What is Derek Higgins's specialty?

Derek Higgins (NPI 1568611655) is a Medicare-billing provider whose primary specialty is Physical Medicine and Rehabilitation in Gilbert, AZ.

Where does Derek Higgins practice?

Derek Higgins practices in Gilbert, AZ, based on the location reported in the CMS Medicare provider datasets for NPI 1568611655.

How much does Medicare pay Derek Higgins?

Derek Higgins (NPI 1568611655) received approximately $359K in total Medicare Part B payments, serving 658 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1568611655

Derek HigginsD.O.

Physical Medicine and RehabilitationGilbert, AZI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

1,663

Unique beneficiaries

—

Total services

64,720

Distinct HCPCS

Medicare payment

$347K

Peer benchmark

Total Medicare services vs. 137 Physical Medicine and Rehabilitation providers in AZ — top quintile (cohort median 2,309).

PRESCRIBING · PART D · 2024

Total Rx claims

504

Beneficiaries

—

Total drug cost

$12K

Distinct drugs

Brand share

29.8%

Top prescribed drugs

Oxycodone Hcl73 claims

Hydrocodone/Acetaminophen69 claims

Oxycodone Hcl/Acetaminophen62 claims

Gabapentin49 claims

Tramadol Hcl36 claims

QUALITY · MIPS · 2024

Final MIPS score

91.3

Quality

95.3

Cost

64.5

Improvement activities

40.0

Promoting interop.

0.0

Payment adjustment

0.69%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2025

Total received

$114

Payment records

By payment type

Food and Beverage$114

Top paying entities

Food and Beverage$114

REFERRAL NETWORK

Where Derek 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). 27 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
ENCOMPASS HEALTH REHABILITATION HOSPITAL OF EAST VALLEY, LLC	244	398
Ramesh Ramaswamy Internal Medicine · Mesa, AZ	102	641
Robert Arashahi Internal Medicine · Mesa, AZ	90	121
Hassan Akinbiyi Physical Medicine and Rehabilitation · Chandler, AZ	70	299
NPI 1316992407	49	65
Anthony Aghenta Internal Medicine · Gilbert, AZ	45	111
Edward Markman Internal Medicine · Flagstaff, AZ	42	178
Denise Kulesha Diagnostic Radiology · El Segundo, CA	41	71
Marc Tobler Diagnostic Radiology · Temple, TX	41	85
R M Arizona Holdings Inc Ambulance Service Provider · Mesa, AZ	40	63
BANNER BAYWOOD MEDICAL CENTER	36	92
Stamatis Kantartzis Diagnostic Radiology · Chandler, AZ	34	58

Refers patients to

Outbound — where patients go next

No outbound pairs above the suppression threshold.

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