Dr. Michael E. Higgins, MD
- Medicare services, 2024
- 14,373
- Medicare patients, 2024
- 1,005
- Part D claims, 2024
- 473
- MIPS score, 2024
- 94
- Hospital affiliations
- 5
- Practice address
- 901 Enterprise Pkwy Ste 900, Hampton, VA 23666
- Practice phone
- Call (757) 827-2480
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Tidewater Orthopaedics
Physical Therapy Clinic · Hampton, Virginia
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. Michael E. Higgins is an orthopedic surgeon in Hampton, Virginia
Dr. Higgins practices at Tidewater Orthopaedics in Hampton, Virginia.
Dr. Higgins' NPI, 1760460570, was assigned on January 3, 2006. Dr. Higgins holds Virginia license 0101237682.
- NPI
- 1760460570NPI Registry (opens in a new tab)
- Medicare PAC ID
- 0840220919
- NPI enumeration date
- January 3, 2006
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Practice phone
- (757) 827-2480
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
- Estimated age
- 52
- Medical school graduation
- 2000
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)
Dr. Michael E. Higgins practices at Tidewater Orthopaedics in Hampton, Virginia
Dr. Higgins' primary practice is Tidewater Orthopaedics, at 901 Enterprise Pkwy Ste 900, Hampton, VA 23666. The practice phone is (757) 827-2480.
- Tidewater Orthopaedics901 Enterprise Pkwy Ste 900, Hampton, VA 23666Phone(757) 827-2480
Source: Dmand AI Affiliation Data
Dr. Michael E. Higgins is affiliated with 8 sites of care and 1 medical group
Dr. Higgins' primary practice is Tidewater Orthopaedics in Hampton, Virginia. Dr. Higgins is also affiliated with Sentara CarePlex Hospital. The medical group on file is Tidewater Orthopaedics. Dmand AI also links Dr. Higgins to 4 more hospitals and 2 home health agencies, each named with a free account. Dr. Higgins' employer is on file too: a physical therapy & rehab clinic.
Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data
Dmand AI tracks the EHR system at Dr. Michael E. Higgins' practice
Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Higgins practices, 8 sites in all. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Tidewater Orthopaedics | Available with a free account |
| +7 more affiliated sites | Available with a free account |
Source: Dmand AI Technology Install Data
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Dr. Michael E. Higgins is one of 498 orthopedic surgeons in Virginia
Orthopaedic surgery is Dr. Higgins' primary specialty in the NPI Registry, under taxonomy code 207X00000X. Dr. Higgins is licensed in Virginia.
Specialties and state licenses
- Orthopaedic surgery, VirginiaPrimary
Orthopedic surgeons near Dr. Higgins
Counts of orthopedic surgeons 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. Michael E. Higgins billed Medicare for 14,373 services in 2024
CMS data shows 14,373 Medicare services from Dr. Higgins across 16 procedure codes in 2024, for 1,005 Medicare patients. Medicare paid $340,794 for them.
Dr. Higgins' Medicare services by type, 2023 to 2024
- 2023
- 2024
- Drugs given in the office
- 2023: 2,1632024: 11,488431%
- Office and hospital visits
- 2023: 1,6692024: 1,46013%
- Imaging
- 2023: 1,0702024: 9749%
- Surgery
- 2023: 5032024: 45110%
Where Dr. Higgins' Medicare services took place, 2024
- In an office14,16199%
- In a facility2121%
Dr. Higgins compared with the Virginia median for orthopedic surgeons, 2024
- Dr. Higgins
- Virginia median
- Medicare services
- 14,373vs 1,17012.3 times
- Medicare patients
- 1,005vs 3702.7 times
- Part D claims
- 436vs 1213.6 times
Medians across 475 orthopedic surgeons in Virginia 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 orthopedic surgeons in Virginia.
Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks
Dr. Michael E. Higgins treated 1,005 Medicare patients in 2024, average age 75
CMS counts 1,005 Medicare patients who saw Dr. Higgins in 2024. The largest group is 65 to 74, with 479 patients. 75% of them have arthritis, and 75% have high blood pressure. 1% are also on Medicaid. Their average risk score is 1.03, where 1.00 is the Medicare average.
Across all payers, Dmand AI patient panel data puts Dr. Higgins' median patient age at 69, with 62% women.
Dr. Higgins' Medicare patients by age, 2024
Dr. Higgins' Medicare patients by sex, 2024
- Women61962%
- Men38638%
Chronic conditions among Dr. Higgins' Medicare patients, 2024
- Arthritis75%
- High blood pressure75%
- High cholesterol75%
- Diabetes25%
- Ischemic heart disease20%
- Mood disorders20%
- Anxiety18%
- Depression18%
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 69
Patient panel by sex, all payers
- Women62%
- Men37%
Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data
Dr. Michael E. Higgins wrote 473 Medicare Part D claims in 2024
In 2024, Dr. Higgins wrote 473 Medicare Part D claims for 293 patients. 99% of them were for generic drugs. CMS names the drug for 436 of them, across 6 drugs with 11 or more claims each, at $2,152 in total drug cost. In 2023, CMS named 472 claims across 7 drugs.
