Eric Benjamin Higgins, M.D.
Retina Specialist (Ophthalmology) Physician · Lexington, KY
Eric Benjamin Higgins, M.D. is a retina specialist (ophthalmology) physician with a practice address in Lexington, Kentucky, and NPI 1790814556, issued on Mar 5, 2007. Check the license (Kentucky 43642, as entered in NPPES) on the Kentucky Board of Medical Licensure; the Medicare figures below come from public CMS files.
- Name
- Eric Benjamin Higgins
- Credential
- M.D.
- Primary taxonomy
- Retina Specialist (Ophthalmology) Physician 207WX0107X
- License number
- 43642 KY
Self-reported in NPPES; status is on the state search - Practice location
- 110 Conn Ter Ste 550, Lexington, KY 40508
- Phone
- (859) 323-5867
- Enumerated
- Mar 5, 2007
- Record last updated
- Mar 17, 2018 (not updated in 8 years: call before relying on the address or phone)
- Fax
- (859) 323-1122
- Entity
- Type 1 · individual
Also registered at 110 Conn Ter Ste 550
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Kishor Acharya, MDStudent in an Organized Health Care Education/Training Program1316740970
- Manokamna Agarwal, MDCornea and External Diseases Specialist Physician1104628320
- Jaycob AvaylonStudent in an Organized Health Care Education/Training Program1477258267
- Erica Ballard, ODOptometrist1811492507
- Aditya Bansal, MDRetina Specialist (Ophthalmology) Physician1457137614
- Ana Bastos De CarvalhoRetina Specialist (Ophthalmology) Physician1245763747
Verify Eric Benjamin Higgins in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersKentucky Board of Medical Licensure
Search for license 43642Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
93% fewer Medicare Part D claims than the average retina specialist (ophthalmology) physician in 2024
41 Medicare Part D claims for 12 beneficiaries, against an average of 620 among the 1,449 providers of this specialty who prescribed in Part D.
Most prescribed
- Latanoprost21 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): 100 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).
Retina Specialist (Ophthalmology) Physician providers in Kentucky
There are 23 retina specialist (ophthalmology) physician records in Kentucky.
Other retina specialist (ophthalmology) physician records in Kentucky
- Romulo Albuquerque, MDLexington, KY1265726905
- Aditya Bansal, MDLexington, KY1457137614
- Ana Bastos De CarvalhoLexington, KY1245763747
- Peter Blackburn, MDLexington, KY1336196815
- Joseph Brown, D.O.Pikeville, KY1861466427
- Miguel Busquets, M.D.Lexington, KY1427054808
- Leanne Clevenger, MDLexington, KY1245735414
- Claire Fraser, M.D., PH.D.Lexington, KY1063658003
- Jack Hollins, M.D.Lexington, KY1679570675
- Blake Isernhagen, MDLexington, KY1336469444
Common questions
What is Eric Benjamin Higgins, M.D.'s NPI number?
Eric Benjamin Higgins, M.D.'s National Provider Identifier (NPI) is 1790814556, issued on Mar 5, 2007. An NPI identifies a provider in billing; it is not a license.
Where is Eric Benjamin Higgins, M.D. located?
The NPPES record lists a practice address at 110 Conn Ter Ste 550, Lexington, KY, 40508. Phone: (859) 323-5867. Providers update this record themselves, so call before visiting.
How can I verify Eric Benjamin Higgins, M.D.'s license?
NPPES lists Kentucky license number 43642, as entered by the provider. Search the Kentucky Board of Medical Licensure at https://web1.ky.gov/GenSearch/LicenseSearch.aspx?AGY=5. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Eric Benjamin Higgins, M.D. prescribe under Medicare Part D?
In 2024, Eric Benjamin Higgins, M.D. had 41 Medicare Part D claims for 12 beneficiaries; the average among retina specialist (ophthalmology) physician prescribers was 620. Part D covers Medicare prescriptions only.
What is Eric Benjamin Higgins, M.D.'s MIPS final score?
The 2023 MIPS final score is 100 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.