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

Active since June 20, 2005PECOS EnrolledAccepts Medicare Assignment
26 SCHOOL ST, YARMOUTH, ME 04096(207) 854-1544(207) 854-1516 Get Directions Write a Review

NPPES record last updated: December 3, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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) 847-3802
Phone(207) 854-1544
Fax(207) 854-1516
Sole ProprietorNo
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 2001
Enumeration DateJune 20, 2005
Last NPPES UpdateDecember 3, 2019
✔ 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
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Other Identifiers 4

Medicaid412330099ME
Other1689835845ME · Group Npi #
Other023030ME · Anthembcbs
Other3559581ME · Aetna

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, and ordering and referring status from the CMS PECOS system.

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.

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
26 SCHOOL ST
YARMOUTH, ME 04096
Cumberland County (207) 846-6212
CLEAR MIND COUNSELING LLC
Counselor (Mental Health)
26 SCHOOL ST
YARMOUTH, ME 04096
Cumberland County (207) 332-9462
JONATHAN HOPPS LCSW, LLC
Community/Behavioral Health
26 SCHOOL ST
YARMOUTH, ME 04096
Cumberland County (207) 671-8779
INSIGHT EYECARE PA
Optometrist
26 SCHOOL ST
YARMOUTH, ME 04096
Cumberland County (207) 847-3800
CHRISTOPHER ROSS LCPC, LADC, CCS
Counselor (Mental Health)
26 SCHOOL ST
YARMOUTH, ME 04096
Cumberland County (207) 332-9462
LAUREN E POTVIN LCPC
Counselor (Professional)
26 SCHOOL ST
YARMOUTH, ME 04096
Cumberland County (207) 992-3325

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 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.

Where is Michelle Higgins located?

Michelle Higgins practices at 26 School St, Yarmouth, ME 04096. The listed phone number is (207) 854-1544.

What is Michelle Higgins's specialty?

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

Is Michelle Higgins enrolled in Medicare?

Yes. Michelle 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 Michelle Higgins accept?

Health plans from Anthem Blue Cross and Blue Shield and Providence Health Plan list Michelle 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.

When was this NPI record last updated?

The NPPES record for Michelle Higgins was last updated on December 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.