Derek C. Higgins, D.O.
Physical Medicine & Rehabilitation Physician · Gilbert, AZ
Derek C. Higgins, D.O. is a physical medicine & rehabilitation physician with a practice address in Gilbert, Arizona, and NPI 1568611655, issued on Sep 12, 2008. Check the license (Arizona 005569, as entered in NPPES) on the Arizona Medical Board; the Medicare figures below come from public CMS files.
- Name
- Derek C. Higgins
- Credential
- D.O.
- Primary taxonomy
- Physical Medicine & Rehabilitation Physician 208100000X
- License number
- 005569 AZ
Self-reported in NPPES; status is on the state search - Practice location
- 4915 E Baseline RD, Gilbert, AZ 85234
- Phone
- (480) 249-5525
- Enumerated
- Sep 12, 2008
- Record last updated
- Dec 17, 2025
- Fax
- (888) 990-2056
- Medicare enrollment
- Enrolled (PECOS I20120214000251); accepts Medicare assignment
- Medical or professional school
- Arizona College Of Osteopathic Medicine Mid Western University, 2011
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
Also registered at 4915 E Baseline RD
A shared address usually means a shared clinic or building; it does not show who employs whom.
- James Baker, PA-CMedical Physician Assistant1841663044
- Amy Eby, CPNPPediatric Nurse Practitioner1982825436
- Neal Jain, MDAllergy & Immunology Physician1356390512
- Lisa Keefe, D.O.Family Medicine Physician1265792345
- Steven Milius, D.O.Pediatrics Physician1639353303
- Lauren Molloy, PAMedical Physician Assistant1336577378
Verify Derek C. Higgins in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersArizona Medical Board
Search for license 005569Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
18% fewer Medicare Part D claims than the average physical medicine & rehabilitation physician in 2024
595 Medicare Part D claims for 168 beneficiaries, against an average of 727 among the 7,448 providers of this specialty who prescribed in Part D. Brand-name drugs were 4% of claims. 299 claims were for opioids.
Most prescribed
- Oxycodone Hcl73 claims
- Hydrocodone-Acetaminophen69 claims
- Oxycodone-Acetaminophen62 claims
- Gabapentin49 claims
- Pregabalin36 claims
- Tramadol Hcl36 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): 93.9 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.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $211.63
3 payments; by number, the most common kind was food and beverage; the largest payer was Medtronic, 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.
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
- Pioneer Sports And Spine PLLCGilbert, AZ
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Physical Medicine & Rehabilitation Physician providers in Arizona
There are 274 physical medicine & rehabilitation physician records in Arizona.
Other physical medicine & rehabilitation physician records in Arizona
- Ehab Abdalah, M.DPhoenix, AZ1932291408
- Vincent AdamsTucson, AZ1720636285
- Mehr Ahmed, MDPhoenix, AZ1245289883
- Hassan Akinbiyi, M.D.Chandler, AZ1508195470
- Ibrahim Aksoy, M.D.Scottsdale, AZ1588648190
- Sally Alcott, M.D.Scottsdale, AZ1053380832
- Andrea Paulina AlgarraPhoenix, AZ1255061891
- Norma AllenShow Low, AZ1497694269
- Dusty Allred, PTAMaricopa, AZ1841052883
- Richard Allred, DOChandler, AZ1750027017
Common questions
What is Derek C. Higgins, D.O.'s NPI number?
Derek C. Higgins, D.O.'s National Provider Identifier (NPI) is 1568611655, issued on Sep 12, 2008. An NPI identifies a provider in billing; it is not a license.
Where is Derek C. Higgins, D.O. located?
The NPPES record lists a practice address at 4915 E Baseline RD, Gilbert, AZ, 85234. Phone: (480) 249-5525. Providers update this record themselves, so call before visiting.
How can I verify Derek C. Higgins, D.O.'s license?
NPPES lists Arizona license number 005569, as entered by the provider. Search the Arizona Medical Board at https://www.azmd.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Derek C. Higgins, D.O. prescribe under Medicare Part D?
In 2024, Derek C. Higgins, D.O. had 595 Medicare Part D claims for 168 beneficiaries; the average among physical medicine & rehabilitation physician prescribers was 727. Part D covers Medicare prescriptions only.
What is Derek C. Higgins, D.O.'s MIPS final score?
The 2023 MIPS final score is 93.9 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.