DR. LUKE JAMES HIGGINS M.D., PH.D.
NPI 1316264328
Radiology - Diagnostic Radiology in Baltimore, MD

Q: What is Luke Higgins's NPI number?

The NPI number for Luke Higgins is 1316264328. It was assigned to this individual provider in the NPPES registry on April 29, 2010.

Q: What is Luke Higgins's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Q: When was this NPI record last updated?

The NPPES record for Luke Higgins was last updated on April 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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 29, 2010PECOS Enrolled

3001 S HANOVER ST, DEPT OF MEDICINE, BALTIMORE, MD 21225(410) 350-3565(410) 354-0186 Get Directions Write a Review

NPPES record last updated: April 27, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Apr 27, 2026, Mar 13, 2026, Sep 16, 2025 and 2 more (5 updates tracked since 2016).

On this page

About Dr. Luke James Higgins M.d., Ph.d. NPPES

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

DR. LUKE JAMES HIGGINS M.D., PH.D. (NPI 1316264328) is an individual diagnostic radiology provider in Baltimore, Maryland, licensed in New Jersey (25MA12786200) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS, is affiliated with Cape Cod Hospital, and maintains 6 additional practice locations.

NPPES Registry Identity

NPI1316264328

Entity TypeIndividualMale

Primary Taxonomy2085R0202X

Provider Legal NameDR. LUKE JAMES HIGGINSCredential: M.D., PH.D.

Location Address3001 S HANOVER ST, DEPT OF MEDICINEBaltimore, MD 21225-1233

Mailing Address3600 Minnesota Dr Ste 800Edina, MN 55435-7915

Phone(410) 350-3565

Fax(410) 354-0186

Sole ProprietorNo

Medical School CMSStanford University School Of MedicineGraduated 2010

Enumeration DateApril 29, 2010

Last NPPES UpdateApril 27, 20265 updates tracked since enumeration

NPPES CertifiedApril 27, 2026

✔ NPI 1316264328 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

Licenses✔ Licensed in NJ · 25MA12786200✔ Licensed in CT · 83026✔ Licensed in MA · 277384✔ Licensed in WV · 27076

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

3001 S HANOVER ST, Baltimore, MD 21225

Open in Google Maps ↗

Secondary Practice Locations 6

Location 155 Lake Ave NWorcester, MA 01655-0002 · Phone (508) 334-3850

Location 268A Main StMedway, MA 02053-1775 · Phone (508) 488-3635

Location 314 Prospect StMilford, MA 01757-3003 · Phone (508) 473-1190 · Fax (508) 634-3687

Location 428 Crescent StMiddletown, CT 06457-3654 · Phone (860) 358-6000

Location 564 Robbins StWaterbury, CT 06708-2613 · Phone (203) 573-7124

Location 63600 Minnesota Dr Ste 800Minneapolis, MN 55435-7915 · Phone (952) 595-1100 · Fax (612) 294-4903

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Mountain Health CO-OP.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Luke James Higgins M.d., Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3779732946

PECOS Enrollment IDI20181214000085, I20250821003221, I20260203003022

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 31

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.

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

177 services151 patients

Ultrasonic guidance for blood vessel access 76937

Ultrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.

101 services78 patients

Insertion of tube into abdominal, pelvic, or leg artery, initial third order branch 36247

This procedure involves placing a tube into an artery in the abdomen, pelvis, or leg. The tube is inserted into the initial third order branch of the artery. This can help doctors diagnose or treat certain conditions by allowing access to these blood vessels.

65 services43 patients

Review by radiologist of additional artery image 75774

This procedure involves a radiologist examining an extra image of your artery. It's done to gain more insight into your vascular health. The radiologist will study the image to identify any abnormalities or issues that may need further medical attention.

61 services31 patients

Review by radiologist of abdominal artery image 75726

This procedure involves a radiologist examining an image of your abdominal artery. The goal is to identify any abnormalities or issues that might impact your health. It's a non-invasive method that provides valuable information about your body's circulatory system.

58 services37 patients

Ultrasound of both sides of head and neck blood flow 93880

An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.

58 services58 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

52 services49 patients

Insertion of tube into abdominal, pelvic, or leg artery, additional second, third, and beyond 36248

This procedure involves placing a tube into an artery in the abdomen, pelvis, or leg. It's done to improve blood flow or deliver medication. If more than one tube is needed, each additional insertion is done separately.

