DR. DEREK C HIGGINS D.O.
NPI 1568611655
Physical Medicine & Rehabilitation in Gilbert, AZ

Q: What is Derek Higgins's NPI number?

The NPI number for Derek Higgins is 1568611655. It was assigned to this individual provider in the NPPES registry on September 12, 2008.

Q: What is Derek Higgins's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.

Q: When was this NPI record last updated?

The NPPES record for Derek Higgins was last updated on December 17, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 12, 2008PECOS EnrolledAccepts Medicare Assignment

93.85/100

CMS Quality Rating

4915 E BASELINE RD, SUITE 108, GILBERT, AZ 85234(480) 249-5525(888) 990-2056 Get Directions Write a Review

NPPES record last updated: December 17, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 17, 2025, Nov 4, 2016 (2 updates tracked since 2016).

On this page

About Dr. Derek C Higgins D.o. NPPES

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

DR. DEREK C HIGGINS D.O. (NPI 1568611655) is an individual physical medicine & rehabilitation provider in Gilbert, Arizona, licensed in Arizona (005569) and active in the NPI registry since September 2008. He is enrolled in Medicare PECOS and is a graduate of Arizona College Of Osteopathic Medicine Mid Western University (2011).

NPPES Registry Identity

NPI1568611655

Entity TypeIndividualMale

Primary Taxonomy208100000X

Provider Legal NameDR. DEREK C HIGGINSCredential: D.O.

Location Address4915 E BASELINE RD, SUITE 108Gilbert, AZ 85234-2966

Mailing Address4915 E Baseline Rd Ste 108Gilbert, AZ 85234-2966 · (480) 249-5525 · Fax (888) 990-2056

Phone(480) 249-5525

Fax(888) 990-2056

Sole ProprietorYes

Medical School CMSArizona College Of Osteopathic Medicine Mid Western UniversityGraduated 2011

Enumeration DateSeptember 12, 2008

Last NPPES UpdateDecember 17, 20252 updates tracked since enumeration

NPPES CertifiedDecember 17, 2025

✔ NPI 1568611655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians

Taxonomy Code208100000X

License✔ Licensed in AZ · 005569

Definition

Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.

4915 E BASELINE RD, Gilbert, AZ 85234

Open in Google Maps ↗

Other Identifiers 1

Other005569AZ · Medical License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Imperial Insurance Companies, Inc., UnitedHealthcare.Insurance ›

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. Derek C Higgins D.o. 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 ID5698932077

PECOS Enrollment IDI20120214000251

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 26

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, hydromorphone, up to 4 mg J1170

Hydromorphone injection is a pain relief medication administered through an injection, up to 4 mg. It works by altering the body's response to pain, providing comfort and relief. It's important to follow your healthcare provider's instructions for use.

7,405 services30 patients

Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg J2274

This is an injection of 10 mg morphine sulfate, a strong pain reliever. It's preservative-free and used for epidural or intrathecal administration. This method delivers medication into the spinal region to manage severe pain effectively.

2,252 services22 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.

1,243 services263 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.

705 services238 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

484 services246 patients

Electronic analysis reprogramming and refill of spinal canal drug infusion pump 62369

This procedure involves checking and adjusting a small device placed under your skin that delivers medication directly to your spinal canal. The device is reprogrammed as needed and the medicine is refilled to manage your pain effectively.

397 services95 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.

394 services96 patients

Injection, baclofen, 10 mg J0475

Baclofen 10 mg injection is a medication procedure to manage muscle spasms caused by certain conditions. It works by relaxing the muscles, reducing pain and improving movement. It's administered via injection by a healthcare professional.

248 services21 patients

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.

242 services33 patients

Injection, dexamethasone sodium phosphate, 1 mg J1100

Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.

211 services16 patients

Electronic analysis and reprogramming of spinal canal drug infusion pump 62368

This procedure involves the use of technology to assess and adjust a medication pump, implanted near the spine. The pump delivers precise doses of medication directly into the spinal canal to manage pain or spasticity. The reprogramming ensures optimal treatment.

168 services34 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.

110 services110 patients

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483

This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.

95 services72 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

62 services34 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

60 services60 patients

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level 64484

This procedure involves injecting an anesthetic or steroid drug into the sacral spine nerve root. It's done under imaging guidance to ensure accuracy. The process can be repeated for each additional level of the spine to help manage pain or inflammation.

