Derek Higgins, D.O.
NPI 1568611655 · Physical Medicine & Rehabilitation Physician · Gilbert, AZ
Enrolled with Medicare as Practitioner - Physical Medicine and Rehabilitation · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Derek Higgins, D.O. is a Physical Medicine & Rehabilitation Physician provider in Gilbert, AZ (NPI 1568611655).
Provider details
- NPI number
- 1568611655
- Entity type
- Individual
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 005569 (AZ)
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
17 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
4,102 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 Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 1,243 | $92 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 705 | $130 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 484 | $80 |
| Electronic Analysis Reprogramming and Refill of Spinal Canal Drug Infusion Pump62369 | 397 | $91 |
| Ultrasonic Guidance for Needle Placement76942 | 394 | $57 |
| Electronic Analysis and Reprogramming of Spinal Canal Drug Infusion Pump62368 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 17 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Oxycodone Hcl | 73 | 30 |
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 69 | 29 |
| Oxycodone Hcl/Acetaminophenbrand: Oxycodone-Acetaminophen | 62 | 26 |
| Gabapentin | 49 | 20 |
| Tramadol Hcl | 36 | 16 |
| Pregabalin | 36 | 14 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$212 across 3 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
- 2008-09-12
- Last updated
- 2025-12-17
- Certified
- 2025-12-17
Frequently asked questions
- What is Derek Higgins's NPI number?
- Derek Higgins's National Provider Identifier (NPI) is 1568611655, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Derek Higgins's specialty?
- Derek Higgins is listed in the NPPES registry with a primary specialty of Physical Medicine & Rehabilitation Physician (Allopathic & Osteopathic Physicians).
- Where is Derek Higgins located?
- Derek Higgins's practice location on file with NPPES is 4915 E Baseline Rd, Gilbert, AZ 85234-2966.
- What is Derek Higgins's phone number?
- The practice phone number listed in the NPPES registry for Derek Higgins is (480) 249-5525.
- Does Derek Higgins accept Medicare?
- Derek Higgins is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Derek Higgins's NPI active?
- Yes — Derek Higgins's NPI (1568611655) is active in the NPPES registry as of the last update on 2025-12-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.