MR. MARTIN GERALD HIGGINS M.D.
NPI 1851917751
Family Medicine in Ellsworth, ME
About Mr. Martin Gerald Higgins M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. MARTIN GERALD HIGGINS M.D. (NPI 1851917751) is an individual family medicine provider in Ellsworth, Maine, licensed in Maine (MD26460) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS, is affiliated with Northern Light Eastern Maine Medical Center, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Mr. Martin Gerald 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.
Medicare Billing Reassignments
2Medicare enrollment records show Martin Higgins reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Ellsworth, ME 04605
- Reassigned Medicare billing, Maine enrollment
- 174 clinicians in this Medicare group
Blue Hill, ME 04614
- Reassigned Medicare billing, Maine enrollment
- 125 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 7
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.
Northern Light Eastern Maine Medical Center
Acute Care Hospitals · Bangor, MENorthern Light Maine Coast Hospital
Acute Care Hospitals · Ellsworth, MENorthern Light Blue Hill Memorial Hospital
Critical Access Hospitals · Blue Hill, MEDown East Community Hospital
Critical Access Hospitals · Machias, MEPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 04605 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.
ELLSWORTH, ME 04605
ELLSWORTH, ME 04605
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 Martin Higgins's NPI number?
The NPI number for Martin Higgins is 1851917751. It was assigned to this individual provider in the NPPES registry on June 17, 2020.
Where is Martin Higgins located?
Martin Higgins practices at 32 Resort Way, Ellsworth, ME 04605. The listed phone number is (207) 664-7751.
What is Martin Higgins's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Martin Higgins enrolled in Medicare?
Yes. Martin 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 Martin Higgins's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Martin Higgins reassigns Medicare benefits to 2 organizations: Maine Coast Regional Health Facilities (Ellsworth, ME) and The Blue Hill Memorial Hospital (Blue Hill, 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 Martin Higgins's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Martin Higgins accept?
Health plans from Taro Health list Martin 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 Martin Higgins affiliated with any hospitals?
According to CMS data, Martin Higgins is affiliated with Northern Light Eastern Maine Medical Center, Northern Light Maine Coast Hospital, Northern Light Blue Hill Memorial Hospital and Down East Community Hospital.
When was this NPI record last updated?
The NPPES record for Martin Higgins was last updated on July 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Mr. Martin Gerald Higgins, M.D. · NPI 1851917751
Family Medicine physician in Ellsworth, Maine. Individual provider, active in the CMS NPPES registry since June 17, 2020.
## Identity
- **NPI:** 1851917751 (Entity type: Individual)
- **Enumerated:** June 17, 2020
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** MD26460 (Maine)
- **Sole proprietor:** No
## Practice location
- **Address:** 32 RESORT WAY, Ellsworth, ME 04605-1717
- **Phone:** (207) 664-7751
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Maine Coast Regional Health Facilities (NPI 1598152035, Ellsworth, ME); The Blue Hill Memorial Hospital (NPI 1023057809, Blue Hill, ME) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** July 14, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1851917751) · Data from the CMS NPPES public registry.