42 services19 patients

Insertion of tube into abdominal, pelvic, or leg artery, each first order branch 36245

This procedure involves inserting a tube into an artery in your abdomen, pelvis, or leg. The tube is placed into the first order branch of the artery. It's done to investigate or treat conditions affecting blood flow. It's a safe, common procedure.

38 services27 patients

Nuclear medicine study, spect imaging, 1 area or single acquisition, single day imaging 78803

A nuclear medicine study with SPECT involves a safe, small amount of radioactive substance to help visualize body organs. SPECT, or Single Photon Emission Computed Tomography, creates detailed 3D images. This helps doctors diagnose and monitor conditions in a specific body area.

34 services16 patients

Review by radiologist of ct guidance for needle placement 77012

This process involves a radiologist examining CT scan images to accurately guide a needle's placement within the body. This technique is often used for biopsies or treatments, ensuring precision and safety.

29 services29 patients

Fluoroscopic guidance for insertion or removal of central vein access device 77001

Fluoroscopic guidance for central vein access device insertion or removal is a procedure where a special X-ray, called a fluoroscope, is used to help accurately place or remove a device in a central vein. This device aids in delivering medications or collecting blood samples.

28 services28 patients

Occlusion of growths or obstructed vessels with review by radiologist 37243

This procedure involves blocking abnormal growths or blocked vessels in your body. A radiologist, a doctor specialized in imaging techniques, will review the process. The aim is to improve your health by preventing these issues from causing further complications.

26 services19 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

24 services24 patients

Aspiration of fluid from chest cavity using imaging guidance 32555

This procedure, known as a thoracentesis, involves removing fluid from the space between the lungs and chest wall, called the pleural space. It's performed under imaging guidance to ensure precision. It can help diagnose conditions or relieve symptoms like shortness of breath.

22 services22 patients

Occlusion of artery or vein bleeding with review by radiologist 37244

This is a procedure where a radiologist identifies and stops bleeding from an artery or vein using imaging techniques. It's a non-surgical method that helps control blood loss, promoting quicker recovery and less discomfort.

21 services21 patients

Radioactive drug therapy through a tube inserted in an artery 79445

Radioactive drug therapy involves the use of a tiny tube, inserted into an artery. This tube delivers a radioactive drug directly to the area requiring treatment. This precise approach helps to maximize effectiveness while minimizing side effects.

21 services14 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

21 services19 patients

Ct scan of chest without contrast 71250

A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.

18 services18 patients

Complete ultrasound study of arm and leg arteries 93923

This procedure involves using sound waves to produce images of your arm and leg arteries. It helps identify blockages or abnormalities that could lead to conditions like stroke or peripheral artery disease. It's non-invasive and painless.

18 services18 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.

17 services14 patients

Review by radiologist of abdominal aorta image 75625

This is a procedure where a radiologist, a doctor specialized in medical imaging, examines an image of your abdominal aorta. The abdominal aorta is the large blood vessel that carries blood to your lower body. The radiologist checks for any abnormalities to ensure your overall vascular health.

15 services15 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.

15 services13 patients

Insertion of tunneled central venous tube for infusion (5 years or older) 36558

The insertion of a tunneled central venous tube is a procedure where a thin, flexible tube is placed into a large vein, usually in the neck or chest. This tube allows healthcare providers to give medications, fluids, or nutrients directly into your bloodstream over a longer period.

14 services14 patients

Placement of tube of kidney using imaging guidance with review by radiologist 50432

This procedure involves the insertion of a tube into your kidney using imaging technology for precision. A radiologist, a doctor specializing in medical imaging, will review the process. This can help with kidney function and drainage.

14 services13 patients

Review by radiologist of both arms or legs arteries image 75716

This procedure involves a radiologist examining images of your arm or leg arteries. These images help identify any blockages or abnormalities in the blood vessels that could affect circulation. It's a vital step in diagnosing conditions related to blood flow.

14 services14 patients

Insertion of central venous tube with port (5 years or older) 36561

A central venous tube with port is a small, flexible tube inserted into a large vein, usually in the chest. It allows for easy administration of medication, fluids, or blood products over a long period. A port is attached under the skin for easy access. It's safe for individuals aged 5 and above.

12 services12 patients

Insertion of stomach tube using fluoroscopic guidance with contrast 49440

This is a procedure where a tube is inserted into your stomach to assist with digestion or removal of substances. It's done under fluoroscopic guidance, a type of imaging that allows real-time viewing. Contrast dye is used to enhance the visibility of structures.

12 services12 patients

Core needle biopsy of lung or center cavity of chest (mediastinum), accessed through skin 32408

A core needle biopsy of the lung or mediastinum is a procedure where a small sample of tissue is collected using a needle inserted through the skin. This helps in diagnosing lung conditions or diseases in the chest's central cavity. It's a safe and minimally invasive process.

11 services11 patients

Biopsy and aspiration of bone marrow sample for diagnosis 38222

A bone marrow biopsy and aspiration is a procedure where a small amount of bone marrow is removed for testing. It involves inserting a needle into a bone, typically the hip, to collect a sample. It can help diagnose various diseases and monitor treatment effectiveness.

11 services11 patients

Ultrasonic guidance for needle placement 76942

Ultrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.

11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Cape Cod Hospital

Acute Care Hospitals · Hyannis, MA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220012

Location27 Park StreetHyannis, MA 02601 · Barnstable County

Emergency services Birthing friendly

Beth Israel Deaconess Hospital Plymouth

Acute Care Hospitals · Plymouth, MA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220060

Location275 Sandwich StreetPlymouth, MA 02360 · Plymouth County

Emergency services Birthing friendly

Milford Regional Medical Center

Acute Care Hospitals · Milford, MA

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number220090

Location14 Prospect StreetMilford, MA 01757 · Worcester County

Emergency services Birthing friendly

Falmouth Hospital

Acute Care Hospitals · Falmouth, MA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220135

Location67 & 100 Ter Heun DriveFalmouth, MA 02540 · Barnstable County

Emergency services

Ocean Medical Center

Acute Care Hospitals · Brick, NJ

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number310052

Location425 Jack Martin BlvdBrick, NJ 08724 · Ocean County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21225 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.

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.

DR. BARUN ARYAL M.D.

Radiology (Diagnostic Radiology)

3001 S HANOVER ST, DEPT OF INTERNAL MEDICINE
BALTIMORE, MD 21225

Baltimore City (410) 350-3565

DR. MAHESWORA BAIDYA M.D.

Internal Medicine (Cardiovascular Disease)

3001 S HANOVER ST
BALTIMORE, MD 21225

Baltimore City (410) 350-3200

DR. JAMES BRUCE STRAIT III MD, PH.D.

Internal Medicine (Cardiovascular Disease)

3001 S HANOVER ST, NATIONAL INSTITUTE ON AGING, 5TH FLOOR OF HARBOR HOSP.
BALTIMORE, MD 21225

Baltimore City (202) 821-7271

HARBOR EYES OPTICAL INC

Durable Medical Equipment & Medical Supplies (Customized Equipment)

3001 S HANOVER ST, GRUEHN BUILDING SUITE 100
BALTIMORE, MD 21225

Baltimore City (410) 354-6401

ROLANDO B. ALEGADO MD PA

Specialist

3001 S HANOVER ST
BALTIMORE, MD 21225

Baltimore City (410) 354-2233

FATEH HRAKY SR.

Obstetrics & Gynecology

3001 S HANOVER ST, SUITE 301
BALTIMORE, MD 21225

Baltimore City (410) 350-0800

DR. MICHAEL ADAM SILVERMAN MD

Emergency Medicine

3001 S HANOVER ST
BALTIMORE, MD 21225

Baltimore City (410) 350-3575

JOHN J CARBONE M.D.

Orthopaedic Surgery (Orthopaedic Surgery of the Spine)

3001 S HANOVER ST, GRUEHN BLDG, STE 502
BALTIMORE, MD 21225

Baltimore City (410) 350-8300

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 Luke Higgins's NPI number?

The NPI number for Luke Higgins is 1316264328. It was assigned to this individual provider in the NPPES registry on April 29, 2010.

Where is Luke Higgins located?

Luke Higgins practices at 3001 S Hanover St Dept Of Medicine, Baltimore, MD 21225. The listed phone number is (410) 350-3565.

What is Luke Higgins's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Luke Higgins enrolled in Medicare?

Yes. Luke Higgins is registered in the Medicare PECOS enrollment system.

What insurance does Luke Higgins accept?

Health plans from Blue Cross and Blue Shield of Montana and Mountain Health CO-OP list Luke 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.

Is Luke Higgins affiliated with any hospitals?

According to CMS data, Luke Higgins is affiliated with Cape Cod Hospital, Beth Israel Deaconess Hospital Plymouth, Milford Regional Medical Center, Falmouth Hospital and Ocean Medical Center.

When was this NPI record last updated?

The NPPES record for Luke Higgins was last updated on April 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.