DR. LUKE JAMES HIGGINS M.D., PH.D.
NPI 1316264328
Radiology - Diagnostic Radiology in Baltimore, MD
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
Specialties & Licenses
Secondary Practice Locations 6
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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).
Medicare Billing Reassignments
31Medicare enrollment records show Luke Higgins reassigns Medicare billing to 31 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Danville, PA 17822
- Reassigned Medicare billing, Massachusetts enrollment
- 11 clinicians in this Medicare group
Manahawkin, NJ 08050
- Reassigned Medicare billing, Massachusetts enrollment
- 2 clinicians in this Medicare group
Toms River, NJ 08755
- Reassigned Medicare billing, Massachusetts enrollment
- 2 clinicians in this Medicare group
Lock Haven, PA 17445
- Reassigned Medicare billing, Massachusetts enrollment
- 9 clinicians in this Medicare group
Livingston, NJ 07039
- Reassigned Medicare billing, New Jersey enrollment
- 1,913 clinicians in this Medicare group
East Orange, NJ 07018
- Reassigned Medicare billing, New Jersey enrollment
- 66 clinicians in this Medicare group
Paterson, NJ 07503
- Reassigned Medicare billing, Massachusetts enrollment
- 3 clinicians in this Medicare group
Teaneck, NJ 07666
- Reassigned Medicare billing, New Jersey enrollment
- 47 clinicians in this Medicare group
Stamford, CT 06907
- Reassigned Medicare billing, Connecticut enrollment
- 496 clinicians in this Medicare group
Warren, PA 16365
- Reassigned Medicare billing, Massachusetts enrollment
- 2 clinicians in this Medicare group
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 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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Cape Cod Hospital
Acute Care Hospitals · Hyannis, MAMilford Regional Medical Center
Acute Care Hospitals · Milford, MAShore Medical Center
Acute Care Hospitals · Somers Point, NJOcean Medical Center
Acute Care Hospitals · Brick, NJPhysician 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.
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.
BALTIMORE, MD 21225
BALTIMORE, MD 21225
BALTIMORE, MD 21225
BALTIMORE, MD 21225
BALTIMORE, MD 21225
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.
Which organizations bill Medicare for Luke Higgins's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Luke Higgins reassigns Medicare benefits to 31 organizations: Geisinger Clinic (Danville, PA), Coastal Imaging LLC (Manahawkin, NJ), Advanced Radiology Solutions (Toms River, NJ), Geisinger-Hm Joint Venture, LLC (Lock Haven, PA), Rwjbh Observation Associates LLC (Livingston, NJ) and 26 more organizations, listed in the Medicare section above. 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 Luke Higgins's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Luke Higgins accept?
Health plans from Blue Cross and Blue Shield of Montana, CareSource, Mountain Health CO-OP, Oscar Insurance Company and Wellmark Health Plan of Iowa, Inc. 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, Milford Regional Medical Center, Shore Medical Center 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 5 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.