Luke Higgins, M.D., PH.D.
NPI 1316264328 · Diagnostic Radiology Physician · Baltimore, MD
Enrolled with Medicare as Practitioner - Diagnostic Radiology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Luke Higgins, M.D., PH.D. is a Diagnostic Radiology Physician provider in Baltimore, MD (NPI 1316264328).
Provider details
- NPI number
- 1316264328
- Entity type
- Individual
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D., PH.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 83026 (CT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
16 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
7 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
1,060 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) |
|---|---|---|
| Use of a Drug to Induce Depression of Consciousness By Physician Performing a Procedure (5 Years Or Older), Initial 15 Minutes99152 | 177 | $12 |
| Ultrasonic Guidance for Blood Vessel Access76937 | 101 | $14 |
| Insertion of Tube Into Abdominal, Pelvic, Or Leg Artery, Initial Third Order Branch36247 | 65 | $177 |
| Review By Radiologist of Additional Artery Image75774 | 61 | $45 |
| Review By Radiologist of Abdominal Artery Image75726 | 58 | $92 |
| Ultrasound of Both Sides of Head and Neck Blood Flow93880 | 58 | $38 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$146 across 7 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
Additional practice locations (6)
- 28 Crescent StMiddletown, CT 06457-3654Phone: (860) 358-6000
- 64 Robbins StWaterbury, CT 06708-2613Phone: (203) 573-7124
- 68a Main StMedway, MA 02053-1775Phone: (508) 488-3635
- 14 Prospect StMilford, MA 01757-3003Phone: (508) 473-1190Fax: (508) 634-3687
- 55 Lake Ave NWorcester, MA 01655-0002Phone: (508) 334-3850
- 3600 Minnesota Dr Ste 800Minneapolis, MN 55435-7915Phone: (952) 595-1100Fax: (612) 294-4903
Registry dates
- Enumerated
- 2010-04-29
- Last updated
- 2026-04-27
- Certified
- 2026-04-27
Frequently asked questions
- What is Luke Higgins's NPI number?
- Luke Higgins's National Provider Identifier (NPI) is 1316264328, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Luke Higgins's specialty?
- Luke Higgins is listed in the NPPES registry with a primary specialty of Diagnostic Radiology Physician (Allopathic & Osteopathic Physicians).
- Where is Luke Higgins located?
- Luke Higgins's practice location on file with NPPES is 3001 S Hanover St, Baltimore, MD 21225-1233.
- What is Luke Higgins's phone number?
- The practice phone number listed in the NPPES registry for Luke Higgins is (410) 350-3565.
- Does Luke Higgins accept Medicare?
- Luke Higgins is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Luke Higgins's NPI active?
- Yes — Luke Higgins's NPI (1316264328) is active in the NPPES registry as of the last update on 2026-04-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.