Laine Higa, OD
NPI 1407262520 · Optometrist · Philadelphia, PA
Enrolled with Medicare as Practitioner - Optometry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Laine Higa, OD is a Optometrist provider in Philadelphia, PA (NPI 1407262520).
Provider details
- NPI number
- 1407262520
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Male
- Sole proprietor
- No
- License
- OEG002927 (PA)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
11 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
211 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 | 86 | $131 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 71 | $92 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 33 | $172 |
| Imaging of Retina92134 | 21 | $41 |
Typical Medicare-allowed amounts for these services range $41–$172 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 7 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Varenicline Tartratebrand: Tyrvaya | 96 | 17 |
| Lifitegrastbrand: Xiidra | 86 | 31 |
| Cyclosporinebrand: Restasis | 67 | 29 |
| Prednisolone Acetate | 22 | 17 |
| Cyclosporine | 22 | 12 |
| Latanoprost | 20 | — |
| Bimatoprostbrand: Lumigan | 15 | — |
These counts cover prescriptions paid through Medicare Part D in 2024 — they include cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means , never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$630 across 13 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
- 2014-07-09
- Last updated
- 2014-07-09
Frequently asked questions
- What is Laine Higa's NPI number?
- Laine Higa's National Provider Identifier (NPI) is 1407262520, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Laine Higa's specialty?
- Laine Higa is listed in the NPPES registry with a primary specialty of Optometrist (Eye and Vision Services Providers).
- Where is Laine Higa located?
- Laine Higa's practice location on file with NPPES is 1200 W Godfrey Ave, Philadelphia, PA 19141-3323.
- What is Laine Higa's phone number?
- The practice phone number listed in the NPPES registry for Laine Higa is (215) 276-6000.
- Does Laine Higa accept Medicare?
- Laine Higa is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Laine Higa's NPI active?
- Yes — Laine Higa's NPI (1407262520) is active in the NPPES registry as of the last update on 2014-07-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.