Dr. Herbert F Higgins , MD
Internal Medicine • Venice, FL
1700 E. Venice Avenue
Venice, FL 342923190
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Dr. Herbert Higgins is listed in NPPES under Internal Medicine.
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NPI assigned on July 6, 2006; this date does not establish years in practice.
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Published CMS data list 1,715 Original Medicare Part B services in 2018.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2018. Published rows only; this is not a quality measure.
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Published Part B service records, 2018:
- 99213 — Established patient outpatient office visit: 770 service units.
- 99203 — New patient outpatient office visit: 150 service units.
- 81002 — Urinalysis, manual test: 122 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2018. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2017 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2018). CPT notice
See all 21 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 1,101 Medicare Part D prescriptions, including refills, in 2018.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2018. Published rows only; this is not a quality measure.
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Published Part D records, 2018:
- Prednisone — 313 prescription fills, including refills.
- Doxycycline Hyclate — 151 prescription fills, including refills.
- Amoxicillin — 93 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2018. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 21 records in the table · Guide: How to read Medicare Part D prescriber data
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Medicare Part B services went from 1,628 in 2017 to 1,715 in 2018.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2017–2018.
Practice Location & Contact Primary Location
1700 E. Venice Avenue
Venice, FL 342923190
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
What Public CMS Data Show
Internal Medicine: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare-allowed amount
About $89,716 in 2018
The total amount Medicare approved for these services in 2018. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2018.
Paid by Medicare
About $56,404 in 2018
The part of the Medicare-allowed amount that Medicare itself paid in 2018, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2018.
30-day fills
1,103 standardized 30-day fills in 2018
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$13,656 in 2018
The total cost of these prescriptions in 2018, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2018.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2019–2025.
NPI first issued
2006
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Compared with the same specialty in Venice and Florida
Billing and prescribing volume is not a quality rating.
Medicare Part B
Comparisons use 2024 data. The latest CMS data for Dr. Higgins are from 2018.
Medicare Part D
Comparisons use 2024 data. The latest CMS data for Dr. Higgins are from 2018.
36 active clinicians are listed under Internal Medicine with a practice address in Venice, FL (10,165 in Florida).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Venice
44.4% of these 36 clinicians have the CMS telehealth indicator.
61.1% of these 36 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services stayed about the same: 1,628 in 2017 and 1,715 in 2018.
- 2017: 1,628
- 2018: 1,715
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Medicare-allowed amount
Medicare-allowed amount stayed about the same: $87,076 in 2017 and $89,716 in 2018.
- 2017: $87,076
- 2018: $89,716
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Paid by Medicare
Paid by Medicare stayed about the same: $54,201 in 2017 and $56,404 in 2018.
- 2017: $54,201
- 2018: $56,404
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Medicare Part D prescriptions
Medicare Part D prescriptions decreased 43% from 1,937 in 2014 to 1,101 in 2018.
- 2014: 1,937
- 2015: 1,785
- 2016: 645
- 2017: 942
- 2018: 1,101
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30-day fills
30-day fills decreased 43% from 1,939 in 2014 to 1,103 in 2018.
- 2014: 1,939
- 2015: 1,789
- 2016: 645
- 2017: 944
- 2018: 1,103
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Part D drug cost
Part D drug cost decreased 50% from $27,473 in 2014 to $13,656 in 2018.
