NPPES file of Aug 9, 2026

John Patrick Higgins, M.D.

Cardiovascular Disease Physician · Houston, TX

John Patrick Higgins, M.D. is a cardiovascular disease physician with a practice address in Houston, Texas, and NPI 1316033962, issued on Oct 4, 2006. Check the license (Texas M6655, as entered in NPPES) on the Texas Medical Board; 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
1316033962
Name
John Patrick Higgins
Credential
M.D.
Primary taxonomy
Cardiovascular Disease Physician 207RC0000X
License numbers
M6655 TX
80495 MA
Self-reported in NPPES; status is on the state search
Practice location
6431 Fannin St, Houston, TX 77030
Phone
(713) 500-6836
Enumerated
Oct 4, 2006
Record last updated
Jul 16, 2025
Fax
(713) 500-6556
Medicaid IDs
J-7314283086 OK
188687101 TX
Medicare enrollment
Enrolled (PECOS I20071121000061); accepts Medicare assignment
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.
Download card Updates feed

Also registered at 6431 Fannin St

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

  1. Ahmad AbdelhadiStudent in an Organized Health Care Education/Training Program1073453296
  2. Zayna AbdullaStudent in an Organized Health Care Education/Training Program1245030337
  3. Yaman Abdullah, M.D.Internal Medicine Physician1134461619
  4. Elizabeth Abels, MDStudent in an Organized Health Care Education/Training Program1417516881
  5. Jessica Abhulimhen, MDInternal Medicine Physician1639665136
  6. Andrew Abikhaled, MD CANDIDATEStudent in an Organized Health Care Education/Training Program1699574335

Verify John Patrick Higgins in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersTexas Medical Board
    Search for license M6655
    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 Texas 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.

Is this page about you? You can ask us to correct, restrict or remove it: how.

98% fewer Medicare Part D claims than the average cardiovascular disease physician in 2024

53 Medicare Part D claims for 23 beneficiaries, against an average of 3,078 among the 20,728 providers of this specialty who prescribed in Part D. Brand-name drugs were 32% of claims.

  1. John Higgins53
  2. Specialty average3,078

Most prescribed

  1. Metoprolol Succinate12 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): 82.4 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 score79.2
  2. Costout of 100 · 30%58.5
  3. Promoting interoperabilityout of 100 · 25%100.0
  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: $260.25

6 payments; by number, the most common kind was food and beverage; the largest payer was Lightbody Medical Technologies Inc. The 16,686 providers of this specialty with any payment received $3,819.56 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. John Higgins$260.25
  2. Specialty average$3,819.56

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. UT PhysiciansBaytown, TX

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

John Patrick Higgins among 1,603 cardiovascular disease physician records in Texas

John Patrick Higgins, M.D. is one of 1,603 cardiovascular disease physician records with a practice address in Texas. 88% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 20% of them.

  • NPI issued2006 · 20% of these records are older, 42% newer
  • In a Medicare fileYes · 88% of these records are
  • In the CMS Doctors and Clinicians fileYes · 76% of these records are
  • Graduated1990 · median 1998 among the 1,219 with a school on file
  • Record last updated2025 · 47% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RC0000X and a Texas practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Cardiovascular Disease Physician providers in Texas

There are 1,603 cardiovascular disease physician records in Texas.

The 8 cardiovascular disease physician records with the nearest ZIP codes

  1. Gregory Appleton, M.D.Houston, TX 770301114927928
  2. Jaime Benrey, MDHouston, TX 770301003810854
  3. Michael Bungo, M.D.Houston, TX 770301497756654
  4. Sayed Feghali, M.D.Houston, TX 770301326040486
  5. Jorge Garcia-Gregory, MDHouston, TX 770301760486450
  6. Ihab Hamzeh, MDHouston, TX 770301700886934
  7. Surendra Jain, MDHouston, TX 770301326036195
  8. Milton Klein, MDHouston, TX 770301689673568

Common questions

What is John Patrick Higgins, M.D.'s NPI number?

John Patrick Higgins, M.D.'s National Provider Identifier (NPI) is 1316033962, issued on Oct 4, 2006. An NPI identifies a provider in billing; it is not a license.

Where is John Patrick Higgins, M.D. located?

The NPPES record lists a practice address at 6431 Fannin St, Houston, TX, 77030. Phone: (713) 500-6836. Providers update this record themselves, so call before visiting.

How can I verify John Patrick Higgins, M.D.'s license?

NPPES lists Texas license number M6655, as entered by the provider. Search the Texas Medical Board at https://profile.tmb.state.tx.us/Search.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does John Patrick Higgins, M.D. prescribe under Medicare Part D?

In 2024, John Patrick Higgins, M.D. had 53 Medicare Part D claims for 23 beneficiaries; the average among cardiovascular disease physician prescribers was 3,078. Part D covers Medicare prescriptions only.

What is John Patrick Higgins, M.D.'s MIPS final score?

The 2023 MIPS final score is 82.4 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.