Mark Higdon, D.O.
NPI 1598857187 · Family Medicine Physician · Cornelius, NC
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mark Higdon, D.O. is a Family Medicine Physician provider in Cornelius, NC (NPI 1598857187).
Provider details
- NPI number
- 1598857187
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- License
- 2014-01893 (NC)
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
19 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
156 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 | 46 | $120 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 32 | $85 |
| Administration of Influenza Virus VaccineG0008 | 24 | $30 |
| Hemoglobin A1c Level83036 | 20 | $10 |
| Manual Urinalysis Test With Examination Using Microscope, Automated81001 | 18 | $3 |
| 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'S |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$47 across 1 record (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
- 2006-09-29
- Last updated
- 2020-10-25
- Certified
- 2020-09-25
Frequently asked questions
- What is Mark Higdon's NPI number?
- Mark Higdon's National Provider Identifier (NPI) is 1598857187, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mark Higdon's specialty?
- Mark Higdon is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Mark Higdon located?
- Mark Higdon's practice location on file with NPPES is 19485 Old Jetton Rd Ste 100, Cornelius, NC 28031-6583.
- What is Mark Higdon's phone number?
- The practice phone number listed in the NPPES registry for Mark Higdon is (704) 316-5170.
- Does Mark Higdon accept Medicare?
- Mark Higdon is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mark Higdon's NPI active?
- Yes — Mark Higdon's NPI (1598857187) is active in the NPPES registry as of the last update on 2020-10-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.