2026 NPPES data Internal Medicine Physician NPI 1649488925 M.D.
Verify on CMS →

CRAIG HIGGS, M.D.

Internal Medicine Physician in PEORIA, Illinois. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
10K
Medicare Part D claims · 686 beneficiaries · Internal Medicine Physician avg: 3K
Generic prescribing
89%
generic claims · 11% brand-name · higher generic rates reduce patient out-of-pocket costs

What the federal data shows

CRAIG HIGGS, M.D. filed 9,974 Medicare Part D claims in 2023 as a Internal Medicine Physician in PEORIA, Illinois, prescribing 89% generic.

10K
Part D claims, 2023
89%
generic prescribing
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

CRAIG HIGGS, M.D.'s Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

9,974 Top 2% higher than 98% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). Below this entry. 1,200–1,400: 26,224 prescribers (2%). Below this entry. 1,400–1,600: 21,710 prescribers (2%). Below this entry. 1,600–1,800: 19,072 prescribers (1%). Below this entry. 1,800–2,000: 16,451 prescribers (1%). Below this entry. 2,000–2,200: 213,991 prescribers (16%). This entry sits in this band. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Medicare Part D Prescriber Public Use File · 2023

Board certification likely (heuristic — not verified)

CRAIG HIGGS, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about CRAIG HIGGS, M.D.?

Quality data not reported

NPI registry status

Active

Issued 05/18/2007

NPI 1649488925

Primary specialty

Internal Medicine Physician

High-volume

172,858 US NPIs in this specialty

Medicare Part D claims

9,974 267% vs specialty avg

2023 prescription claims

Specialty avg: 2,716

Specialty distribution in Illinois

How Internal Medicine Physician compares to other specialties among Illinois providers

Illinois providers

Internal Medicine Physician share within Illinois

1. Internal Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Internal Medicine Physician share within Illinois

Specialty board-certification context

Estimated specialty board-certified rate — Internal Medicine Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Internal Medicine Physician ABMS/AOA estimate

Est. board-certified rate (Internal Medicine Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Internal Medicine Physician) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

CRAIG HIGGS, M.D. appears in the CMS NPPES registry as a Internal Medicine Physician provider holding M.D. credentials at 5114 N GLEN PARK PLACE RD, PEORIA, IL, 61614, with a listed phone of (309) 683-5600. NPI 1649488925 was issued on 05/18/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what HIGGS most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 9,974 prescription claims written by this provider, covering 686 Medicare beneficiaries and totaling roughly $847K in drug spend, split 11% brand-name and 89% generic by claim count, with an opioid prescribing rate of 4.3%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Internal Medicine Physician is a high-volume specialty nationwide, with 172,858 enrolled providers across 56 states and an average of 2,716 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

5114 N GLEN PARK PLACE RD
PEORIA, IL 61614

Provider Details

NPI 1649488925
Specialty Internal Medicine Physician
Credentials M.D.
Gender Male
NPI Issued 05/18/2007

Hospital and facility affiliations

Facilities where CRAIG HIGGS, M.D. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

OSF MULTI-SPECIALTY GROUP
PEORIA, IL

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

License & disciplinary context — Illinois IDFPR 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~42K Illinois medical licensees in 2023 — they are NOT specific to CRAIG HIGGS, M.D.. To verify CRAIG HIGGS, M.D.'s current license status, search the IDFPR public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

106
Total board actions, Illinois 2023
Across 103 cases
2.52
Actions per 1,000 licensees
Illinois statewide rate
probation
Most common action type
38 cases

IDFPR publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Illinois disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

CRAIG HIGGS, M.D. — brand share 11.0%
Specialty average (est.)

11% brand-name claims vs 89% generic, on 9,974 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

9,974
Total Claims
$847K
Total Drug Cost
686
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
21,390
Total Day Supply
603,647
Brand vs Generic
11% brand / 89% generic
Brand Drug Cost
$688K
Generic Drug Cost
$154K
Opioid Claims
424 (4.3% rate)
Antibiotic Claims
204

Patient Demographics

Average Patient Age
72.5 years
Avg HCC Risk Score
1.21
Gender Split
51% female / 49% male
Age Distribution
<65: 86, 65-74: 312, 75-84: 201, 85+: 87

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What CRAIG HIGGS, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Atorvastatin Calcium
526
Lisinopril
411
Levothyroxine Sodium
384
Omeprazole
312
Amlodipine Besylate
292
Losartan Potassium
270
Gabapentin
239
Simvastatin
210
Tamsulosin Hcl
192
Metformin Hcl
180

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Internal Medicine Physician Overview

How CRAIG HIGGS, M.D. fits within the Internal Medicine Physician landscape nationally.

172,858
Internal Medicine Physician Providers in US
56
States with Internal Medicine Physician
2,716
Avg Claims per Provider

CRAIG HIGGS, M.D.'s 9,974 claims are above the specialty average of 2,716.

Nearby Internal Medicine Physician Providers in Illinois

Other clinicians with the same primary specialty enrolled in Illinois, drawn from the same CMS NPPES roster as HIGGS.

Compare Internal Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is CRAIG HIGGS, M.D.'s specialty?
CRAIG HIGGS, M.D. specializes in Internal Medicine Physician and practices in PEORIA, Illinois. Credentials: M.D..
How much does CRAIG HIGGS, M.D. prescribe under Medicare Part D?
In 2023, CRAIG HIGGS, M.D. wrote 9,974 Medicare Part D claims totaling $847K in drug costs for 686 beneficiaries.
Where is CRAIG HIGGS, M.D. located?
CRAIG HIGGS, M.D. is located at 5114 N GLEN PARK PLACE RD, PEORIA, IL, 61614. Phone: (309) 683-5600.
What is CRAIG HIGGS, M.D.'s NPI number?
CRAIG HIGGS, M.D.'s National Provider Identifier (NPI) is 1649488925, issued on 05/18/2007.
Does CRAIG HIGGS, M.D. prescribe more brand-name or generic drugs?
CRAIG HIGGS, M.D.'s prescribing is 11% brand-name and 89% generic drugs by claim count, with $688K in brand drug costs.
Does CRAIG HIGGS, M.D. prescribe opioids?
Yes, CRAIG HIGGS, M.D. had 424 opioid claims in 2023 with an opioid prescribing rate of 4.3%.
How many Internal Medicine Physician providers are there in the US?
There are 172,858 Internal Medicine Physician providers across 56 states in the US. The average Internal Medicine Physician provider writes 2,716 Medicare Part D claims per year.
What drugs does CRAIG HIGGS, M.D. prescribe most often?
Based on 2023 Medicare Part D data, CRAIG HIGGS, M.D.'s most frequently prescribed drugs include Atorvastatin Calcium, Lisinopril, Levothyroxine Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does CRAIG HIGGS, M.D. accept Medicare?
CRAIG HIGGS, M.D. appears in CMS Medicare data with 9,974 Part D claims and 686 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify CRAIG HIGGS, M.D.'s credentials?
CRAIG HIGGS, M.D.'s NPI is 1649488925 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology