MR. MARTIN GERALD HIGGINS M.D.
NPI 1851917751
Family Medicine in Ellsworth, ME

Active since June 17, 2020PECOS EnrolledAccepts Medicare Assignment
32 RESORT WAY, ELLSWORTH, ME 04605(207) 664-7751 Get Directions Write a Review

NPPES record last updated: July 14, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 14, 2023, Sep 17, 2020, Jun 17, 2020 (3 updates tracked since 2020).

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

NPI1851917751
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMR. MARTIN GERALD HIGGINSCredential: M.D.
Location Address32 RESORT WAYEllsworth, ME 04605-1717
Mailing Address32 Resort WayEllsworth, ME 04605-1717 · (207) 664-7751
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJune 17, 2020
Last NPPES UpdateJuly 14, 20233 updates tracked since enumeration
NPPES CertifiedJuly 14, 2023
NPI 1851917751 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in ME · MD26460
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
32 RESORT WAY, Ellsworth, ME 04605

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

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.

PECOS PAC ID1254750284
PECOS Enrollment IDI20230802004098
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 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.

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.
270 services167 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.
197 services149 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
73 services73 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
18 services17 patients
Smoking and tobacco use intensive counseling, 4-10 minutes 99406
This service provides brief, intensive counseling (4-10 minutes) to support you in quitting smoking or tobacco use. It involves discussing the risks of tobacco use, benefits of quitting, and strategies to help you stop. It's a critical step towards a healthier lifestyle.
17 services17 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.
14 services14 patients

Hospital Affiliations CMS Care Compare 5

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, ME
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200033
Location489 State StreetBangor, ME 04401 · Penobscot County
Emergency services Birthing friendly

Northern Light Maine Coast Hospital

Acute Care Hospitals · Ellsworth, ME
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number200050
Location50 Union StreetEllsworth, ME 04605 · Hancock County
Emergency services Birthing friendly

Northern Light Blue Hill Memorial Hospital

Critical Access Hospitals · Blue Hill, ME
OwnershipVoluntary non-profit - Private
CMS Certification Number201300
Location57 Water StreetBlue Hill, ME 04614 · Hancock County
Emergency services

Mount Desert Island Hospital

Critical Access Hospitals · Bar Harbor, ME
OwnershipVoluntary non-profit - Private
CMS Certification Number201304
Location10 Wayman Lane, PO Box 8Bar Harbor, ME 04609 · Hancock County
Emergency services Birthing friendly

Down East Community Hospital

Critical Access Hospitals · Machias, ME
OwnershipVoluntary non-profit - Private
CMS Certification Number201311
Location11 Hospital DriveMachias, ME 04654 · Washington County
Emergency services

Physician 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.

New Patient
$82.58 typical visit price
range $53.26 – $162.77
Typical copayment $20.64 (range $13.31 – $40.69)
Most-billed visit code 99203
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.

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.

Family Medicine
32 RESORT WAY
ELLSWORTH, ME 04605
Nurse Practitioner (Gerontology)
32 RESORT WAY
ELLSWORTH, ME 04605
Internal Medicine
32 RESORT WAY
ELLSWORTH, ME 04605
Family Medicine (Adult Medicine)
32 RESORT WAY
ELLSWORTH, ME 04605
Family Medicine
32 RESORT WAY, ELLSWORTH FAMILY PRACTICE
ELLSWORTH, ME 04605
Pediatrics
32 RESORT WAY, MAINE COAST PEDIATRICS
ELLSWORTH, ME 04605
Dietitian, Registered (Nutrition, Oncology)
32 RESORT WAY
ELLSWORTH, ME 04605
Physician Assistant
32 RESORT WAY
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.

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, Mount Desert Island 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.