Doctor profile · Federal record

Dr. Tomas Higgins

Internal Medicine Physician (CMS: Internal Medicine) · Madisonville, KY

  • NPI 1225761216
  • Accepts Medicare
  • 27 yrs in practice
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
900 Hospital Dr
Madisonville, KY 424311644
(270) 825-5100
Mailing address
13713 Sw 50Th St
Miramar, FL 330275912

Credentials & registration

NPPES · NUCC
NPI registered
July 2022 — 4 yrs on file
Year of graduation
1999 — 27 yrs since
Specialty taxonomy
207R00000X — NUCC code
State license (1)
Kentucky #TP823

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1225761216. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
576
Distinct HCPCS
5
Medicare allowed
$52,661
HCPCS Description Services Patients Avg allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 323 122 $75
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99 53 $113
99238 Hospital discharge day management, 30 minutes or less 79 79 $76
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 60 60 $164
99239 Hospital discharge day management, more than 30 minutes 15 15 $103

In context: peer comparison

Among 4 peers in Madisonville Internal Medicine Physician, average services per provider: 106. This provider delivers 5.4× the peer median.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$16
Transactions
1
Manufacturers
1
Payer (manufacturer) Industry Txns Amount
Pfizer INC. 1 $16.44

By nature of payment

Food and Beverage
$16

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
146
Patients
58
Total drug cost
$1,078
Drug Type Claims Patients Total cost
Levofloxacin Generic 20 19 $86
Metoprolol Succinate Generic 20 14 $230
Atorvastatin Calcium Generic 18 12 $124
Metoprolol Tartrate Generic 18 0 $122
Pantoprazole Sodium Generic 16 0 $147
Clopidogrel (Clopidogrel Bisulfate) Brand 15 0 $80
Furosemide Generic 15 0 $50
Amoxicillin-Clavulanate Potass (Amoxicillin/Potassium Clav) Brand 13 13 $85
Amlodipine Besylate Generic 11 0 $155

Hospital affiliations

CMS Hospital Compare

Frequently asked questions

Auto-generated from federal data
What is Dr. Tomas Higgins's medical specialty?
Dr. Tomas Higgins practices Internal Medicine Physician in Madisonville, KY.
Where does Dr. Tomas Higgins practice?
Dr. Tomas Higgins practices at 900 Hospital Dr, Madisonville, KY 424311644. Office phone: 2708255100.
What is Dr. Tomas Higgins's NPI?
Dr. Tomas Higgins's National Provider Identifier (NPI) is 1225761216, issued by NPPES.
Does Dr. Tomas Higgins accept Medicare assignment?
Yes. Dr. Tomas Higgins accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Tomas Higgins commonly perform?
Top Medicare-reported procedures in 2023: Subsequent hospital care with moderate levelof medical decision making (HCPCS 99232); Subsequent hospital care with moderate levelof medical decision making (HCPCS 99233); Hospital discharge day management (HCPCS 99238). Source: CMS Medicare Physician & Other Practitioners file.