Donald Higgins, DO
NPI 1548211956 · Family Medicine Physician · Westchester, IL
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Donald Higgins, DO is a Family Medicine Physician provider in Westchester, IL (NPI 1548211956).
Provider details
- NPI number
- 1548211956
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 36073445 (IL)
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
1,405 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 | 297 | $131 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 168 | $133 |
| Advance Care Planning, First 30 Minutes99497 | 158 | $84 |
| Annual Depression Screening, 5 to 15 MinutesG0444 | 110 | $19 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 92 | $17 |
| Hemoglobin A1c Level83036 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 123 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Levothyroxine Sodium | 317 | 74 |
| Atorvastatin Calcium | 242 | 71 |
| Metformin Hcl | 187 | 50 |
| Rosuvastatin Calcium | 183 | 57 |
| Amlodipine Besylate | 167 | 46 |
| Losartan Potassium | 166 | 41 |
| Metoprolol Succinate |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$312 across 14 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
- 2006-05-12
- Last updated
- 2021-03-18
- Certified
- 2021-03-18
Frequently asked questions
- What is Donald Higgins's NPI number?
- Donald Higgins's National Provider Identifier (NPI) is 1548211956, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Donald Higgins's specialty?
- Donald Higgins is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Donald Higgins located?
- Donald Higgins's practice location on file with NPPES is 2434 Wolf Rd, Westchester, IL 60154-5634.
- What is Donald Higgins's phone number?
- The practice phone number listed in the NPPES registry for Donald Higgins is (708) 562-5430.
- Does Donald Higgins accept Medicare?
- Donald Higgins is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Donald Higgins's NPI active?
- Yes — Donald Higgins's NPI (1548211956) is active in the NPPES registry as of the last update on 2021-03-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.