55 services45 patients

Injection of lower or sacral spine facet joint using imaging guidance, single level 64493

This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.

54 services28 patients

Injection of lower or sacral spine facet joint using imaging guidance, second level 64494

This procedure involves injecting medication into the facet joints of your lower or sacral spine to manage pain. Imaging guidance ensures accurate placement. It's the second level, meaning it's done on two different joint levels.

51 services26 patients

Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint 64635

This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.

48 services37 patients

Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint 64636

This procedure involves using imaging technology to locate and treat nerves in your lower spine or sacral area that may be causing pain. Each additional facet joint refers to treating more than one spinal nerve. It's a non-invasive way to manage chronic back pain.

45 services34 patients

Compounded drug, not otherwise classified J7999

A compounded drug is a personalized medication created to meet unique patient needs. If you can't take standard drugs due to allergies or need a specific dosage not commercially available, a pharmacist can mix ingredients to make a drug specifically for you.

29 services24 patients

Injection of substance into lower spine canal using imaging guidance 62323

This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.

27 services22 patients

Injection of substance into middle or upper spine canal using imaging guidance 62321

This procedure involves injecting a substance into your middle or upper spine canal. It's performed under imaging guidance to ensure accuracy. The substance can help diagnose or treat various conditions, providing relief from symptoms.

21 services16 patients

Injection of trigger points, 3 or more muscles 20553

Trigger point injection therapy involves injecting medication into specific areas of your muscles, known as trigger points. These are areas that produce pain and discomfort. If you have three or more muscles affected, each will be treated individually.

19 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.

18 services18 patients

Electronic analysis of spinal canal drug infusion pump 62367

Electronic analysis of a spinal canal drug infusion pump is a procedure to check how well your medication pump is functioning. This pump delivers pain-relieving drugs directly to your spinal canal. The analysis ensures the correct dosage and proper functioning of the device.

17 services16 patients

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.

93.85/100

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

Scored as part of a group practice

Quality

79.37

Improvement Activities

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.

Repair prosthetic device, labor component, per 15 minutes L7520

DME-Orthotic Devices · category DF000N

1 supplier12 claims30 services$24.81 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Leave this field empty

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.

UNIVERSITY OBSTETRICS AND GYNECOLOGY PLLC

Obstetrics & Gynecology

4915 E BASELINE RD, 126
GILBERT, AZ 85234

Maricopa County (480) 969-3096

CRAIG L. MECHELKE, D.O., LTD.

Obstetrics & Gynecology

4915 E BASELINE RD, SUITE 126
GILBERT, AZ 85234

Maricopa County (480) 969-3096

DR. SAM REED SHIMAMOTO M.D.

Allergy & Immunology

4915 E BASELINE RD, SUITE 112
GILBERT, AZ 85234

Maricopa County (480) 626-6600

ALL-STAR PEDIATRICS, PLLC

Pediatrics

4915 E BASELINE RD, STE 119
GILBERT, AZ 85234

Maricopa County (480) 832-0480

DERMATOLOGY SOLUTIONS LLC

Dermatology

4915 E BASELINE RD, BUILDING 9 SUITE 124
GILBERT, AZ 85234

Maricopa County (480) 832-2213

TRUE IMAGING LC

Radiology (Diagnostic Radiology)

4915 E BASELINE RD, STE 125
GILBERT, AZ 85234

Maricopa County (480) 612-0130

ERIC G. HUISH, D.O., P.C.

Obstetrics & Gynecology

4915 E BASELINE RD, SUITE 126
GILBERT, AZ 85234

Maricopa County (480) 969-3096

DR. LISA ANN KEEFE D.O.

Family Medicine

4915 E BASELINE RD, 103
GILBERT, AZ 85234

Maricopa County (480) 987-4195

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 Derek Higgins's NPI number?

The NPI number for Derek Higgins is 1568611655. It was assigned to this individual provider in the NPPES registry on September 12, 2008.

Where is Derek Higgins located?

Derek Higgins practices at 4915 E Baseline Rd Suite 108, Gilbert, AZ 85234. The listed phone number is (480) 249-5525.

What is Derek Higgins's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.

Is Derek Higgins enrolled in Medicare?

Yes. Derek 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.

What insurance does Derek Higgins accept?

Health plans from Ambetter from Arizona Complete Health, Imperial Insurance Companies, Inc. and UnitedHealthcare list Derek 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.

When was this NPI record last updated?

The NPPES record for Derek Higgins was last updated on December 17, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.