What is Stephen Higgins's specialty?

Stephen Higgins (NPI 1235104845) is a Medicare-billing provider whose primary specialty is Ophthalmology in Portage, MI.

Where does Stephen Higgins practice?

Stephen Higgins practices in Portage, MI, based on the location reported in the CMS Medicare provider datasets for NPI 1235104845.

How much does Medicare pay Stephen Higgins?

Stephen Higgins (NPI 1235104845) received approximately $188K in total Medicare Part B payments, serving 664 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1235104845

Stephen HigginsMD

OphthalmologyPortage, MII

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

1,257

Unique beneficiaries

—

Total services

1,497

Distinct HCPCS

Medicare payment

$177K

Peer benchmark

Total Medicare services vs. 608 Ophthalmology providers in MI — below median (cohort median 1,582).

PRESCRIBING · PART D · 2024

Total Rx claims

3,030

Beneficiaries

—

Total drug cost

$158K

Distinct drugs

Brand share

35.6%

Top prescribed drugs

Latanoprost740 claims

Moxifloxacin Hcl710 claims

Prednisolone Acetate688 claims

Dorzolamide Hcl/Timolol Maleat171 claims

Timolol Maleate157 claims

QUALITY · MIPS · 2024

Final MIPS score

96.7

Quality

100.0

Cost

88.9

Improvement activities

40.0

Promoting interop.

0.0

Payment adjustment

0.91%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2025

No data available for this provider in 2025.

REFERRAL NETWORK

Where Stephen Higgins's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 25 inbound referrers · 57 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
ASCENSION MEDICAL GROUP PROMED	151	257
BRONSON PRACTICE MANAGEMENT	75	126
Lawrence Bauss Anesthesiology · Kalamazoo, MI	67	97
BRONSON LAKEVIEW HOSPITAL	48	97
Jessica Zoccoli Certified Registered Nurse Anesthetist (CRNA) · Kalamazoo, MI	47	75
SPONSELLER, DEBRA	33	46
James Rosenbaum Anesthesiology · Kalamazoo, MI	30	50
Abby Branch Certified Registered Nurse Anesthetist (CRNA) · Kalamazoo, MI	30	54
Ferris Standiford Optometry · Portage, MI	27	39
Braddock Cummins Certified Registered Nurse Anesthetist (CRNA) · Kalamazoo, MI	27	55
David Semler Dermatology · Portage, MI	24	37
John Wallace Anesthesiology · Phoenix, AZ	23	39

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
REGENTS OF THE UNIVERSITY OF MICHIGAN	336	584
Surgery Center Of Kalamazoo Llc Ambulatory Surgical Center · Portage, MI	235	735
BRONSON METHODIST HOSPITAL	234	551
ASCENSION BORGESS HOSPITAL	222	534
ASCENSION MEDICAL GROUP PROMED	158	272
Lawrence Bauss Anesthesiology · Kalamazoo, MI	141	339
BRONSON PRACTICE MANAGEMENT	71	117
SPONSELLER, DEBRA	56	129
Margaret Ross Certified Registered Nurse Anesthetist (CRNA) · Barron, WI	51	113
BRONSON LAKEVIEW HOSPITAL	48	100
Jessica Zoccoli Certified Registered Nurse Anesthetist (CRNA) · Kalamazoo, MI	42	72
ASCENSION MEDICAL GROUP PROMED	42	63

Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history

Healthparse Signals

Monitor this provider for changes — dated NPI change events