MARGARET M HIGGINS (M.D.) – Urology Physician, NPI 1811359250
Urology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
156 UROLOGY in KY
Provider Addresses for MARGARET M HIGGINS (M.D.)
12631 EAST 17TH AVE
MAIL STOP C319
AURORA, CO 800455602
Phone: (303) 724-2712
Type: Mailing
UNIVERSITY OF KENTUCKY 800 ROSE ST
LEXINGTON, KY 405367001
Phone: (859) 323-6762
Fax: (859) 257-6024
Type: Location
12605 E 16TH AVE
AURORA, CO 800452545
Phone: (303) 724-2712
Type: Location
800, Rose Street, Academic Core, Lexington, Fayette County, Kentucky, 40506, United States
ROOM MN-283
LEXINGTON, KY 405367001
Phone: (859) 323-5057
Fax: (859) 257-6024
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $341.
Total Amount is formed as General ($341) + Research ($0) + Ownership ($0) = $341.
Last reported payment date: 2024-06-24 • Largest payer in this snapshot: Boston Scientific Corporation ($124).
Total Amount
$341
General + Research + Ownership
Payments
5
Total payment records
General Amount
$341
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $124 |
| COLOPLAST CORP | $98 |
| Teleflex LLC | $89 |
| Novus Surgical Consultants | $29 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-09-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230914003672 | I | Urology | KS | TBD |
| I20230914003820 | I | Urology | MO | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 81001 | Manual urinalysis test with examination using microscope, automated | 41 | 39 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 28 | 28 | $0 |
| 51798 | Ultrasound measurement of bladder capacity after voiding | 24 | 24 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 13 | 12 | $0 |
Insurance plans in this area (ZIP 80045)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| U R O L O G Y | MO | |
| U R O L O G Y | MO | |
| U R O L O G Y | MO | |
| Nurse Practitioner | KS | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO | |
| U R O L O G Y | MO | |
| U R O L O G Y | MO | |
| U R O L O G Y | KS | |
| U R O L O G Y | MO |
Reviews
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