Tomas Higgins
NPI 1225761216 · Internal Medicine Physician · Madisonville, KY
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tomas Higgins is a Internal Medicine Physician provider in Madisonville, KY (NPI 1225761216).
Provider details
- NPI number
- 1225761216
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- TP823 (KY)
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
3 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
1,156 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) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 526 | $73 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 215 | $110 |
| Hospital Discharge Day Management, 30 Minutes Or Less99238 | 136 | $74 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 117 | $161 |
| Critical Care, First 30-74 Minutes99291 | 105 | $200 |
| Hospital Discharge Day Management, More Than 30 Minutes99239 | 57 | $106 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 33 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 110 | 39 |
| Clopidogrel Bisulfatebrand: Clopidogrel | 63 | 24 |
| Apixabanbrand: Eliquis | 53 | 23 |
| Metoprolol Succinate | 52 | 29 |
| Amlodipine Besylate | 49 | 27 |
| Furosemide | 43 | 23 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$16 across 1 record (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
- 2022-07-06
- Last updated
- 2022-07-06
- Certified
- 2022-07-06
Frequently asked questions
- What is Tomas Higgins's NPI number?
- Tomas Higgins's National Provider Identifier (NPI) is 1225761216, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tomas Higgins's specialty?
- Tomas Higgins is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Tomas Higgins located?
- Tomas Higgins's practice location on file with NPPES is 900 Hospital Dr, Madisonville, KY 42431-1644.
- What is Tomas Higgins's phone number?
- The practice phone number listed in the NPPES registry for Tomas Higgins is (270) 825-5100.
- Does Tomas Higgins accept Medicare?
- Tomas Higgins is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Tomas Higgins's NPI active?
- Yes — Tomas Higgins's NPI (1225761216) is active in the NPPES registry as of the last update on 2022-07-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.