DR. JOEL EDWARD HIGGINS (MD) – Hospitalist Physician, NPI 1336189414
Hospitalist Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,818 OBSTETRICS/GYNECOLOGY in OH
Provider Addresses for DR. JOEL EDWARD HIGGINS (MD)
45 St Lawrence Dr
Tiffin, OH 448838310
Phone: (419) 455-7000
Fax: (419) 455-7227
Type: Location
Peachtree Dunwoody Road, Atlanta, Fulton County, Georgia, 30328, United States
ATLANTA, GA 303421513
Phone: (903) 934-5320
Fax: (903) 934-5321
Type: Mailing
Northside Hospital Cherokee, 450, Northside-Cherokee Boulevard, Canton, Cherokee County, Georgia, 30115, United States
CANTON, GA 301158015
Phone: (404) 303-1224
Fax: (404) 303-1325
Type: Location
9981 S Healthpark Dr
Fort Myers, FL 339083618
Phone: (239) 343-6097
Fax: (855) 818-4732
Type: Location
815 S Washington Ave
Suite 304
Marshall, TX 756705369
Phone: (903) 934-5320
Fax: (903) 934-5321
Type: Location
1205 Hadley Rd Ste 120
Mooresville, IN 461581934
Phone: (317) 834-8950
Fax: (317) 834-8951
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $2,047.
Total Amount is formed as General ($2,047) + Research ($0) + Ownership ($0) = $2,047.
Last reported payment date: 2024-01-31 • Largest payer in this snapshot: Merz Pharmaceuticals, LLC ($2,014).
Total Amount
$2,047
General + Research + Ownership
Payments
3
Total payment records
General Amount
$2,047
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-01-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Merz Pharmaceuticals, LLC | $2,014 |
| Hologic Sales and Service, LLC | $33 |
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: 2025-10-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20070424000203 | I | Obstetrics/Gynecology | GA | TBD |
| I20240604001567 | I | Obstetrics/Gynecology | OH | TBD |
| I20251027000150 | I | Obstetrics/Gynecology | CA | TBD |
| I20251029001427 | I | Obstetrics/Gynecology | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 44883)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | HI | |
| O B S T E T R I C S/ G Y N E C O L O G Y | ID | |
| O B S T E T R I C S/ G Y N E C O L O G Y | GA | |
| - | GA | |
| - | GA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | GA | |
| - | GA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | GA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | GA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | GA |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.