Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Dr. Patrick M. Higgins , MD

Ophthalmology • Bloomfield, NJ

Active NPI 1285642470 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

1255 Broad St, Ste 104
Bloomfield, NJ 070033000

Call 9737075632 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1255 Broad St
Ste 104

Bloomfield, NJ 070033000

Telephone 9737075632
Fax 9737077349
Organization at the Same NPPES Address or Phone
Charles M Cummins Od Pa Facility NPI 1578529707

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 5 distinct additional practice-address records in North Bergen, NJ; Ramsey, NJ; Teaneck, NJ and 2 more. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 2 distinct group names: Eye Centers Of America Llc; Ny Retina Eye Care, Pllc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

1993

Medicare patients

615 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.

Medicare-allowed amount

About $2,314,461 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

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, 2024.

Paid by Medicare

About $1,826,247 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

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, 2024.

30-day fills

2,007 standardized 30-day fills in 2024

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

$81,385 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

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, 2024.

Open Payments general payments, program year 2025

All general payments: $1,704.93 across 23 records.

By nature of payment

  • Food and Beverage: $1,704.93 across 23 records.

Reporting-company totals (3 largest of 12)

  • Ocular Therapeutix, Inc.: $573.08 across 3 records.
  • Glaukos Corporation: $396.57 across 3 records.
  • Sight Sciences, Inc.: $121.13 across 2 records.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

33 years (graduated 1993)

CMS Doctors and Clinicians data list 1993 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

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.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

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?”

Guide: What Medicare assignment means

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.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Higgins has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Higgins as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Bloomfield and New Jersey

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 95% of clinicians listed under Ophthalmology in New Jersey (2024, 442 clinicians with data). Median for this group: 2,291. Middle half: 1,055 to 4,088.

Too few clinicians listed under Ophthalmology in Bloomfield have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

A higher Medicare-allowed amount than 90% of clinicians listed under Ophthalmology in New Jersey (2024, 442 clinicians with data). Median for this group: $257,081. Middle half: $109,308 to $470,056.

Too few clinicians listed under Ophthalmology in Bloomfield have Medicare Part B data for 2024 to compare.

Paid by Medicare

A higher Medicare payment amount than 90% of clinicians listed under Ophthalmology in New Jersey (2024, 442 clinicians with data). Median for this group: $184,083. Middle half: $79,904 to $344,335.

Too few clinicians listed under Ophthalmology in Bloomfield have Medicare Part B data for 2024 to compare.

Medicare Part D prescriptions

Close to the middle for clinicians listed under Ophthalmology in New Jersey (2024, 468 clinicians with data). Median for this group: 1,008. Middle half: 362 to 1,885.

Too few clinicians listed under Ophthalmology in Bloomfield have Medicare Part D data for 2024 to compare.

Part D drug cost

A lower Part D drug cost than 60% of clinicians listed under Ophthalmology in New Jersey (2024, 468 clinicians with data). Median for this group: $141,459. Middle half: $28,136 to $307,554.

Too few clinicians listed under Ophthalmology in Bloomfield have Medicare Part D data for 2024 to compare.

12 active clinicians are listed under Ophthalmology with a practice address in Bloomfield, NJ (631 in New Jersey).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Bloomfield

0% of these 12 clinicians have the CMS telehealth indicator.

83.3% of these 12 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments · Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): 23 records totaling $1,704.93.

