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DR. PETER J HIGGINS M.D.
NPI 1700866142
Internal Medicine - Interventional Cardiology in Lewiston, ME

Active since January 20, 2006PECOS EnrolledAccepts Medicare Assignment
83.95/100
CMS Quality Rating
60 HIGH ST, LEWISTON, ME 04240(207) 795-3900(207) 795-3902 Get Directions Write a Review

NPPES record last updated: August 5, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Peter J Higgins M.d. NPPES

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

DR. PETER J HIGGINS M.D. (NPI 1700866142) is an individual interventional cardiology provider in Lewiston, Maine, licensed in Maine (013930) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Central Maine Medical Center, and is a graduate of Georgetown University School Of Medicine (1991).

NPPES Registry Identity

NPI1700866142
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameDR. PETER J HIGGINSCredential: M.D.
Location Address60 HIGH STLewiston, ME 04240-7616
Mailing Address60 High StLewiston, ME 04240-7616 · (207) 795-3900 · Fax (207) 795-3902
Phone(207) 795-3900
Fax(207) 795-3902
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 1991
Enumeration DateJanuary 20, 2006
Last NPPES UpdateAugust 5, 2015
✔ NPI 1700866142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License✔ Licensed in ME · 013930
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
60 HIGH ST, Lewiston, ME 04240
Open in Google Maps ↗

Other Identifiers 7

Medicare PINMM586003ME
Medicare PINHI MM5860ME
Medicaid302160099ME
Medicare PINSX2316ME
Medicare PINMM586001ME
Medicare UPINF99979ME
Medicare PINMM586002ME

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Taro Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Peter J Higgins 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 ID6800780537
PECOS Enrollment IDI20040214000100
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Peter Higgins reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Central Maine Medical Center
0.1 mi
General Acute Care Hospital
300 MAIN ST
Lewiston, ME 04240
  • Reassigned Medicare billing, Maine enrollment
  • 920 clinicians in this Medicare group
NPI 1689653487 (207) 795-5646
Bridgton Hospital
25 mi
Critical Access
10 HOSPITAL DR
Bridgton, ME 04009
  • Reassigned Medicare billing, Maine enrollment
  • 563 clinicians in this Medicare group
NPI 1154370153 (207) 795-5709
Rumford Hospital
35 mi
Critical Access
420 FRANKLIN ST
Rumford, ME 04276
  • Reassigned Medicare billing, Maine enrollment
  • 544 clinicians in this Medicare group
NPI 1205991122 (207) 369-1000

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 9

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
404 services335 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.
88 services73 patients
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.
37 services37 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
27 services26 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016
An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.
24 services24 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018
An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.
24 services24 patients

Hospital Affiliations CMS Care Compare 4

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

Central Maine Medical Center

Acute Care Hospitals · Lewiston, ME
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200024
Location300 Main StreetLewiston, ME 04240 · Androscoggin County
Emergency services Birthing friendly

St Mary's Regional Medical Center

Acute Care Hospitals · Lewiston, ME
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number200034
Location93 Campus Avenue - PO Box 291Lewiston, ME 04243 · Androscoggin County
Emergency services

Rumford Hospital

Critical Access Hospitals · Rumford, ME
OwnershipProprietary
CMS Certification Number201306
Location420 Franklin StreetRumford, ME 04276 · Oxford County
Emergency services

Bridgton Hospital

Critical Access Hospitals · Bridgton, ME
OwnershipVoluntary non-profit - Private
CMS Certification Number201310
Location10 Hospital DriveBridgton, ME 04009 · Cumberland County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04240 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
$123.23 typical visit price
range $53.26 – $162.77
Typical copayment $30.80 (range $13.31 – $40.69)
Most-billed visit code 99204
Established Patient
$94.60 typical visit price
range $16.90 – $132.79
Typical copayment $23.65 (range $4.22 – $33.19)
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.

83.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality60.69
Promoting Interoperability98
Improvement Activities40
Cost70.81

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.

JULIA RUTH LEVINE
Speech-Language Pathologist
60 HIGH ST
LEWISTON, ME 04240
Androscoggin County (207) 795-2590
JAMIE DUFOUR PA
Physician Assistant
60 HIGH ST
LEWISTON, ME 04240
Androscoggin County (207) 753-3900
ALLAN M INGRAHAM MD
Surgery (Vascular Surgery)
60 HIGH ST, CMHVI-Y1
LEWISTON, ME 04240
Androscoggin County (207) 795-8260
KAREN SHEPARD
Nurse Practitioner
60 HIGH ST
LEWISTON, ME 04240
Androscoggin County (207) 753-3900
DR. BEATA ANNA BAJGIEROWICZ MD
Internal Medicine (Cardiovascular Disease)
60 HIGH ST
LEWISTON, ME 04240
Androscoggin County (207) 753-3900
DANIELLE GEORGE
Physician Assistant
60 HIGH ST
LEWISTON, ME 04240
Androscoggin County (207) 753-3900
DANIEL SOROFF
Internal Medicine (Clinical Cardiac Electrophysiology)
60 HIGH ST
LEWISTON, ME 04240
Androscoggin County (207) 753-3900
PAMELA R RIETSCHEL MD
Surgery (Vascular Surgery)
60 HIGH ST
LEWISTON, ME 04240
Androscoggin County (207) 779-5826

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 Peter Higgins's NPI number?

The NPI number for Peter Higgins is 1700866142. It was assigned to this individual provider in the NPPES registry on January 20, 2006.

Where is Peter Higgins located?

Peter Higgins practices at 60 High St, Lewiston, ME 04240. The listed phone number is (207) 795-3900.

What is Peter Higgins's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Peter Higgins enrolled in Medicare?

Yes. Peter 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.

Which organizations bill Medicare for Peter Higgins's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Peter Higgins reassigns Medicare benefits to 3 organizations: Central Maine Medical Center (Lewiston, ME), Bridgton Hospital (Bridgton, ME) and Rumford Hospital (Rumford, ME). 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 Peter Higgins's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Peter Higgins accept?

Health plans from Anthem Blue Cross and Blue Shield and Taro Health list Peter 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 Peter Higgins affiliated with any hospitals?

According to CMS data, Peter Higgins is affiliated with Central Maine Medical Center, St Mary's Regional Medical Center, Rumford Hospital and Bridgton Hospital.

When was this NPI record last updated?

The NPPES record for Peter Higgins was last updated on August 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.