- 2014: $27,473
- 2015: $27,297
- 2016: $8,013
- 2017: $12,042
- 2018: $13,656
Sources: CMS Medicare Physician & Other Practitioners (2018), CMS Medicare Part D Prescribers (2018), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2017 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2018; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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770 | 689 | $182.00 | $72.05 |
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99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
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150 | 150 | $273.00 | $107.97 |
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81002
Urinalysis, manual test
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122 | 108 | $17.85 | $3.38 |
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J1100
Injection, dexamethasone sodium phosphate, 1 mg
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117 | 29 | $12.60 | $0.11 |
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87804
Detection test by immunoassay with direct visual observation for influenza virus
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80 | 40 | $39.90 | $16.22 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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79 | 76 | $268.00 | $106.87 |
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71046
X-ray of chest, 2 views
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59 | 59 | $83.00 | $29.75 |
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96372
Injection of drug or substance under skin or into muscle
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48 | 41 | $64.00 | $20.04 |
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36415
Insertion of needle into vein for collection of blood sample
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44 | 40 | $23.00 | $2.94 |
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85025
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
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39 | 37 | $42.00 | $9.40 |
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69209
Removal of impacted ear wax by washing
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34 | 34 | $35.00 | $13.48 |
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80053
Blood test, comprehensive group of blood chemicals
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33 | 33 | $67.00 | $12.78 |
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J1030
Injection, methylprednisolone acetate, 40 mg
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31 | 30 | $25.20 | $6.71 |
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72110
X-ray of lower and sacral spine, minimum of 4 views
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14 | 14 | $189.00 | $47.56 |
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73110
X-ray of wrist, minimum of 3 views
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14 | 14 | $119.00 | $34.08 |
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73564
X-ray of knee, 4 or more views
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14 | 13 | $152.00 | $38.48 |
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73630
X-ray of foot, minimum of 3 views
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14 | 14 | $123.00 | $28.64 |
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90471
Administration of vaccine
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14 | 14 | $64.00 | $20.01 |
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90714
Diphtheria and tetanus vaccine (7 years or older)
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14 | 14 | $32.55 | $23.61 |
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G0008
Administration of influenza virus vaccine
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13 | 13 | $25.00 | $19.91 |
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90662
Influenza vaccine split virus, preservative free
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12 | 12 | $84.00 | $51.95 |
Source: CMS Part B by Provider and Service, 2018; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2018.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Prednisone | Prednisone | 313 | 1,798 | $2,619.47 | 305 |
| Doxycycline Hyclate | Doxycycline Hyclate | 151 | 1,099 | $2,051.84 | 145 |
| Amoxicillin | Amoxicillin | 93 | 915 | $530.33 | 93 |
| Azithromycin | Azithromycin | 87 | 433 | $507.18 | 86 |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 61 | 543 | $419.10 | 61 |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 54 | 487 | $534.66 | 51 |
| Cefuroxime | Cefuroxime Axetil | 53 | 448 | $1,261.57 | 50 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 45 | 218 | $269.45 | 44 |
| Cephalexin | Cephalexin | 40 | 260 | $320.70 | 38 |
| Gentamicin Sulfate | Gentamicin Sulfate | 29 | 451 | $381.67 | 28 |
| Tizanidine Hcl | Tizanidine Hcl | 24 | 247 | $441.41 | 24 |
| Betamethasone Dipropionate | Betamethasone Dipropionate | 19 | 253 | $772.31 | 18 |
| Neomycin-Polymyxin-Hc | Neomycin/Polymyxin B/Hydrocort | 19 | 196 | $1,052.96 | 19 |
| Levofloxacin | Levofloxacin | 17 | 112 | $163.40 | 15 |
| Oseltamivir Phosphate | Oseltamivir Phosphate | 17 | 85 | $1,493.20 | 17 |
| Lidocaine Hcl Viscous | Lidocaine Hcl | 15 | 100 | $121.23 | 15 |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 14 | 103 | $109.53 | 14 |
| Tramadol Hcl | Tramadol Hcl | 13 | 80 | $42.27 | 13 |
| Acyclovir | Acyclovir | 13 | 92 | $221.86 | 12 |
| Methylprednisolone | Methylprednisolone | 12 | 72 | $93.92 | 12 |
| Cefdinir | Cefdinir | 12 | 119 | $247.86 | 12 |
Source: CMS Part D by Provider and Drug, 2018; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 207R00000X
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
NUCC Taxonomy Code: 207R00000X
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Additional State Medicaid & Healthcare Payer Identifiers
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Nurse Practitioner - Family
Advanced Registered Nurse Practitioner
Physician Assistant
Physician Assistant (Certified)
Nurse Practitioner - Family
Master of Science in Nursing, Advanced Practice Registered Nurse, Family Nurse Practitioner
Physician Assistant
Physician Assistant (Certified)
Physician Assistant
Physician Assistant
Nurse Practitioner - Family
Advanced Practice Registered Nurse
Career & Practice History
NPI enumerated July 06, 2006.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.
NPI Administrative Meta
Other Internal Medicine Providers in Venice
- Dr. Raghava Vadde, MD
- Dr. William Phifer, MD
- Dr. Nathan Le, MD
- Dr. Susan Clyne, DO
- Dr. Ann Piscitelli, MD
- Dr. Ana Ciszek, MD
Mailing Address
600 Nokomis Ave S, Suite 102
Venice, FL 342853209
Phone: 9414838564