Kelvin Higa, MD
NPI 1356304224 · Surgery Physician · Fresno, CA
Enrolled with Medicare as Practitioner - General Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kelvin Higa, MD is a Surgery Physician provider in Fresno, CA (NPI 1356304224).
Provider details
- NPI number
- 1356304224
- Entity type
- Individual
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- G53771 (CA)
Specialties & taxonomies
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
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
355 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 | 212 | $115 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 56 | $145 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 25 | $171 |
| New Patient Office Or Other Outpatient Visit With a High Level of Medical Decision Making, If Using Time, 60 Minutes Or More99205 | 18 | $216 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 17 | $76 |
| Repair of Hernia of Muscle at Esophagus and Stomach Using an Endoscope |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 10 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Vancomycin Hcl | 77 | — |
| Ondansetron Hcl | 57 | — |
| 0.9 % Sodium Chloridebrand: Sodium Chloride | 50 | — |
| Omeprazole | 39 | 22 |
| Prochlorperazine Maleate | 29 | 29 |
| Celecoxib | 27 | 26 |
| Ringer'S Solution,lactatedbrand: Lactated Ringers | 25 | — |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$40,703 across 31 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
- 2006-04-10
- Last updated
- 2014-06-25
Frequently asked questions
- What is Kelvin Higa's NPI number?
- Kelvin Higa's National Provider Identifier (NPI) is 1356304224, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelvin Higa's specialty?
- Kelvin Higa is listed in the NPPES registry with a primary specialty of Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Kelvin Higa located?
- Kelvin Higa's practice location on file with NPPES is 205 E River Park Cir, Fresno, CA 93720-1571.
- What is Kelvin Higa's phone number?
- The practice phone number listed in the NPPES registry for Kelvin Higa is (559) 261-4500.
- Does Kelvin Higa accept Medicare?
- Kelvin Higa is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kelvin Higa's NPI active?
- Yes — Kelvin Higa's NPI (1356304224) is active in the NPPES registry as of the last update on 2014-06-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.