ERIC BENJAMIN HIGGINS M.D.
NPI 1790814556
Ophthalmology - Retina Specialist in Lexington, KY

Q: What is Eric Higgins's NPI number?

The NPI number for Eric Higgins is 1790814556. It was assigned to this individual provider in the NPPES registry on March 5, 2007.

Q: What is Eric Higgins's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Q: When was this NPI record last updated?

The NPPES record for Eric Higgins was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since March 05, 2007PECOS Enrolled

100/100

CMS Quality Rating

110 CONN TER STE 550, LEXINGTON, KY 40508(859) 323-5867(859) 323-1122 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 17, 2018, Nov 28, 2017, Nov 21, 2017 (3 updates tracked since 2017).

On this page

About Eric Benjamin Higgins M.d. NPPES

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

ERIC BENJAMIN HIGGINS M.D. (NPI 1790814556) is an individual retina specialist in Lexington, Kentucky, licensed in Kentucky (43642) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790814556

Entity TypeIndividualMale

Primary Taxonomy207WX0107X

Provider Legal NameERIC BENJAMIN HIGGINSCredential: M.D.

Location Address110 CONN TER STE 550Lexington, KY 40508-3206

Mailing Address110 Conn Ter Ste 550Lexington, KY 40508-3206 · (859) 323-5867

Phone(859) 323-5867

Fax(859) 323-1122

Sole ProprietorYes

Enumeration DateMarch 5, 2007

Last NPPES UpdateMarch 17, 20183 updates tracked since enumeration

✔ NPI 1790814556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians

Taxonomy Code207WX0107X

License✔ Licensed in KY · 43642

Definition

An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.

Also ListedOphthalmologyTaxonomy 207W00000X · License 43642 (KY)

Also ListedOphthalmology · Uveitis and Ocular Inflammatory DiseaseTaxonomy 207WX0108X · License 43642 (KY)

110 CONN TER STE 550, Lexington, KY 40508

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Other Identifiers 1

OtherK002531KY · Individual Provider Ptan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.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)

Eric Benjamin Higgins M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40508 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

$122.77 typical visit price

range $52.76 – $162.27

Typical copayment $30.69 (range $13.19 – $40.56)

Most-billed visit code 99204

Established Patient

$66.24 typical visit price

range $16.53 – $131.99

Typical copayment $16.56 (range $4.13 – $32.99)

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.

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.

100/100

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

Scored as part of a group practice

Promoting Interoperability

100

Improvement Activities

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.

SHADEN HAMDY FATHY YASSIN MD

Ophthalmology (Retina Specialist)

110 CONN TER STE 550
LEXINGTON, KY 40508

Fayette County (859) 323-5867

KAREN SANTOS MCCLOUD OD

Optometrist

110 CONN TER STE 550
LEXINGTON, KY 40508

Fayette County (859) 323-5867

DR. PETER JOHN TIMONEY MBBCH

Ophthalmology (Ophthalmic Plastic and Reconstructive Surgery)

110 CONN TER STE 550
LEXINGTON, KY 40508

Fayette County (859) 323-5867

DR. CLAIRE ELIZABETH FRASER M.D., PH.D.

Ophthalmology (Retina Specialist)

110 CONN TER STE 550, UNIVERSITY OF KENTUCKY DEPT OF OPHTHALMOLOGY
LEXINGTON, KY 40508

Fayette County (859) 323-5867

MANOKAMNA AGARWAL MD

Ophthalmology (Cornea and External Diseases Specialist)

110 CONN TER STE 550
LEXINGTON, KY 40508

Fayette County (859) 323-5867

ELIZABETH GAMMELTOFT MD

Student in an Organized Health Care Education/Training Program

110 CONN TER STE 550
LEXINGTON, KY 40508

Fayette County (859) 218-2631

MATTHEW PFANNENSTIEL MD

Ophthalmology

110 CONN TER STE 550
LEXINGTON, KY 40508

Fayette County (859) 323-5867

AMANDA LIMBAUGH MARZOLF M.D.

Ophthalmology (Pediatric Ophthalmology and Strabismus Specialist)

110 CONN TER STE 550
LEXINGTON, KY 40508

Fayette County (859) 323-5867

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 Eric Higgins's NPI number?

The NPI number for Eric Higgins is 1790814556. It was assigned to this individual provider in the NPPES registry on March 5, 2007.

Where is Eric Higgins located?

Eric Higgins practices at 110 Conn Ter Ste 550, Lexington, KY 40508. The listed phone number is (859) 323-5867.

What is Eric Higgins's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Is Eric Higgins enrolled in Medicare?

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

What insurance does Eric Higgins accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Eric 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 Eric Higgins was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.