DR. AMY MARTIN HIGGINS M.D.
NPI 1013334184
Internal Medicine in London, KY

Active since March 26, 2014PECOS EnrolledAccepts Medicare Assignment
80.89/100
CMS Quality Rating
1406 W 5TH ST, LONDON, KY 40741(606) 526-4970(606) 526-4971 Get Directions Write a Review

NPPES record last updated: June 16, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 16, 2025, Sep 14, 2020, Dec 12, 2018 and 1 more (4 updates tracked since 2018).

About Dr. Amy Martin Higgins M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. AMY MARTIN HIGGINS M.D. (NPI 1013334184) is an individual internal medicine provider in London, Kentucky, licensed in Kentucky (51016) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Richmond, and is a graduate of Medical College Of Georgia School Of Medicine (2014).

NPPES Registry Identity

NPI1013334184
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. AMY MARTIN HIGGINSCredential: M.D.
Location Address1406 W 5TH STLondon, KY 40741-1688
Mailing Address1406 W 5th StLondon, KY 40741-1688 · (606) 526-4970 · Fax (606) 526-4971
Fax(606) 526-4971
Sole ProprietorYes
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2014
Enumeration DateMarch 26, 2014
Last NPPES UpdateJune 16, 20254 updates tracked since enumeration
NPPES CertifiedJune 16, 2025
NPI 1013334184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in KY · 51016
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedPediatricsTaxonomy 208000000X · License 51016 (KY)
1406 W 5TH ST, London, KY 40741

Other Names 1

Former Name (1)Dr. Amy Elizabeth Martin

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Amy Martin Higgins M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6608182464
PECOS Enrollment IDI20181115001911
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
316 services139 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
120 services120 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
31 services13 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
24 services19 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
20 services16 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
18 services18 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baptist Health Richmond

Acute Care Hospitals · Richmond, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180049
Location801 Eastern BypassRichmond, KY 40475 · Madison County
Emergency services Birthing friendly

Baptist Health Corbin

Acute Care Hospitals · Corbin, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180080
LocationOne Trillium WayCorbin, KY 40701 · Whitley County
Emergency services Birthing friendly

Baptist Health Lexington

Acute Care Hospitals · Lexington, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number180103
Location1740 Nicholasville RoadLexington, KY 40503 · Fayette County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40741 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

80.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality62.29
Promoting Interoperability100
Improvement Activities40
Cost74

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
11 suppliers48 claims103 services$6.09 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers13 claims14 services$0.93 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers17 claims17 services$29.43 avg. paid by Medicare
Extra heavy duty wheelchair K0007
DME-Wheelchairs · category DD000N
1 supplier12 claims12 services$102.79 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
2 suppliers14 claims14 services$10.98 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
1406 W 5TH ST, SUITE 201
LONDON, KY 40741
Physical Therapist
1406 W 5TH ST, SUITE 100
LONDON, KY 40741
Internal Medicine (Cardiovascular Disease)
1406 W 5TH ST, SUITE 3
LONDON, KY 40741
Surgery
1406 W 5TH ST, STE 302
LONDON, KY 40741
Clinic/Center (Primary Care)
1406 W 5TH ST, STE 201
LONDON, KY 40741
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1406 W 5TH ST, STE 303
LONDON, KY 40741
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1406 W 5TH ST, STE 303
LONDON, KY 40741
Family Medicine
1406 W 5TH ST, STE 201
LONDON, KY 40741

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amy Higgins's NPI number?

The NPI number for Amy Higgins is 1013334184. It was assigned to this individual provider in the NPPES registry on March 26, 2014.

Where is Amy Higgins located?

Amy Higgins practices at 1406 W 5th St, London, KY 40741. The listed phone number is (606) 526-4970.

What is Amy Higgins's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Amy Higgins enrolled in Medicare?

Yes. Amy Higgins is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Amy Higgins accept?

Health plans from Anthem Blue Cross and Blue Shield list Amy Higgins as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Amy Higgins affiliated with any hospitals?

According to CMS data, Amy Higgins is affiliated with Baptist Health Richmond, Baptist Health Corbin and Baptist Health Lexington.

When was this NPI record last updated?

The NPPES record for Amy Higgins was last updated on June 16, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.