Dr. Mark E. Higgins, MD
- Medicare services, 2024
- 713
- Medicare patients, 2024
- 254
- Part D claims, 2024
- 13,068
- Publications
- 1
- MIPS score, 2024
- 84
- Practice address
- 601 Duboce Avenue, San Francisco, CA 94117
- Practice phone
- Call (415) 600-6000
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Find Dr. Higgins' professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Dr. Mark E. Higgins is an internist in San Francisco, California
Dr. Higgins practices at California Pacific Medical Center Davies Campus in San Francisco, California, part of Sutter Health.
Dr. Higgins' NPI, 1134193469, was assigned on February 14, 2006. Dr. Higgins graduated from New York Medical College in 1994. Dr. Higgins holds California license A60868.
- NPI
- 1134193469NPI Registry (opens in a new tab)
- Medicare PAC ID
- 5395837850
- NPI enumeration date
- February 14, 2006
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Offers telehealth
- Yes
- Practice phone
- (415) 600-6000
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
- Estimated age
- 58
- Medical school graduation
- 1994
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)
Dr. Mark E. Higgins practices at California Pacific Medical Center Davies Campus in San Francisco, California
Dr. Higgins' primary practice is California Pacific Medical Center Davies Campus, at 601 Duboce Avenue, San Francisco, CA 94117 in San Francisco County. The practice phone is (415) 600-6000.
- California Pacific Medical Center Davies Campus601 Duboce Avenue, San Francisco, CA 94117 · San Francisco CountyPhone(415) 600-6000
Source: Dmand AI Affiliation Data
Dr. Mark E. Higgins is affiliated with 4 sites of care and 1 medical group
Dr. Higgins' primary practice is California Pacific Medical Center Davies Campus in San Francisco, California, part of Sutter Health. Dr. Higgins is also affiliated with California Pacific Medical Center Van Ness Campus. The medical group on file is Palo Alto Foundation Medical Group. Dmand AI also links Dr. Higgins to 1 more hospital and 1 home health agency, each named with a free account.
Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data
Dmand AI tracks the EHR system at Dr. Mark E. Higgins' practice
Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Higgins practices, 4 sites in all. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| California Pacific Medical Center Davies Campus | Available with a free account |
| +3 more affiliated sites | Available with a free account |
Source: Dmand AI Technology Install Data
For health IT teams
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Dr. Mark E. Higgins is one of 16,751 internists in California
Internal medicine is Dr. Higgins' primary specialty in the NPI Registry, under taxonomy code 207R00000X. Dr. Higgins is board certified in internal medicine by the American Board of Internal Medicine. Dmand AI has Dr. Higgins' licenses on file in 2 states: California and New York.
Specialties and state licenses
- Internal medicine, CaliforniaPrimary
- New York license
Clinical focus
Dmand AI lists acute kidney failure, acute sinusitis, acute skin infection, aneurysm, arthritis, asthma, atrial fibrillation and flutter and cardiomyopathy among the conditions Dr. Higgins treats.
Internists near Dr. Higgins
Counts of internists with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Dr. Mark E. Higgins billed Medicare for 713 services in 2024
CMS data shows 713 Medicare services from Dr. Higgins across 9 procedure codes in 2024, for 254 Medicare patients. Medicare paid $72,560 for them. Every service was in an office.
Dr. Higgins' Medicare services by type, 2023 to 2024
- 2023
- 2024
- Office and hospital visits
- 2023: 6412024: 51719%
- Tests and treatments
- 2023: 662024: 9848%
- Other services
- 2023: 1342024: 9827%
Dr. Higgins compared with the California median for internists, 2024
- Dr. Higgins
- California median
- Medicare services
- 713vs 36198% above
- Medicare patients
- 254vs 15168% above
- Part D claims
- 12,134vs 42128.8 times
Medians across 15,815 internists in California with Dmand AI profiles that report each measure.
Dr. Higgins' most billed Medicare procedure codes, 2024
CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.
Need commercial claims for Dr. Higgins?
Medicare shows one payer. Book a meeting to get commercial claims data for Dr. Higgins and other internists in California.
Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks
Dr. Mark E. Higgins treated 254 Medicare patients in 2024, average age 72
CMS counts 254 Medicare patients who saw Dr. Higgins in 2024. The largest group is 65 to 74, with 153 patients. 75% of them have high cholesterol, and 63% have high blood pressure. 17% are also on Medicaid. Their average risk score is 1.10, where 1.00 is the Medicare average.
Across all payers, Dmand AI patient panel data puts Dr. Higgins' median patient age at 64, with 24% women.
Dr. Higgins' Medicare patients by age, 2024
Dr. Higgins' Medicare patients by sex, 2024
- Women5120%
- Men20380%
Chronic conditions among Dr. Higgins' Medicare patients, 2024
- High cholesterol75%
- High blood pressure63%
- Arthritis37%
- Diabetes25%
- Mood disorders25%
- Anxiety22%
- Depression20%
- Chronic kidney disease18%
Share of Medicare patients with each condition. A patient can have several.
