Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MICHELLE L HIGGINS O.D.
NPI 1063417517
Optometrist in Yarmouth, ME

Q: What is Michelle Higgins's NPI number?

The NPI number for Michelle Higgins is 1063417517. It was assigned to this individual provider in the NPPES registry on June 20, 2005.

Q: What is Michelle Higgins's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Michelle Higgins was last updated on October 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 20, 2005PECOS Enrolled

26 SCHOOL ST, YARMOUTH, ME 04096(207) 847-3800(207) 636-8141 Get Directions Write a Review

NPPES record last updated: October 22, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Michelle L Higgins O.d. NPPES

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

MICHELLE L HIGGINS O.D. (NPI 1063417517) is an individual optometrist in Yarmouth, Maine, licensed in Maine (OPT873) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (2001).

NPPES Registry Identity

NPI1063417517

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameMICHELLE L HIGGINSCredential: O.D.

Location Address26 SCHOOL STYarmouth, ME 04096-4709

Mailing Address26 School St Ste 1Yarmouth, ME 04096-4710 · (207) 847-3800 · Fax (207) 636-8141

Phone(207) 847-3800

Fax(207) 636-8141

Sole ProprietorNo

Medical School CMSIllinois College Of Optometry At ChicagoGraduated 2001

Enumeration DateJune 20, 2005

Last NPPES UpdateOctober 22, 2026

NPPES CertifiedOctober 22, 2026

✔ NPI 1063417517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in ME · OPT873

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

26 SCHOOL ST, Yarmouth, ME 04096

Open in Google Maps ↗

Other Identifiers 4

Other1689835845ME · Group Npi #

Other023030ME · Anthembcbs

Other3559581ME · Aetna

Medicaid412330099ME

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michelle L Higgins O.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 ID2163492208

PECOS Enrollment IDI20040727001550

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.

Medicare Billing Reassignment

Medicare enrollment records show Michelle Higgins reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Insight Eyecare PA

Same address

Optometrist

26 SCHOOL ST
Yarmouth, ME 04096

Reassigned Medicare billing, Maine enrollment

NPI 1689835845 (207) 847-3800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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 complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

61 services61 patients

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

23 services20 patients

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.

23 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04096 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

$128.83 typical visit price

range $56.28 – $169.96

Typical copayment $32.20 (range $14.07 – $42.49)

Most-billed visit code 99204

Established Patient

$70.13 typical visit price

range $18.22 – $138.92

Typical copayment $17.53 (range $4.55 – $34.73)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

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

MARY DOWD MD, PA

Family Medicine