Thomas Higgins, MD
NPI 1750543237 · Otolaryngology Physician · Louisville, KY
Enrolled with Medicare as Practitioner - Otolaryngology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Thomas Higgins, MD is a Otolaryngology Physician provider in Louisville, KY (NPI 1750543237).
Provider details
- NPI number
- 1750543237
- Entity type
- Individual
- Primary specialty
- Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- TP529 (KY)
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
5,265 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) |
|---|---|---|
| Professional Service for Preparation and Provision of 1 Or More Antigens95165 | 1,530 | $12 |
| Test for Allergy Using Allergenic Extract Injected Into Skin95024 | 757 | $6 |
| Diagnostic Exam of Nasal Passages Using an Endoscope31231 | 586 | $159 |
| Test for Allergy Using Allergenic Extract95004 | 482 | $3 |
| Professional Service for Single Injection of Allergen95115 | 439 | $9 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 390 | $113 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 19 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Fluticasone Propionate | 137 | 53 |
| Prednisone | 113 | 78 |
| Azelastine Hcl | 102 | 36 |
| Doxycycline Hyclate | 80 | 41 |
| Ipratropium Bromide | 65 | 17 |
| Cefuroxime Axetilbrand: Cefuroxime | 48 | 42 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 46 | 33 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$58,303 across 71 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
- 2008-06-26
- Last updated
- 2022-02-03
- Certified
- 2022-02-03
Frequently asked questions
- What is Thomas Higgins's NPI number?
- Thomas Higgins's National Provider Identifier (NPI) is 1750543237, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Thomas Higgins's specialty?
- Thomas Higgins is listed in the NPPES registry with a primary specialty of Otolaryngology Physician (Allopathic & Osteopathic Physicians).
- Where is Thomas Higgins located?
- Thomas Higgins's practice location on file with NPPES is 6420 Dutchmans Pkwy Ste 380, Louisville, KY 40205-3355.
- What is Thomas Higgins's phone number?
- The practice phone number listed in the NPPES registry for Thomas Higgins is (502) 894-8441.
- Does Thomas Higgins accept Medicare?
- Thomas Higgins is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Thomas Higgins's NPI active?
- Yes — Thomas Higgins's NPI (1750543237) is active in the NPPES registry as of the last update on 2022-02-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.