Manufacturer Payment Nature Product Type Amount ($)
Ocular Therapeutix, Inc.
Food and Beverage
In-kind items and services
DEXTENZA General $540.30
Glaukos Corporation
Food and Beverage
Cash or cash equivalent
iDoseTR General $192.02
Regeneron Pharmaceuticals, Inc.
Food and Beverage
In-kind items and services
EYLEA HD General $120.29
Glaukos Corporation
Food and Beverage
Cash or cash equivalent
iDoseTR General $111.10
Tarsus Pharmaceuticals, Inc.
Food and Beverage
In-kind items and services
XDEMVY General $107.47
BIOTISSUE HOLDINGS INC.
Food and Beverage
In-kind items and services
AMNIOGRAFT General $107.14
Sight Sciences, Inc.
Food and Beverage
In-kind items and services
OMNI SURGICAL SYSTEM General $101.15
Glaukos Corporation
Food and Beverage
Cash or cash equivalent
iDoseTR General $93.45
Apellis Pharmaceuticals, Inc.
Food and Beverage
In-kind items and services
Syfovre General $60.29
Astellas Pharma US Inc
Food and Beverage
In-kind items and services
Izervay General $29.29
ABBVIE INC.
Food and Beverage
In-kind items and services
OZURDEX General $21.33
Sight Sciences, Inc.
Food and Beverage
In-kind items and services
OMNI SURGICAL SYSTEM General $19.98
ABBVIE INC.
Food and Beverage
In-kind items and services
OZURDEX General $19.88
ANI Pharmaceuticals, Inc.
Food and Beverage
In-kind items and services
ILUVIEN General $18.99
ANI Pharmaceuticals, Inc.
Food and Beverage
In-kind items and services
ILUVIEN General $18.99
ABBVIE INC.
Food and Beverage
In-kind items and services
OZURDEX General $18.99
ANI Pharmaceuticals, Inc.
Food and Beverage
In-kind items and services
YUTIQ General $18.88
ANI Pharmaceuticals, Inc.
Food and Beverage
In-kind items and services
YUTIQ General $18.31
Genentech, Inc.
Food and Beverage
In-kind items and services
Susvimo General $18.27
Astellas Pharma US Inc
Food and Beverage
In-kind items and services
Izervay General $18.17
Ocular Therapeutix, Inc.
Food and Beverage
In-kind items and services
DEXTENZA General $17.99
Harrow Eye, LLC
Food and Beverage
In-kind items and services
IHEEZO General $17.86
Ocular Therapeutix, Inc.
Food and Beverage
In-kind items and services
DEXTENZA General $14.79

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B · Data Year 2024
Reporting Year:

CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 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, 2017–2024; 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
J2403 Chloroprocaine hcl ophthalmic, 3% gel, 1 mg
293,601 97 $0.85 $0.64
J2777 Injection, faricimab-svoa, 0.1 mg
30,301 99 $60.00 $34.53
J2781 Injection, pegcetacoplan, intravitreal, 1 mg
2,985 39 $200.00 $146.78
92134 Imaging of retina
1,444 580 $100.90 $44.06
92014 Established patient complete exam of visual system
1,302 537 $337.20 $138.62
67028 Injection of drug into eye
862 170 $480.00 $129.61
92202 Extended exam of the back part of the eye with optic nerve drawing
603 346 $44.60 $16.58
J2778 Injection, ranibizumab, 0.1 mg
446 29 $500.00 $156.03
92201 Extended exam of the back part of the eye with retinal drawing
274 208 $59.32 $26.64
92012 Established patient problem focused exam of visual system
273 137 $170.82 $98.15
92235 Exam of retinal blood vessels using a special camera after injection of a dye
187 157 $213.27 $181.40
92287 Imaging of front third of eye using a special camera after injection of a dye
107 91 $271.87 $158.86
J0178 Injection, aflibercept, 1 mg
98 20 $1400.00 $830.78
83036 Hemoglobin a1c level
73 54 $20.00 $9.52
92004 New patient complete exam of visual system
49 49 $279.43 $162.06
76512 2d ultrasound scan of eye tissue and structures
44 25 $101.82 $52.70
J7999 Compounded drug, not otherwise classified
43 31 $439.53 $84.78
92250 Photography of the retina
39 36 $157.44 $38.16
92083 Exam of visual field with extended testing
23 18 $125.22 $66.43
67041 Removal of membrane of retina
22 22 $2363.64 $1030.02

Source: CMS Part B by Provider and Service, 2024; 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 2024.

