DR. JAMES P. HIGGINS M.D.
NPI 1144284357
Plastic Surgery - Surgery of the Hand in Baltimore, MD

Q: What is James Higgins's NPI number?

The NPI number for James Higgins is 1144284357. It was assigned to this individual provider in the NPPES registry on April 14, 2006.

Q: What is James Higgins's specialty?

The primary specialty registered for this NPI is Plastic Surgery, specializing in Surgery of the Hand, with taxonomy code 2082S0105X.

Q: When was this NPI record last updated?

The NPPES record for James Higgins was last updated on September 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since April 14, 2006PECOS EnrolledAccepts Medicare Assignment

80.17/100

CMS Quality Rating

3333 N CALVERT ST, 2ND FL, BALTIMORE, MD 21218(410) 235-5405 Get Directions Write a Review

NPPES record last updated: September 12, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Dr. James P. Higgins M.d. NPPES

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

DR. JAMES P. HIGGINS M.D. (NPI 1144284357) is an individual surgery of the hand provider in Baltimore, Maryland, licensed in Maryland (D0056925) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Medstar Union Memorial Hospital, and maintains a secondary practice location in Lutherville Timonium.

NPPES Registry Identity

NPI1144284357

Entity TypeIndividualMale

Primary Taxonomy2082S0105X

Provider Legal NameDR. JAMES P. HIGGINSCredential: M.D.

Location Address3333 N CALVERT ST, 2ND FLBaltimore, MD 21218-2867

Mailing Address3333 N Calvert St, 2nd FlBaltimore, MD 21218-2867 · (410) 235-5405

Phone(410) 235-5405

Sole ProprietorNo

Medical School CMSOtherGraduated 1996

Enumeration DateApril 14, 2006

Last NPPES UpdateSeptember 12, 2023

NPPES CertifiedSeptember 12, 2023

✔ NPI 1144284357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic Surgery · Surgery of the HandAllopathic & Osteopathic Physicians

Taxonomy Code2082S0105X

License✔ Licensed in MD · D0056925

Definition

A plastic surgeon with additional training in the investigation, preservation, and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.

3333 N CALVERT ST, Baltimore, MD 21218

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Secondary Practice Location 1

Location 11400 Front Ave Ste 100Lutherville Timonium, MD 21093-5363 · Phone (410) 296-6232

Other Identifiers 5

Medicaid331950400MD

OtherDC8030MD · Railroad Medicare

Other903AMD · Carefirst Maryland

OtherJ848MD · Carefirst Dc

OtherDE5302MD · Railroad Medicare

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

Dr. James P. 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 ID4587681770

PECOS Enrollment IDI20051027000341

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 Reassignments

Medicare enrollment records show James Higgins reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Medstar Medical Group II LLC

2.5 mi

General Practice

5601 LOCH RAVEN BLVD, RUSSELL MORGAN BLDG 3RD FL
Baltimore, MD 21239

Reassigned Medicare billing, Maryland enrollment
2,602 clinicians in this Medicare group

NPI 1184046187 (443) 444-5606

Greater Chesapeake Hand Specialists, P.A.

6.4 mi

Hand Surgery

1400 FRONT AVE, SUITE 100
Lutherville, MD 21093

Reassigned Medicare billing, Maryland enrollment
11 clinicians in this Medicare group

NPI 1104852359 (410) 296-6232

Alaska Native Tribal Health Consortium

3,357 mi

General Acute Care Hospital

4315 DIPLOMACY DR
Anchorage, AK 99508

Reassigned Medicare billing, Texas enrollment
1,373 clinicians in this Medicare group

NPI 1437189339 (907) 563-2662

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 16

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

658 services196 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.

339 services260 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

203 services203 patients

Injection into tendon or ligament 20550

An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.

189 services145 patients

X-ray of wrist, minimum of 3 views 73110

An X-ray of the wrist, minimum of 3 views, is a diagnostic procedure that uses radiation to create images of your wrist from different angles. This helps detect fractures, infections, or other abnormalities for accurate diagnosis and treatment planning.

75 services55 patients

Release of wrist ligament using an endoscope 29848

This procedure involves using a small camera, called an endoscope, to view and treat a tight wrist ligament. The endoscope is inserted through a tiny incision, reducing recovery time and scarring. It helps to relieve pain and improve wrist function.

54 services49 patients

Aspiration and/or injection of fluid from medium joint 20605

This procedure involves a needle being inserted into a medium-sized joint, such as a knee or shoulder, to remove (aspirate) excess fluid. Sometimes, medication may also be injected into the joint to reduce inflammation and pain.

53 services47 patients

Incision of tendon covering of finger 26055

This procedure involves making a small cut into the protective sheath around a finger tendon. It's typically done to relieve pressure or inflammation, improve finger movement, or treat conditions like trigger finger. It's a safe, often outpatient procedure.

49 services39 patients

X-ray of hand, minimum of 3 views 73130

An X-ray of the hand, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones in your hand from different angles. This helps in diagnosing fractures, infections, arthritis, or other abnormalities. It's quick and painless.

