LEIGH ANN HIGGINS MD
NPI 1184684102
Internal Medicine in Portland, ME

Active since March 24, 2006Opted out of Medicare · through Jul 1, 2027
84 MARGINAL WAY, SUITE 700, PORTLAND, ME 04101(207) 774-5816(207) 523-8597 Get Directions Write a Review

NPPES record last updated: October 29, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Leigh Ann Higgins Md NPPES

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

LEIGH ANN HIGGINS MD (NPI 1184684102) is an individual internal medicine provider in Portland, Maine, licensed in Maine (015764) and active in the NPI registry since March 2006. She has opted out of Medicare through July 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1184684102
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameLEIGH ANN HIGGINSCredential: MD
Location Address84 MARGINAL WAY, SUITE 700Portland, ME 04101-2443
Mailing Address100 Foden Rd W, Ste 203South Portland, ME 04106 · (207) 828-0361 · Fax (207) 874-1483
Fax(207) 523-8597
Sole ProprietorNo
Enumeration DateMarch 24, 2006
Last NPPES UpdateOctober 29, 2010
NPI 1184684102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in ME · 015764
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.

84 MARGINAL WAY, Portland, ME 04101

Other Identifiers 6

Other2674997Aetna
Medicare UPINH51441
Other027967Anthem
Medicaid249460099ME
Medicare ID-Type UnspecifiedMM9162
Medicare PINMM916201ME

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Leigh Ann Higgins Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2023 through July 1, 2027.

Opt-Out Effective DateJuly 1, 2023
Opt-Out In Effect ThroughJuly 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04101 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
$99.18 typical visit price
range $18.22 – $138.92
Typical copayment $24.79 (range $4.55 – $34.73)
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.

Referred Medical Equipment & Supplies CMS DME claims

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
6 suppliers12 claims32 services$6.21 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 20

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

Obstetrics & Gynecology
84 MARGINAL WAY, SUITE 900
PORTLAND, ME 04101
Internal Medicine
84 MARGINAL WAY, SUITE 700
PORTLAND, ME 04101
Nurse Practitioner (Family)
84 MARGINAL WAY, SUITE 700
PORTLAND, ME 04101
Pediatrics
84 MARGINAL WAY, SUITE 1000
PORTLAND, ME 04101
Nurse Practitioner (Family)
84 MARGINAL WAY, SUITE 700
PORTLAND, ME 04101
Nurse Practitioner (Family)
84 MARGINAL WAY
PORTLAND, ME 04101
Nurse Practitioner
84 MARGINAL WAY, SUITE 1000
PORTLAND, ME 04101
Internal Medicine
84 MARGINAL WAY, SUITE 700
PORTLAND, ME 04101

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 Leigh Higgins's NPI number?

The NPI number for Leigh Higgins is 1184684102. It was assigned to this individual provider in the NPPES registry on March 24, 2006.

Where is Leigh Higgins located?

Leigh Higgins practices at 84 Marginal Way Suite 700, Portland, ME 04101. The listed phone number is (207) 774-5816.

What is Leigh Higgins's specialty?

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

Is Leigh Higgins enrolled in Medicare?

No. Leigh Higgins has opted out of Medicare through July 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Leigh Higgins was last updated on October 29, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.