Dr. Higgins' patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 64
Patient panel by sex, all payers
- Women24%
- Men70%
Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data
Dr. Mark E. Higgins wrote 13,068 Medicare Part D claims in 2024
In 2024, Dr. Higgins wrote 13,068 Medicare Part D claims for 603 patients. 70% of them were for generic drugs. CMS names the drug for 12,134 of them, across 201 drugs with 11 or more claims each, at $9,594,227 in total drug cost. In 2023, CMS named 12,476 claims across 202 drugs.
Dr. Higgins' Part D claims by kind of drug, 2024
- Generic9,154 claims70%
- Brand-name3,864 claims30%
- Other50 claims0%
Dr. Higgins' most prescribed drugs by claims, 2024
CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.
Drug classes CMS tracks in Dr. Higgins' Part D claims, 2024
- Opioids3%450 of 13,068 claims
- Antibiotics1%159 of 13,068 claims
Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.
Part D claims for drugs CMS names, 2023 to 2024
- 2023
- 2024
- Claims for drugs CMS names
- 2023: 12,4762024: 12,1343%
Drugs named by CMS: 201 in 2024, 202 in 2023.
Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data
Dr. Mark E. Higgins scored 84 out of 100 in Medicare's MIPS program for 2024
CMS publishes a Merit-based Incentive Payment System (MIPS) score of 84 out of 100 for Dr. Higgins for performance year 2024, reported individually. Dr. Higgins accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS lists Dr. Higgins as offering telehealth.
- Accepts Medicare assignment
- Yes
- Offers telehealth
- Yes
Dr. Higgins' MIPS scores, performance year 2024
- 84of 100Final score
- 71.8of 100Quality
- 100of 100Promoting Interoperability
- 40of 100Improvement Activities
- 76of 100Cost
Each score is out of 100. The final score weighs the categories CMS scored for this clinician.
Removal of skin lesions: 1 to 10 procedures (CMS shows small counts as a range)
Sources: Doctors and Clinicians National Downloadable File (CMS); Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026; and Doctors and Clinicians Utilization Data (CMS)
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Dr. Mark E. Higgins has 1 publication on record
Dmand AI links 1 paper to Dr. Higgins in 2014. Dr. Higgins' most frequent co-author is Stephen I. Rennard, MD.
Dr. Higgins' most frequent co-authors
Recent publications by Dr. Higgins
See who Dr. Higgins researches with
Physician Network Discovery turns co-authorship, shared hospitals and shared groups into a map of who Dr. Higgins works with, so you can find a warm path to the right internists.
Sources: PubMed (National Library of Medicine); and Dmand AI Research Linkage
Dr. Mark E. Higgins received $151,057 in industry payments from 2016 to 2025
CMS Open Payments shows 2,471 general payments to Dr. Higgins from 72 drug and device companies from 2016 to 2025. Speaker and faculty fees make up the largest share, 50% of the total. Gilead Sciences, Inc. paid the most, $93,229.
General payments to Dr. Higgins by program year, 2016 to 2025
General payments to Dr. Higgins by kind, 2016 to 2025
- Speaker and faculty fees$75,79350%
- Food and beverage$49,91933%
- Travel and lodging$10,5017%
- Consulting fees$10,3107%
- Other$4,5343%
Companies that paid Dr. Higgins the most, 2016 to 2025
Share is of all general payments to this clinician.
Source: Open Payments (CMS), 2025 data, released July 7, 2026
Dr. Mark E. Higgins has 1 award and honors on record
Dmand AI lists 1 award for Dr. Higgins, most recently CMS Stage 1 2012 in 2012.
Awards and honors for Dr. Higgins
- 2012
- CMS Stage 1 2012
Source: Dmand AI Professional Profile Data
Dr. Mark E. Higgins graduated from New York Medical College
Dr. Higgins graduated from New York Medical College in 1994. Dr. Higgins is a member of ACP.
- Medical school
- Board certified in internal medicine
Source: Dmand AI Professional Profile Data
Dr. Mark E. Higgins accepts plans from 13 insurance carriers
Dr. Higgins is in network with 13 carriers, including Aetna, Blue Cross Blue Shield of Michigan and United Healthcare. PPO plans come from the most carriers, 8. Check the plan with the practice before a visit.
