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DR. LISA HIGA M.D.
NPI 1669583167
Internal Medicine - Gastroenterology in Berkeley, CA

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment
87.26/100
CMS Quality Rating
2510 WEBSTER ST, BERKELEY, CA 94705(510) 548-6555(510) 548-3761 Get Directions Write a Review

NPPES record last updated: February 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 7, 2025, Feb 12, 2021 (2 updates tracked since 2021).

About Dr. Lisa Higa M.d. NPPES

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

DR. LISA HIGA M.D. (NPI 1669583167) is an individual gastroenterology provider in Berkeley, California, licensed in California (G76897) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of Hahnemann University College Of Medicine (1991).

NPPES Registry Identity

NPI1669583167
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NameDR. LISA HIGACredential: M.D.
Location Address2510 WEBSTER STBerkeley, CA 94705-2557
Mailing Address2510 Webster StBerkeley, CA 94705-2557 · (510) 548-6555 · Fax (510) 548-3761
Phone(510) 548-6555
Fax(510) 548-3761
Sole ProprietorNo
Medical School CMSHahnemann University College Of MedicineGraduated 1991
Enumeration DateAugust 31, 2006
Last NPPES UpdateFebruary 7, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 7, 2025
✔ NPI 1669583167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in CA · G76897
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
2510 WEBSTER ST, Berkeley, CA 94705
Open in Google Maps ↗

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. Lisa Higa 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 ID5193787737
PECOS Enrollment IDI20080225000242
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 8

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.

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.
393 services249 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
180 services178 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.
107 services107 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
93 services86 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
75 services75 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
30 services30 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94705 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
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

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.

87.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.97
Promoting Interoperability85.91
Improvement Activities40

Reported Quality Measures

Appropriate Use of DXA Scans in Women Under 65 Years Who Do Not Meet the Risk Factor Profile for Osteoporotic Fracture
Lower rates are better for this measure.
1%89 patients
Breast Cancer Screening
86%379 patients4/55-star benchmark: 93%
Cervical Cancer Screening
43%343 patients2/55-star benchmark: 98%
Colorectal Cancer Screening
83%569 patients4/55-star benchmark: 88%
Controlling High Blood Pressure
59%197 patients3/55-star benchmark: 91%
Diabetes: Eye Exam
19%43 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
49%43 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
78%1,446 patients3/55-star benchmark: 100%
e-Prescribing
99%363 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
28%504 patients2/55-star benchmark: 100%
HIV Screening
21%504 patients2/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
47%972 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
18%784 patients1/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 56% · 293 patients
56%293 patients
Provide Patients Electronic Access to Their Health Information
100%320 patients5/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
77%203 patients4/55-star benchmark: 91%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 9

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

DR. MEHRA HOSSEINI M.D.
Internal Medicine (Gastroenterology)
2510 WEBSTER ST
BERKELEY, CA 94705
Alameda County (510) 548-6555
MARYNA VAZMITSEL M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
2510 WEBSTER ST
BERKELEY, CA 94705
Alameda County (510) 548-6555
TERRI D PAGANO P.A.
Physician Assistant
2510 WEBSTER ST, SUITE 300
BERKELEY, CA 94705
Alameda County (510) 841-8700
AZADEH ESMAEILI
Pathology (Anatomic Pathology & Clinical Pathology)
2510 WEBSTER ST
BERKELEY, CA 94705
Alameda County (510) 548-6555
DR. SUBHENDU NARAYAN M.D.
Internal Medicine (Gastroenterology)
2510 WEBSTER ST
BERKELEY, CA 94705
Alameda County (510) 548-6555
ALERACARE MEDICAL GROUP OF CALIFORNIA, A MEDICAL CORPORATION
Clinic/Center (Multi-Specialty)
2510 WEBSTER ST
BERKELEY, CA 94705
Alameda County (888) 209-8874
DR. MICHAEL SILPA M.D.
Specialist
2510 WEBSTER ST
BERKELEY, CA 94705
Alameda County (510) 548-6555
MRS. LYNNE LIN-CHANG M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
2510 WEBSTER ST
BERKELEY, CA 94705
Alameda County (510) 548-6555

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 Lisa Higa's NPI number?

The NPI number for Lisa Higa is 1669583167. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Lisa Higa located?

Lisa Higa practices at 2510 Webster St, Berkeley, CA 94705. The listed phone number is (510) 548-6555.

What is Lisa Higa's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Lisa Higa enrolled in Medicare?

Yes. Lisa Higa 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.

When was this NPI record last updated?

The NPPES record for Lisa Higa was last updated on February 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.