Mark Higgins, MD
NPI 1134193469 · Internal Medicine Physician · San Francisco, CA
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mark Higgins, MD is a Internal Medicine Physician provider in San Francisco, CA (NPI 1134193469).
Provider details
- NPI number
- 1134193469
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- A60868 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
649 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 311 | $153 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 115 | $109 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 91 | $212 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 40 | $156 |
| Admn Sarscov2 Vacc 1 Dose90480 | 34 | $52 |
| Administration of Influenza Virus VaccineG0008 | 32 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 201 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 532 | 136 |
| Bictegrav/Emtricit/Tenofov Alabrand: Biktarvy | 409 | 48 |
| Acyclovir | 270 | 57 |
| Emtricitabine/Tenofov Alafenambrand: Descovy | 254 | 27 |
| Dolutegravir Sodiumbrand: Tivicay | 251 | 28 |
| Rosuvastatin Calcium | 242 | 59 |
| Tamsulosin Hcl |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$6,034 across 257 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-02-14
- Last updated
- 2025-12-04
- Certified
- 2025-12-04
Frequently asked questions
- What is Mark Higgins's NPI number?
- Mark Higgins's National Provider Identifier (NPI) is 1134193469, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mark Higgins's specialty?
- Mark Higgins is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Mark Higgins located?
- Mark Higgins's practice location on file with NPPES is 45 Castro St Ste 421, San Francisco, CA 94114-1031.
- What is Mark Higgins's phone number?
- The practice phone number listed in the NPPES registry for Mark Higgins is (415) 600-4900.
- Does Mark Higgins accept Medicare?
- Mark Higgins is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mark Higgins's NPI active?
- Yes — Mark Higgins's NPI (1134193469) is active in the NPPES registry as of the last update on 2025-12-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.