- Aetna
- Blue Cross Blue Shield of Michigan
- United Healthcare
- Elevance
- HCSC
- Blue Cross Blue Shield of Massachusetts
- Humana
- Alliant Health Plans
- +5 more carriersWith a free account
Plan types Dr. Higgins accepts, by number of carriers
- PPO8
- Medicare7
- HMO6
- EPO4
- POS4
Source: Dmand AI Insurance Network Data
Sources for Dr. Mark E. Higgins's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | Dmand AI Affiliation Data |
| Primary practice, affiliations and health system | Dmand AI Affiliation DataDmand AI Org Hierarchy Data |
| Medicare services and procedure codes | Medicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab) |
| State medians for the same specialty | Dmand AI Peer Benchmarks |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab) |
| Part D prescribing | Medicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab) |
| MIPS scores, telehealth, assignment and procedure percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab)Doctors and Clinicians Utilization Data (CMS) (opens in a new tab) |
| Publications, topics and co-authors | PubMed (National Library of Medicine) (opens in a new tab)Dmand AI Research Linkage |
| Industry payments | Open Payments (CMS) (opens in a new tab) |
| Awards and committee roles | Dmand AI Professional Profile Data |
| Training, board certification and memberships | Dmand AI Professional Profile Data |
| Insurance carriers and plan types | Dmand AI Insurance Network Data |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Dr. Mark E. Higgins
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Dr. Mark E. Higgins' NPI number?
Dr. Mark E. Higgins' NPI number is 1134193469. It was assigned on February 14, 2006, and it is active in the NPI Registry.
What kind of doctor is Dr. Mark E. Higgins?
Dr. Mark E. Higgins is an internist in San Francisco, California. The primary specialty in the NPI Registry is Internal Medicine Physician (taxonomy code 207R00000X).
Where does Dr. Mark E. Higgins practice?
Dr. Higgins practices at 601 Duboce Avenue, San Francisco, CA 94117. Dr. Higgins' primary practice is California Pacific Medical Center Davies Campus in San Francisco, California, part of Sutter Health. Dmand AI also links Dr. Higgins to 1 hospital and 1 home health agency.
What is Dr. Mark E. Higgins' office phone number?
The practice phone on file for Dr. Higgins is (415) 600-6000.
What is Dr. Mark E. Higgins' medical license number?
Dr. Higgins holds California license A60868, one of the licenses on file in 2 states.
Which states has Dr. Mark E. Higgins been licensed in?
Dmand AI has state licenses on file for Dr. Higgins in California (1996 to 2026) and New York (1996 to 1998).
Which hospitals is Dr. Mark E. Higgins affiliated with?
Dr. Higgins practices at California Pacific Medical Center Davies Campus in San Francisco, California. Dr. Higgins is also affiliated with California Pacific Medical Center Van Ness Campus. Dmand AI links Dr. Higgins to 1 more hospital.
What medical group is Dr. Mark E. Higgins part of?
Dr. Higgins is linked to Palo Alto Foundation Medical Group.
Does Dr. Mark E. Higgins accept Medicare?
Yes. CMS data shows Dr. Higgins billed Medicare for 713 services in 2024, and Dr. Higgins accepts Medicare assignment.
Does Dr. Mark E. Higgins offer telehealth?
Yes. The CMS Doctors and Clinicians file lists Dr. Higgins as offering telehealth services.
Show 11 more questionsShow fewer questions
What is Dr. Mark E. Higgins' MIPS score?
Dr. Higgins' MIPS final score for performance year 2024 is 84 out of 100, reported individually.
How many Medicare patients does Dr. Mark E. Higgins see?
CMS counts 254 Medicare patients who saw Dr. Higgins in 2024, with an average age of 72.
Is Dr. Mark E. Higgins board certified?
Yes. Dr. Higgins is board certified in internal medicine by the American Board of Internal Medicine.
What services does Dr. Mark E. Higgins bill to Medicare?
In 2024, Dr. Higgins' most billed Medicare services were office visit, established patient (99214), office visit, established patient (99213) and office visit, established patient (99215).
Where did Dr. Mark E. Higgins go to medical school?
Dr. Higgins graduated from New York Medical College in 1994.
What drugs does Dr. Mark E. Higgins prescribe most?
In 2024 Medicare Part D data, Dr. Higgins' most prescribed drugs by claims were Atorvastatin Calcium, Biktarvy and Acyclovir.
Has Dr. Mark E. Higgins received payments from drug or device companies?
CMS Open Payments shows $151,057 in general payments to Dr. Higgins from 72 companies from 2016 to 2025. The largest total came from Gilead Sciences, Inc.
How long has Dr. Mark E. Higgins been practicing?
Dr. Higgins graduated from medical school in 1994, 32 years ago.
Does Dr. Mark E. Higgins do research?
Dmand AI links 1 publication to Dr. Higgins.
Who does Dr. Mark E. Higgins publish with?
Dr. Higgins' most frequent co-authors are Stephen I. Rennard, MD (1 shared paper).
What insurance does Dr. Mark E. Higgins accept?
Dr. Higgins is in network with 13 carriers, including Aetna, Blue Cross Blue Shield of Michigan and United Healthcare. PPO plans come from the most carriers, 8. Check the plan with the practice before a visit.
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