Michael Higgins, D O P A
NPI 1538134903 · Orthopaedic Surgery Physician · Spring Hill, FL
Enrolled with Medicare as Practitioner - Orthopedic Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Michael Higgins, D O P A is a Orthopaedic Surgery Physician provider in Spring Hill, FL (NPI 1538134903).
Provider details
- NPI number
- 1538134903
- Entity type
- Individual
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- D O P A
- Sex
- Male
- Sole proprietor
- No
- License
- OS7550 (FL)
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
1,941 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) |
|---|---|---|
| Aspiration And/Or Injection of Fluid From Large Joint20610 | 560 | $64 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 504 | $86 |
| X-Ray of Knee, 1-2 Views73560 | 137 | $33 |
| Initial Hospital Care With Straightforward Or Low Level of Medical Decision Making, Per Day, If Using Time, at Least 40 Minutes99221 | 99 | $84 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 97 | $128 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 8 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Meloxicam | 492 | 313 |
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 144 | 98 |
| Gabapentin | 120 | 46 |
| Prednisone | 92 | 82 |
| Baclofen | 73 | 48 |
| Tramadol Hcl | 23 | 20 |
| Amoxicillin | 20 | 15 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$80 across 2 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
- 2006-02-21
- Last updated
- 2014-02-14
Frequently asked questions
- What is Michael Higgins's NPI number?
- Michael Higgins's National Provider Identifier (NPI) is 1538134903, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Michael Higgins's specialty?
- Michael Higgins is listed in the NPPES registry with a primary specialty of Orthopaedic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Michael Higgins located?
- Michael Higgins's practice location on file with NPPES is 4055 Mariner Blvd, Spring Hill, FL 34609-2467.
- What is Michael Higgins's phone number?
- The practice phone number listed in the NPPES registry for Michael Higgins is (352) 688-6035.
- Does Michael Higgins accept Medicare?
- Michael Higgins is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Michael Higgins's NPI active?
- Yes — Michael Higgins's NPI (1538134903) is active in the NPPES registry as of the last update on 2014-02-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.