Dr James P Higgins, MD - Medicare Plastic And Reconstructive Surgery in Baltimore, MD

Dr James P Higgins, MD is a medicare enrolled "Plastic Surgery - Surgery Of The Hand" physician in Baltimore, Maryland. He graduated from medical school in 1996 and has 28 years of diverse experience with area of expertise as Plastic And Reconstructive Surgery. He is a member of the group practice Medstar Medical Group Ii Llc, Greater Chesapeake Hand Specialists, P.a. and his current practice location is 3333 N Calvert St, 2nd Fl, Baltimore, Maryland. You can reach out to his office (for appointments etc.) via phone at (410) 235-5405.

Dr James P Higgins is licensed to practice in Maryland (license number D0056925) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1144284357.

Contact Information

Dr James P Higgins, MD
3333 N Calvert St, 2nd Fl,
Baltimore, MD 21218-2867
(410) 235-5405
Not Available

Map and Direction




Physician's Profile

Full NameDr James P Higgins
GenderMale
SpecialityPlastic And Reconstructive Surgery
Experience28 Years
Location3333 N Calvert St, Baltimore, Maryland
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr James P Higgins graduated from medical school in 1996
  NPI Data:
  • NPI Number: 1144284357
  • Provider Enumeration Date: 04/14/2006
  • Last Update Date: 09/12/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4587681770
  • Enrollment ID: I20051027000341

Medical Identifiers

Medical identifiers for Dr James P Higgins such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144284357NPI-NPPES
331950400MedicaidMD
DC8030OtherMDRAILROAD MEDICARE
903AOtherMDCAREFIRST MARYLAND
J848OtherMDCAREFIRST DC
DE5302OtherMDRAILROAD MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2082S0105XPlastic Surgery - Surgery Of The Hand D0056925 (Maryland)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Medstar Union Memorial HospitalBaltimore, MDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Medstar Medical Group Ii Llc05474138251790
Greater Chesapeake Hand Specialists, P.a.50927272069

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr James P Higgins allows following entities to bill medicare on his behalf.
Entity NameGreater Chesapeake Hand Specialists, P.a.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104852359
PECOS PAC ID: 5092727206
Enrollment ID: O20060706000167
Entity NameMedstar Medical Group Ii Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184046187
PECOS PAC ID: 0547413825
Enrollment ID: O20130117000347

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr James P Higgins is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr James P Higgins, MD
3333 N Calvert St, 2nd Fl,
Baltimore, MD 21218-2867

Ph: (410) 235-5405
Dr James P Higgins, MD
3333 N Calvert St, 2nd Fl,
Baltimore, MD 21218-2867

Ph: (410) 235-5405

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.