MICHAEL E HIGGINS (M.D.) – Orthopaedic Surgery Physician, NPI 1760460570
Orthopaedic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
843 ORTHOPEDIC SURGERY in VA
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Provider Addresses for MICHAEL E HIGGINS (M.D.)
901, Enterprise Parkway, Hampton Roads Center - South Campus, Hampton City, Virginia, 23666, United States
SUITE 900
HAMPTON, VA 23666
Phone: (757) 827-2480
Fax: (757) 827-2566
Type: Location
901 ENTERPRISE PKWY STE 900
HAMPTON, VA 236666250
Phone: (757) 827-2480
Fax: (757) 827-2566
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 18 Open Payments records for all available years, with a total value of $2,675.
Total Amount is formed as General ($2,675) + Research ($0) + Ownership ($0) = $2,675.
Last reported payment date: 2024-11-20 • Largest payer in this snapshot: Kyocera Medical Technologies, Inc. ($1,779).
Total Amount
$2,675
General + Research + Ownership
Payments
18
Total payment records
General Amount
$2,675
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Kyocera Medical Technologies, Inc. | $1,779 |
| Medacta USA, Inc. | $382 |
| Stryker Corporation | $217 |
| Zimmer Biomet Holdings, Inc. | $140 |
| Bioventus LLC | $54 |
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: 2005-08-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20050818000069 | I | Orthopedic Surgery | VA | 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 |
|---|---|---|---|---|
| J7318 | Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg | 1,863 | 29 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 721 | 552 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 617 | 482 | $0 |
| 73502 | X-ray of hip, 2-3 views | 389 | 367 | $0 |
| 73564 | X-ray of knee, 4 or more views | 364 | 345 | $0 |
Insurance plans in this area (ZIP 23666)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ORTHOPEDIC SURGERY | VA | 27447 | Repair of knee joint | 75 | 73 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Occupational Therapist In Private Practice | VA | |
| Nurse Practitioner | VA | |
| - | VA | |
| Orthopedic Surgery | VA | |
| Physician Assistant | VA | |
| Orthopedic Surgery | VA | |
| - | VA | |
| Orthopedic Surgery | VA | |
| - | VA | |
| Orthopedic Surgery | NC |
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