Doctor profile · Federal record
Dr. Thomas Higgins, MD
Otolaryngology Physician (CMS: Otolaryngology) · Louisville, KY
- NPI 1750543237
- Accepts Medicare
- MIPS 100.0 / 100 · 2023
- 20 yrs in practice
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
6420 Dutchmans Pkwy Ste 380
Louisville, KY 402053355
(502) 894-8441
fax (502) 894-4453
Credentials & registration
- NPI registered
- June 2008 — 18 yrs on file
- Profile last updated
- February 3, 2022
- Year of graduation
- 2006 — 20 yrs since
- Specialty taxonomy
- 207Y00000X — NUCC code
- State license (1)
- Kentucky #TP529
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1750543237. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
4,455
Distinct HCPCS
10
Medicare allowed
$268,835
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
95165 |
Professional service for preparation and provision of 1 or more antigens | 1,350 | 71 | $13 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 585 | 241 | $119 | |
31231 |
Diagnostic exam of nasal passages using an endoscope | 583 | 256 | $172 | |
95024 |
Test for allergy using allergenic extract injected into skin | 480 | 12 | $7 | |
95004 |
Test for allergy using allergenic extract | 468 | 12 | $4 | |
95115 |
Professional service for single injection of allergen | 376 | 37 | $9 | |
95117 |
Professional service for multiple injections of allergen | 163 | 26 | $10 | |
31237 |
Biopsy or removal of nasal polyp or tissue using an endoscope | 110 | 54 | $322 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 91 | 84 | $84 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 60 | 60 | $156 |
In context: peer comparison
Among 17 peers in Louisville Otolaryngology Physician, average services per provider: 139. This provider delivers 32× the peer median.Open Payments
Industry payments received
All-time total
$58,303
Transactions
71
Manufacturers
12
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Genzyme Corporation | 17 | $30,444.40 | |
| Optinose US, INC. | 15 | $14,093.50 | |
| Regeneron Healthcare Solutions, INC. | 21 | $10,130.00 | |
| Stryker Corporation | 2 | $2,975.00 | |
| Aerin Medical INC. | 3 | $281.04 | |
| GlaxoSmithKline, LLC. | 7 | $244.35 | |
| Genentech USA, INC. | 1 | $31.89 | |
| Janssen Pharmaceuticals, INC | 1 | $27.32 | |
| Medtronic, INC. | 1 | $23.00 | |
| Pharming Healthcare, INC. | 1 | $21.70 | |
| Hikma Pharmaceuticals USA | 1 | $15.42 | |
| Spirair, INC. | 1 | $15.20 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
734
Patients
358
Total drug cost
$13,847
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Fluticasone Propionate | Generic | 148 | 48 | $2,209 |
| Prednisone | Generic | 100 | 66 | $457 |
| Azelastine Hcl | Generic | 83 | 29 | $3,064 |
| Doxycycline Hyclate | Generic | 66 | 44 | $1,607 |
| Ipratropium Bromide | Generic | 50 | 17 | $1,532 |
| Cefuroxime (Cefuroxime Axetil) | Brand | 47 | 39 | $1,431 |
| Amoxicillin-Clavulanate Potass (Amoxicillin/Potassium Clav) | Brand | 43 | 37 | $521 |
| Pantoprazole Sodium | Generic | 41 | 0 | $1,118 |
| Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) | Brand | 32 | 29 | $267 |
| Mupirocin | Generic | 24 | 16 | $143 |
Frequently asked questions
What is Dr. Thomas Higgins's medical specialty?
Dr. Thomas Higgins practices Otolaryngology Physician in Louisville, KY.
Where does Dr. Thomas Higgins practice?
Dr. Thomas Higgins practices at 6420 Dutchmans Pkwy Ste 380, Louisville, KY 402053355. Office phone: 5028948441.
What is Dr. Thomas Higgins's NPI?
Dr. Thomas Higgins's National Provider Identifier (NPI) is 1750543237, issued by NPPES.
Does Dr. Thomas Higgins accept Medicare assignment?
Yes. Dr. Thomas Higgins accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Thomas Higgins commonly perform?
Top Medicare-reported procedures in 2023: Professional service for preparation and provision of 1 or more antigens (HCPCS 95165); Established patient office or other outpatient visit (HCPCS 99214); Diagnostic exam of nasal passages using an endoscope (HCPCS 31231). Source: CMS Medicare Physician & Other Practitioners file.