151305

Phone: 9207382000

Practice Associates & Co-Workers

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

14 Associated Practitioners

Dr. Eric Lawatsch , MD

Urology

NPI 1033296520

Doctor of Medicine (M.D.)

Dr. Omar Atassi , MD

Urology

NPI 1154380046

Doctor of Medicine (M.D.)

Emily Hammen , NP

Nurse Practitioner

NPI 1265184212

Nurse Practitioner

Dr. Joshua Modder , MD

Urology

NPI 1356386270

Doctor of Medicine (M.D.)

Heather Beck , APNP

Nurse Practitioner - Family

NPI 1437343761

Advanced Practice Nurse Prescriber

Dr. Tait Fors , MD

Urology

NPI 1649293358

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Business Mailing Address August 26, 2025

Registered at 3 NEENAH CTR, NEENAH, WI 549563070 (Tel: 9208868979)

📍

Updated Practice Location July 22, 2018

Registered at 1265 W AMERICAN DR STE 100, NEENAH, WI 54956 (Tel: 9207227747)

📍

Updated Business Mailing Address July 22, 2018

Registered at 1265 W AMERICAN DR STE 100, NEENAH, WI 549561405 (Tel: 9207227747)

✅

NPI Profile Active November 01, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location November 01, 2012

Registered at 100 THEDA CLARK MEDICAL PLZ, SUITE 300, NEENAH, WI 549562763 (Tel: 9207227747)

📍

Updated Business Mailing Address November 01, 2012

Registered at 100 THEDA CLARK MEDICAL PLZ, SUITE 300, NEENAH, WI 549562763 (Tel: 9207227747)

👤

Provider Name / Credentials Updated November 01, 2012

Recorded as DANIEL HIGGINS, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 01, 2012

Urology (License #42948 in WI)

🟢

Initial NPI Registration & Enumeration June 14, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Daniel Higgins. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1588607717

Entity Type:

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

Enumeration Date: June 14, 2006

Last Update: August 26, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3 Neenah Ctr

Neenah, WI 549563070

Phone: 9208868979

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.