Dr. Higgins' Part D claims by kind of drug, 2024
- Generic469 claims99%
- Brand-name and other4 claims1%
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%12 of 473 claims
- Antibiotics39%184 of 473 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: 4722024: 4368%
Drugs named by CMS: 6 in 2024, 7 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. Michael E. Higgins scored 94 out of 100 in Medicare's MIPS program for 2024
CMS publishes a Merit-based Incentive Payment System (MIPS) score of 94 out of 100 for Dr. Higgins for performance year 2024, reported as part of a group. Dr. Higgins accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS counts 29 procedures of lower limb (leg) arthroscopy (minimally invasive joint repair) by Dr. Higgins, more than 96% of the clinicians it reports for that procedure.
- Accepts Medicare assignment
- Yes
Dr. Higgins' MIPS scores, performance year 2024
- 94of 100Final score
- 91.9of 100Quality
- 97of 100Promoting Interoperability
- 40of 100Improvement Activities
- 91of 100Cost
Each score is out of 100. The final score weighs the categories CMS scored for this clinician.
Where Dr. Higgins ranks in Medicare procedure volume
- Knee replacement
- 94th percentile109 procedures
- Hip replacement
- 94th percentile73 procedures
- Lower limb (leg) arthroscopy (minimally invasive joint repair)
- 96th percentile29 procedures
- Removal of tissue
- 65th percentile14 procedures
CMS ranks each clinician against every clinician it reports for the same procedure category.
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. Michael E. Higgins received $16,653 in industry payments from 2016 to 2025
CMS Open Payments shows 78 general payments to Dr. Higgins from 10 drug and device companies from 2016 to 2025. Consulting fees make up the largest share, 70% of the total. Kyocera Medical Technologies, Inc. paid the most, $11,946. It also lists 2 research payments totaling $6,625 in 2021.
General payments to Dr. Higgins by program year, 2016 to 2025
General payments to Dr. Higgins by kind, 2016 to 2025
- Consulting fees$11,64570%
- Food and beverage$4,14825%
- Travel and lodging$8595%
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
Sources for Dr. Michael 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) |
| Industry payments | Open Payments (CMS) (opens in a new tab) |
| 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. Michael 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. Michael E. Higgins' NPI number?
Dr. Michael E. Higgins' NPI number is 1760460570. It was assigned on January 3, 2006, and it is active in the NPI Registry.
What kind of doctor is Dr. Michael E. Higgins?
Dr. Michael E. Higgins is an orthopedic surgeon in Hampton, Virginia. The primary specialty in the NPI Registry is Orthopaedic Surgery Physician (taxonomy code 207X00000X).
Where does Dr. Michael E. Higgins practice?
Dr. Higgins practices at 901 Enterprise Pkwy Ste 900, Hampton, VA 23666. Dr. Higgins' primary practice is Tidewater Orthopaedics in Hampton, Virginia. Dmand AI also links Dr. Higgins to 4 hospitals and 2 home health agencies.
What is Dr. Michael E. Higgins' office phone number?
The practice phone on file for Dr. Higgins is (757) 827-2480.
What is Dr. Michael E. Higgins' medical license number?
Dr. Higgins holds Virginia license 0101237682.
Which hospitals is Dr. Michael E. Higgins affiliated with?
Dr. Higgins is affiliated with Sentara CarePlex Hospital. Dmand AI links Dr. Higgins to 4 more hospitals.
What medical group is Dr. Michael E. Higgins part of?
Dr. Higgins is linked to Tidewater Orthopaedics.
Does Dr. Michael E. Higgins accept Medicare?
Yes. CMS data shows Dr. Higgins billed Medicare for 14,373 services in 2024, and Dr. Higgins accepts Medicare assignment.
What is Dr. Michael E. Higgins' MIPS score?
Dr. Higgins' MIPS final score for performance year 2024 is 94 out of 100, reported as part of a group.
How many Medicare patients does Dr. Michael E. Higgins see?
CMS counts 1,005 Medicare patients who saw Dr. Higgins in 2024, with an average age of 75.
Show 4 more questionsShow fewer questions
What services does Dr. Michael E. Higgins bill to Medicare?
In 2024, Dr. Higgins' most billed Medicare services were injected or infused drug (J1010), office visit, established patient (99213) and office visit, established patient (99214).
What drugs does Dr. Michael E. Higgins prescribe most?
In 2024 Medicare Part D data, Dr. Higgins' most prescribed drugs by claims were Meloxicam, Cephalexin and Methylprednisolone.
Has Dr. Michael E. Higgins received payments from drug or device companies?
CMS Open Payments shows $16,653 in general payments to Dr. Higgins from 10 companies from 2016 to 2025. The largest total came from Kyocera Medical Technologies, Inc.
How long has Dr. Michael E. Higgins been practicing?
Dr. Higgins graduated from medical school in 2000, 26 years ago.
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