What is Brian Higgins's specialty?

Brian Higgins (NPI 1982601225) is a Medicare-billing provider whose primary specialty is Physical Medicine and Rehabilitation in Lancaster, OH.

Where does Brian Higgins practice?

Brian Higgins practices in Lancaster, OH, based on the location reported in the CMS Medicare provider datasets for NPI 1982601225.

How much does Medicare pay Brian Higgins?

Brian Higgins (NPI 1982601225) received approximately $44K in total Medicare Part B payments, serving 203 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1982601225

Brian HigginsDO

PRACTICEGWELLA RHEUMATOLOGY LLCSee all providers at this practice →

Physical Medicine and RehabilitationLancaster, OHI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

317

Unique beneficiaries

—

Total services

435

Distinct HCPCS

Medicare payment

$36K

Peer benchmark

Total Medicare services vs. 309 Physical Medicine and Rehabilitation providers in OH — below median (cohort median 1,105).

PRESCRIBING · PART D · 2024

Total Rx claims

2,965

Beneficiaries

—

Total drug cost

$73K

Distinct drugs

Brand share

27.5%

Top prescribed drugs

Gabapentin615 claims

Oxycodone Hcl/Acetaminophen407 claims

Hydrocodone/Acetaminophen257 claims

Pregabalin192 claims

Tramadol Hcl191 claims

QUALITY · MIPS · 2024

Final MIPS score

77.0

Quality

43.4

Cost

76.5

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.08%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$92

Payment records

By payment type

Food and Beverage$92

Top paying entities

Food and Beverage$92

REFERRAL NETWORK

Where Brian 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). 14 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
FAIRFIELD MEDICAL CENTER	116	393
ROCKMILL CARE, LLC	26	56
HOCKING VALLEY COMMUNITY HOSPITAL	21	115
Brian Buck Physician Assistant · Lancaster, OH	21	41
Frank Meszaros Physical Medicine and Rehabilitation · Lancaster, OH	21	28
LIFE MEDICAL RESPONSE, INC.	20	102
Michelle Graham Family Practice · Lancaster, OH	15	90
NPI 1205801099	14	30
Alice Moneypenny Physical Therapist in Private Practice · Hilton Head Island, SC	14	140
David Passerini Diagnostic Radiology · Columbus, OH	13	20
Francis Castellano Diagnostic Radiology · Chapel Hill, NC	13	18
Andrew Burke Diagnostic Radiology · Lakewood, CO	11	14

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