THOMAS S JR. HIGGINS (MD) – Otolaryngology Physician, NPI 1750543237
Otolaryngology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
179 OTOLARYNGOLOGY in KY
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Provider Addresses for THOMAS S JR. HIGGINS (MD)
Dutchmans Parkway, St. Matthews, Jefferson County, Kentucky, 40205, United States
LOUISVILLE, KY 402053355
Phone: (502) 894-8441
Fax: (502) 894-4453
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 182 Open Payments records for all available years, with a total value of $193,469.
Total Amount is formed as General ($137,057) + Research ($56,412) + Ownership ($0) = $193,469.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($61,939).
Total Amount
$193,469
General + Research + Ownership
Payments
182
Total payment records
General Amount
$137,057
General payments
Research Amount
$56,412
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Regeneron Healthcare Solutions, Inc. | $61,939 |
| Neurent Medical Limited | $56,412 |
| GENZYME CORPORATION | $48,167 |
| Optinose US, Inc. | $14,094 |
| Merck Sharp & Dohme LLC | $7,408 |
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: 2012-07-10
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 |
|---|---|---|---|---|
| I20120611000655 | I | Otolaryngology | KY | TBD |
| I20120710000391 | I | Otolaryngology | IN | 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 |
|---|---|---|---|---|
| 95165 | Professional service for preparation and provision of 1 or more antigens | 1,350 | 71 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 585 | 241 | $0 |
| 31231 | Diagnostic exam of nasal passages using an endoscope | 583 | 256 | $0 |
| 95024 | Test for allergy using allergenic extract injected into skin | 480 | 12 | $0 |
| 95004 | Test for allergy using allergenic extract | 468 | 12 | $0 |
Insurance plans in this area (ZIP 40205)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Otolaryngology, Allergy/Immunology | KY | |
| O T O L A R Y N G O L O G Y | KY | |
| O T O L A R Y N G O L O G Y | KY | |
| Physician Assistant | KY | |
| O T O L A R Y N G O L O G Y | KY | |
| O T O L A R Y N G O L O G Y | KY | |
| Qualified Audiologist | IN | |
| Physician Assistant | KY | |
| Qualified Audiologist | KY | |
| O T O L A R Y N G O L O G Y | KY |
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