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

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: July 26, 2026.

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
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

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

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.

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

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
Quality76.69
Promoting Interoperability100
Improvement Activities40
Cost53.49

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.

Orthopaedic Surgery (Hand Surgery)
3333 N CALVERT ST, 2ND FLOOR, JOHNSTON PROF BLDG
BALTIMORE, MD 21218
Thoracic Surgery (Cardiothoracic Vascular Surgery)
3333 N CALVERT ST, JOHNSTON PROF BLDG, STE 610
BALTIMORE, MD 21218
Orthopaedic Surgery (Sports Medicine)
3333 N CALVERT ST, SUITE 400
BALTIMORE, MD 21218
Surgery (Vascular Surgery)
3333 N CALVERT ST, SUITE # 570
BALTIMORE, MD 21218
Plastic Surgery
3333 N CALVERT ST
BALTIMORE, MD 21218
Physical Therapist
3333 N CALVERT ST
BALTIMORE, MD 21218
Family Medicine (Sports Medicine)
3333 N CALVERT ST
BALTIMORE, MD 21218
Urology
3333 N CALVERT ST, STE 605 JOHNSTON PROFESSIONAL BLDG
BALTIMORE, MD 21218

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.

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 with the weekly NPPES data releases published by CMS.