2026 NPPES data Specialist NPI 1013021153 M.D.
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EDMUND HIGGINS, M.D.

Specialist in BENNETTSVILLE, South Carolina. 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
63
Medicare Part D claims · Specialist avg: 1K
What the federal data reveals: EDMUND HIGGINS, M.D. is a Specialist ([object Object]) practicing in BENNETTSVILLE, South Carolina with a Medicare Part D prescribing footprint of 63 claims .

What stands out: EDMUND HIGGINS, M.D. filed 63 Medicare Part D claims in 2023 across BENNETTSVILLE, South Carolina. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

EDMUND HIGGINS, M.D. at a glance

Quality data not reported

NPI registry status

Active

Issued 08/18/2006

NPI 1013021153

Primary specialty

Specialist

High-volume

69,658 US NPIs in this specialty

Medicare Part D claims

63 96% vs specialty avg

2023 prescription claims

Specialty avg: 1,474

Specialty distribution in South Carolina

How Specialist compares to other specialties among South Carolina providers

South Carolina providers

Specialist share within South Carolina

1. Specialist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Specialist share within South Carolina

Specialty board-certification context

Estimated specialty board-certified rate — Specialist (ABMS / AOA reference)

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

Est. board-certified rate (Specialist) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Specialist) — 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).

EDMUND HIGGINS, M.D. is a Specialist provider practicing in BENNETTSVILLE, South Carolina, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1013021153. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

EDMUND HIGGINS, M.D. appears in the CMS NPPES registry as a Specialist provider holding M.D. credentials at 1035 CHERAW ST., BENNETTSVILLE, SC, 29512, with a listed phone of (843) 556-4157. NPI 1013021153 was issued on 08/18/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what HIGGINS 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 63 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $749 in drug spend. 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.

Specialist is a high-volume specialty nationwide, with 69,658 enrolled providers across 55 states and an average of 1,474 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

1035 CHERAW ST.
BENNETTSVILLE, SC 29512

Provider Details

NPI 1013021153
Specialty Specialist
Credentials M.D.
Gender Male
NPI Issued 08/18/2006

Medicare Part D Prescribing Data

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

63
Total Claims
$749
Total Drug Cost
N/A
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
87
Total Day Supply
2,594
Brand Drug Cost
$0
Generic Drug Cost
$749

Patient Demographics

Average Patient Age
72.3 years
Avg HCC Risk Score
1.85

Specialist Overview

How EDMUND HIGGINS, M.D. fits within the Specialist landscape nationally.

69,658
Specialist Providers in US
55
States with Specialist
1,474
Avg Claims per Provider

EDMUND HIGGINS, M.D.'s 63 claims are below the specialty average of 1,474.

Nearby Specialist Providers in South Carolina

Other clinicians with the same primary specialty enrolled in South Carolina, drawn from the same CMS NPPES roster as HIGGINS.

Compare Specialist nationally: see state-by-state distribution →

Frequently Asked Questions

What is EDMUND HIGGINS, M.D.'s specialty?
EDMUND HIGGINS, M.D. specializes in Specialist and practices in BENNETTSVILLE, South Carolina. Credentials: M.D..
How much does EDMUND HIGGINS, M.D. prescribe under Medicare Part D?
In 2023, EDMUND HIGGINS, M.D. wrote 63 Medicare Part D claims totaling $749 in drug costs for N/A beneficiaries.
Where is EDMUND HIGGINS, M.D. located?
EDMUND HIGGINS, M.D. is located at 1035 CHERAW ST., BENNETTSVILLE, SC, 29512. Phone: (843) 556-4157.
What is EDMUND HIGGINS, M.D.'s NPI number?
EDMUND HIGGINS, M.D.'s National Provider Identifier (NPI) is 1013021153, issued on 08/18/2006.
How many Specialist providers are there in the US?
There are 69,658 Specialist providers across 55 states in the US. The average Specialist provider writes 1,474 Medicare Part D claims per year.
Does EDMUND HIGGINS, M.D. accept Medicare?
EDMUND HIGGINS, M.D. appears in CMS Medicare data with 63 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify EDMUND HIGGINS, M.D.'s credentials?
EDMUND HIGGINS, M.D.'s NPI is 1013021153 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