CMS Part D · Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Prednisolone Acetate Prednisolone Acetate 271 11,920 $13,472.61 125
Latanoprost Latanoprost 163 9,026 $1,299.92 80
Polymyxin B Sul-Trimethoprim Polymyxin B Sulf/Trimethoprim 114 4,889 $766.12 75
Dorzolamide-Timolol Dorzolamide Hcl/Timolol Maleat 110 8,186 $1,522.44 55
Ketorolac Tromethamine Ketorolac Tromethamine 109 4,609 $3,606.70 52
Prolensa Bromfenac Sodium 49 1,509 $16,728.31 24
Brimonidine Tartrate Brimonidine Tartrate 44 2,654 $2,724.41 17
Brimonidine Tartrate-Timolol Brimonidine Tartrate/Timolol 41 2,375 $6,639.65 18
Neomycin-Polymyxin-Dexameth Neomycin/Polymyxin B/Dexametha 34 679 $286.96 20
Lumigan Bimatoprost 32 1,750 $11,812.41 13
Timolol Maleate Timolol Maleate 31 1,887 $262.06 16
Bromfenac Sodium Bromfenac Sodium 31 965 $6,501.38 15
Loteprednol Etabonate Loteprednol Etabonate 31 1,309 $5,897.97 14
Atropine Sulfate Atropine Sulfate 27 2,089 $1,158.80 15
Combigan Brimonidine Tartrate/Timolol 24 1,102 $7,215.90 —
Diclofenac Sodium Diclofenac Sodium 23 860 $234.40 11
Cyclopentolate Hcl Cyclopentolate Hcl 19 1,034 $315.79 —
Tobramycin-Dexamethasone Tobramycin/Dexamethasone 15 391 $500.38 —
Acetazolamide Acetazolamide 13 436 $438.41 —

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-06-09
Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

License # reported to NPPES NJ 25MA06558600

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: New Jersey Division of Consumer Affairs.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
8255105 (NJ)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - OPHTHALMOLOGY

Medicare Enrollment ID

I20231030000788

Enrollment State Jurisdiction

NY

PECOS Control ID

6507882107

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Ny Retina Eye Care, Pllc

257 Lafayette Ave, Suffern, NY 109014831

Phone: 8453628500

Eye Centers Of America Llc

1255 Broad St, Bloomfield, NJ 070033061

Phone: 9737075632

Secondary Practice Locations

1086 Teaneck Rd Ste 2a

Teaneck, NJ 076664858

Phone: 2018713414

1095 Morris Ave Ste 103a

Union, NJ 070837170

Phone: 9083121001

500 N Franklin Tpke Ste 205

Ramsey, NJ 074461160

Phone: 2019629396

6121 Kennedy Blvd

North Bergen, NJ 070473483

Phone: 2017665151

1 Corporate Dr

Wayne, NJ 074703112

Phone: 9739873380

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

4 listed
NPI 1023017357

Doctor of Medicine (M.D.)

NPI 1881693059

Doctor of Medicine (M.D.)

NPI 1972823763

Doctor of Medicine (M.D.)

NPI 1437597366

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 09, 2023

Ophthalmology (license number reported to NPPES: NJ 25MA06558600)

📍
Updated Business Mailing Address March 10, 2022

Registered at 1 CORPORATE DR, WAYNE, NJ 074703112 (Tel: 9739873380)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 30, 2019

Ophthalmology (license number reported to NPPES: NJ MA65586)

âś…
NPI Profile Active June 17, 2016

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) June 17, 2016

Registered at 1255 BROAD ST, STE 104, BLOOMFIELD, NJ 070033000 (Tel: 9737075632)

📍
Business Mailing Address (Initial Record) June 17, 2016

Registered at 1255 BROAD ST, STE 104, BLOOMFIELD, NJ 070033000 (Tel: 9737075632)

👤
Provider Name / Credentials (Initial Record) June 17, 2016

Recorded as PATRICK HIGGINS, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 17, 2016

Ophthalmology (license number reported to NPPES: NJ 25MA06558600)

🟢
Initial NPI Registration & Enumeration August 03, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1285642470
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 03, 2006
Last Update: June 09, 2023
Sole Proprietor: Yes

Other Ophthalmology Specialists in Bloomfield

All Ophthalmology Specialists in Bloomfield

Mailing Address

1 Corporate Dr

Wayne, NJ 074703112

Phone: 9739873380

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.