Patrick M. Higgins, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

25MA06558600 Issued in NJ

Practice address

1255 Broad St
Ste 104
Bloomfield, NJ 07003-3000

Phone

(973) 707-5632

Fax

(973) 707-7349

NPI assigned

Aug 3, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NJ, NY2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Ophthalmology

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Centers of America LLCGroup PAC ID 7315125184, 127 clinicians

Ny Retina Eye Care, PLLCGroup PAC ID 8820444714, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Good Samaritan Hospital of Suffern Hospital, Suffern, NY, CCN 330158
• Clara Maass Medical Center Hospital, Belleville, NJ, CCN 310009
• Englewood Hospital and Medical Center Hospital, Englewood, NJ, CCN 310045

Merit-based Incentive Payment System (MIPS)

Final score

90.91 of 100Reported as group

Quality

96.31

Promoting interoperability

100

Improvement activities

40

Cost

73.39

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles (4 of 8)

Locations

Networks

• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H9678

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Eye Centers of America, LLC

  • Ophthalmology Physician
  • Bloomfield, NJ
  • NPI 1649563636

  NJ, Ophthalmology

  Medicare reassignment Care Compare group NPD Authorized official
• Ny Retina Eye Care, PLLC

  • Ophthalmology Physician
  • Suffern, NY
  • NPI 1285418079

  NY, Ophthalmology

  Medicare reassignment Care Compare group NPD Authorized official
• New Jersey Eye Center, P.a.

  • Ambulatory Surgical Clinic/Center
  • Bergenfield, NJ
  • NPI 1235234055

  NJ

  Medicare reassignment NPD
• Eye Centers of America, LLC

  • Optometrist
  • Bloomfield, NJ
  • NPI 1346873320
  NPD (past) Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Clara Maass Medical Center

  • General Acute Care Hospital
  • Belleville, NJ
  • NPI 1902901333

  Hospital

  Care Compare affiliation
• Englewood Hospital and Medical Center

  • General Acute Care Hospital
  • Englewood, NJ
  • NPI 1083612881

  Hospital

  Care Compare affiliation
• Good Samaritan Hospital of Suffern

  • General Acute Care Hospital
  • Suffern, NY
  • NPI 1346213469

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686268800000",
    "number": "1285642470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CORPORATE DR",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074703112",
            "telephone_number": "973-987-3380",
            "fax_number": "973-707-7349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 BROAD ST",
            "address_2": "STE 104",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070033000",
            "telephone_number": "973-707-5632",
            "fax_number": "973-707-7349"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Corporate Dr",
            "address_purpose": "LOCATION",
            "city": "Wayne",
            "state": "NJ",
            "postal_code": "074703112",
            "country_code": "US",
            "telephone_number": "973-987-3380",
            "fax_number": "973-987-3379",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1095 Morris Ave Ste 103A",
            "address_purpose": "LOCATION",
            "city": "Union",
            "state": "NJ",
            "postal_code": "070837170",
            "country_code": "US",
            "telephone_number": "908-312-1001",
            "fax_number": "908-312-1005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6121 Kennedy Blvd",
            "address_purpose": "LOCATION",
            "city": "North Bergen",
            "state": "NJ",
            "postal_code": "070473483",
            "country_code": "US",
            "telephone_number": "201-766-5151",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1086 Teaneck Rd Ste 2A",
            "address_purpose": "LOCATION",
            "city": "Teaneck",
            "state": "NJ",
            "postal_code": "076664858",
            "country_code": "US",
            "telephone_number": "201-871-3414",
            "fax_number": "201-871-4830",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 N Franklin Tpke Ste 205",
            "address_purpose": "LOCATION",
            "city": "Ramsey",
            "state": "NJ",
            "postal_code": "074461160",
            "country_code": "US",
            "telephone_number": "201-962-9396",
            "fax_number": "201-474-7048",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HIGGINS",
        "first_name": "PATRICK",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA06558600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8255105",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "phiggins@retinanj.intellechartdirect.net",
            "affiliation": "Y",
            "affiliationName": "Eye Centers Of America, LLC",
            "address_1": "1255 Broad St",
            "address_2": "Ste 104",
            "city": "Bloomfield",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070033000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Allison Herman, LPC
• Laura Heuzey
• Lucinda Heye, LSW
• Donna Marie Hicks, O.T.
• Annlouise Higgins, MD
• Brandi High
• Jane E. Hodges
• Kaylah Viray Hoffman, PT, DPT
• Sheila Regina Holbert, RN
• Holistic Brain Center

• All providers in Bloomfield, NJ
• Ophthalmology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.