41 services31 patients

X-ray of finger, minimum of 2 views 73140

An X-ray of the finger involves capturing images of your finger from at least two different angles. This non-invasive procedure helps in visualizing the bones and joints, aiding in the diagnosis of fractures, infections, or other abnormalities. Minimal discomfort may be experienced.

32 services28 patients

Aspiration and/or injection of fluid from small joint 20600

This procedure involves inserting a thin needle into a small joint to remove (aspirate) or inject fluid. It can help diagnose conditions, relieve discomfort, or administer medication directly into the joint. It's generally safe with minimal discomfort.

26 services21 patients

Injection of carpal tunnel 20526

An injection for carpal tunnel is a treatment to reduce inflammation and swelling in your wrist, which can alleviate pain and numbness. The doctor injects a steroid medication into your wrist area to provide relief.

25 services23 patients

Removal of bone joints between wrist and fingers 25447

This procedure involves the surgical removal of bone joints between your wrist and fingers. It's typically done to relieve pain or restore function due to conditions like arthritis. After removal, the space may be filled with a graft or artificial joint.

16 services12 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.

16 services16 patients

Removal of connective tissue of palm and release of finger, first digit 26123

This procedure involves removing certain tissue in your palm to alleviate tension, and releasing the first digit (thumb) if it's constricted. It's done to improve hand function and reduce discomfort. It's a common treatment for conditions like Dupuytren's contracture.

13 services12 patients

Transfer of tendon to back of hand 26480

A transfer of tendon to the back of the hand is a surgical procedure aimed at improving hand function. It involves moving a healthy tendon from one area to another to replace a damaged or non-functioning one, helping to restore movement and strength.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Medstar Union Memorial Hospital

Acute Care Hospitals · Baltimore, MD

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number210024

Location201 East University ParkwayBaltimore, MD 21218 · Baltimore City County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21218 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

$94.08 typical visit price

range $60.73 – $183.44

Typical copayment $23.52 (range $15.18 – $45.86)

Most-billed visit code 99203

Established Patient

$75.47 typical visit price

range $19.60 – $149.17

Typical copayment $18.86 (range $4.90 – $37.29)

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.

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.

80.17/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

76.69

Promoting Interoperability

100

Improvement Activities

Cost

53.49

Other Providers at the Same Location NPPES 20

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

NATIONAL HAND SPECIALISTS AT UNION MEMORIAL HOSPITAL

Orthopaedic Surgery (Hand Surgery)

3333 N CALVERT ST, 2ND FLOOR, JOHNSTON PROF BLDG
BALTIMORE, MD 21218

Baltimore City (410) 235-5405

DR. RICHARD F. HEITMILLER M.D.

Thoracic Surgery (Cardiothoracic Vascular Surgery)

3333 N CALVERT ST, JOHNSTON PROF BLDG, STE 610
BALTIMORE, MD 21218

Baltimore City (410) 554-2063

DR. JASON WILSON HAMMOND M.D.

Orthopaedic Surgery (Sports Medicine)

3333 N CALVERT ST, SUITE 400
BALTIMORE, MD 21218

Baltimore City (410) 554-6865

FRANK J. CRIADO, M.D., P.A.

Surgery (Vascular Surgery)

3333 N CALVERT ST, SUITE # 570
BALTIMORE, MD 21218

Baltimore City (410) 554-6400

DEREK LEE MASDEN MD

Plastic Surgery

3333 N CALVERT ST
BALTIMORE, MD 21218

Baltimore City (585) 233-9659

REBECCA SAUNDERS PT

Physical Therapist

3333 N CALVERT ST
BALTIMORE, MD 21218

Baltimore City (301) 540-6140

KARI E KINDSCHI MD

Family Medicine (Sports Medicine)

3333 N CALVERT ST
BALTIMORE, MD 21218

Baltimore City (410) 554-6868

DR. AJAY R PARIKH MD

Urology

3333 N CALVERT ST, STE 605 JOHNSTON PROFESSIONAL BLDG
BALTIMORE, MD 21218

Baltimore City (410) 889-8899

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 James Higgins's NPI number?

The NPI number for James Higgins is 1144284357. It was assigned to this individual provider in the NPPES registry on April 14, 2006.

Where is James Higgins located?

James Higgins practices at 3333 N Calvert St 2nd Fl, Baltimore, MD 21218. The listed phone number is (410) 235-5405.

What is James Higgins's specialty?

The primary specialty registered for this NPI is Plastic Surgery, specializing in Surgery of the Hand, with taxonomy code 2082S0105X.

Is James Higgins enrolled in Medicare?

Yes. James 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.

Which organizations bill Medicare for James Higgins's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Higgins reassigns Medicare benefits to 3 organizations: Medstar Medical Group II LLC (Baltimore, MD), Greater Chesapeake Hand Specialists, P.A. (Lutherville, MD) and Alaska Native Tribal Health Consortium (Anchorage, AK). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for James Higgins's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is James Higgins affiliated with any hospitals?

According to CMS data, James Higgins is affiliated with Medstar Union Memorial Hospital.

When was this NPI record last updated?

The NPPES record for James Higgins was last updated on September 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.