DR. LUKE JAMES HIGGINS (M.D., PH.D.) – Diagnostic Radiology Physician, NPI 1316264328
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,897 DIAGNOSTIC RADIOLOGY in MA
Provider Addresses for DR. LUKE JAMES HIGGINS (M.D., PH.D.)
68A Main St
Medway, MA 020531775
Phone: (508) 488-3635
Type: Location
1 MEDICAL CENTER DRIVE
MORGANTOWN, WV 265061200
Phone: (304) 598-4800
Type: Mailing
64 Robbins St
Waterbury, CT 067082613
Phone: (203) 573-7124
Type: Location
3600 Minnesota Dr Ste 800
Minneapolis, MN 554357915
Phone: (952) 595-1100
Fax: (612) 294-4903
Type: Location
28 Crescent St
Middletown, CT 064573654
Phone: (860) 358-6000
Type: Location
55 Lake Ave N
Worcester, MA 016550002
Phone: (508) 334-3850
Type: Location
14 Prospect St
Milford, MA 017573003
Phone: (508) 473-1190
Fax: (508) 634-3687
Type: Location
3600 MINNESOTA DR STE 800
EDINA, MN 554357915
Phone:
Type: Mailing
3001 S HANOVER ST
DEPT OF MEDICINE
BALTIMORE, MD 212251233
Phone: (410) 350-3565
Fax: (410) 354-0186
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 16 Open Payments records for all available years, with a total value of $520.
Total Amount is formed as General ($520) + Research ($0) + Ownership ($0) = $520.
Last reported payment date: 2024-08-17 • Largest payer in this snapshot: Sirtex Medical Inc ($203).
Total Amount
$520
General + Research + Ownership
Payments
16
Total payment records
General Amount
$520
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Sirtex Medical Inc | $203 |
| Inari Medical, Inc. | $86 |
| Boston Scientific Corporation | $72 |
| Medtronic, Inc. | $70 |
| AngioDynamics, Inc. | $63 |
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: 2026-02-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 5 Medicare enrollment records; no due dates published yet.
Enrollment records
5
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 |
|---|---|---|---|---|
| I20181214000085 | I | Diagnostic Radiology | MA | TBD |
| I20250821003221 | I | Diagnostic Radiology | NJ | TBD |
| I20250922002767 | I | Diagnostic Radiology | MT | TBD |
| I20251016000443 | I | Diagnostic Radiology | IA | TBD |
| I20260203003022 | I | Diagnostic Radiology | CT | 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 |
|---|---|---|---|---|
| 99152 | Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | 122 | 109 | $0 |
| 93880 | Ultrasound of both sides of head and neck blood flow | 97 | 97 | $0 |
| 71046 | X-ray of chest, 2 views | 97 | 97 | $0 |
| 76937 | Ultrasonic guidance for blood vessel access | 87 | 75 | $0 |
| 70450 | Ct scan head or brain without contrast | 68 | 66 | $0 |
Insurance plans in this area (ZIP 02053)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | RI | |
| Diagnostic Radiology | CT | |
| - | IL | |
| Interventional Radiology, Diagnostic Radiology | CT | |
| Diagnostic Radiology | MN | |
| Diagnostic Radiology | MA | |
| Physician Assistant | CT | |
| Diagnostic Radiology | CT | |
| Diagnostic Radiology | MA | |
| Diagnostic Radiology | CT |
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