NPPES file of Aug 9, 2026

Brian Edward Higgins, DO

Physical Medicine & Rehabilitation Physician · Lancaster, OH

Brian Edward Higgins, DO is a physical medicine & rehabilitation physician with a practice address in Lancaster, Ohio, and NPI 1982601225, issued on Jul 1, 2005. Check the license (Ohio 34004102, as entered in NPPES) on the State Medical Board of Ohio; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1982601225
Name
Brian Edward Higgins
Credential
DO
Primary taxonomy
Physical Medicine & Rehabilitation Physician 208100000X
License number
34004102 OH
Self-reported in NPPES; status is on the state search
Practice location
2036 Schorrway Dr NW, Lancaster, OH 43130
Phone
(740) 681-1582
Enumerated
Jul 1, 2005
Record last updated
Feb 3, 2012 (not updated in 14 years: call before relying on the address or phone)
Fax
(740) 681-1586
Medicaid ID
0637065 OH
Medicare enrollment
Enrolled (PECOS I20041215000082); accepts Medicare assignment
Medical or professional school
Ohio University, College Of Osteopathic Medicine, 1985
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 2036 Schorrway Dr NW

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Jed Bell, D.O.Physical Medicine & Rehabilitation Physician1003081449
  2. Brian BuckMedical Physician Assistant1447672811
  3. Frank Meszaros, M.D.Physical Medicine & Rehabilitation Physician1184620676
  4. Stephanie Ott, M.D.Rheumatology Physician1215154562
  5. James Wright, PA-CPhysician Assistant1386640613

Verify Brian Edward Higgins in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersState Medical Board of Ohio
    Search for license 34004102
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Ohio license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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4.2 times the Medicare Part D claims of the average physical medicine & rehabilitation physician in 2024

3,084 Medicare Part D claims for 531 beneficiaries, against an average of 727 among the 7,448 providers of this specialty who prescribed in Part D. Brand-name drugs were 1% of claims. 1,217 claims were for opioids.

  1. Brian Higgins3,084
  2. Specialty average727

Most prescribed

  1. Gabapentin615 claims
  2. Oxycodone-Acetaminophen407 claims
  3. Hydrocodone-Acetaminophen257 claims
  4. Pregabalin192 claims
  5. Tramadol Hcl191 claims
  6. Prednisone164 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 71.2 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score52.7
  2. Costout of 100 · 30%58.7
  3. Promoting interoperabilityout of 100 · 25%87.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $91.68

4 payments; by number, the most common kind was food and beverage; the largest payer was Collegium Pharmaceutical, Inc. The 3,895 providers of this specialty with any payment received $1,237.86 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Brian Higgins$91.68
  2. Specialty average$1,237.86

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Fairfield Healthcare Professionals IncLancaster, OH

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Brian Edward Higgins among 511 physical medicine & rehabilitation physician records in Ohio

Brian Edward Higgins, DO is one of 511 physical medicine & rehabilitation physician records with a practice address in Ohio. 62% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2005, is newer than 0% of them.

  • NPI issued2005 · 0% of these records are older, 87% newer
  • In a Medicare fileYes · 62% of these records are
  • In the CMS Doctors and Clinicians fileYes · 55% of these records are
  • Graduated1985 · median 2007 among the 281 with a school on file
  • Record last updated2012 · 52% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208100000X and a Ohio practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Physical Medicine & Rehabilitation Physician providers in Ohio

There are 511 physical medicine & rehabilitation physician records in Ohio.

The 8 physical medicine & rehabilitation physician records with the nearest ZIP codes

  1. Jed Bell, D.O.Lancaster, OH 431301003081449
  2. Frank Meszaros, M.D.Lancaster, OH 431301184620676
  3. Brian Oricoli, M.D.Lancaster, OH 431301396723979
  4. Jonathan Pearlman, M.D.Lancaster, OH 431301215915897
  5. John Walter, D.O.Lancaster, OH 431301932187515
  6. Karson Mahaney, PT,DPTGrove City, OH 431231306676879
  7. Nolan Mitchell, MDGrove City, OH 431231346981578
  8. Evan Berlin, MDWesterville, OH 430821205333796

Common questions

What is Brian Edward Higgins, DO's NPI number?

Brian Edward Higgins, DO's National Provider Identifier (NPI) is 1982601225, issued on Jul 1, 2005. An NPI identifies a provider in billing; it is not a license.

Where is Brian Edward Higgins, DO located?

The NPPES record lists a practice address at 2036 Schorrway Dr NW, Lancaster, OH, 43130. Phone: (740) 681-1582. Providers update this record themselves, so call before visiting.

How can I verify Brian Edward Higgins, DO's license?

NPPES lists Ohio license number 34004102, as entered by the provider. Search the State Medical Board of Ohio at https://elicense.ohio.gov/oh_verifylicense. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Brian Edward Higgins, DO prescribe under Medicare Part D?

In 2024, Brian Edward Higgins, DO had 3,084 Medicare Part D claims for 531 beneficiaries; the average among physical medicine & rehabilitation physician prescribers was 727. Part D covers Medicare prescriptions only.

What is Brian Edward Higgins, DO's MIPS final score?

The 2023 MIPS final score is 71.2 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.