Kelvin D. Higa, MD
Surgery Physician · Fresno, CA
Kelvin D. Higa, MD is a surgery physician with a practice address in Fresno, California, and NPI 1356304224, issued on Apr 10, 2006. Check the license (California G53771, as entered in NPPES) on the Medical Board of California; the Medicare figures below come from public CMS files.
- Name
- Kelvin D. Higa
- Credential
- MD
- Primary taxonomy
- Surgery Physician 208600000X
- License number
- G53771 CA
Self-reported in NPPES; status is on the state search - Practice location
- 205 E River Park Cir, Fresno, CA 93720
- Phone
- (559) 261-4500
- Enumerated
- Apr 10, 2006
- Record last updated
- Jun 25, 2014 (not updated in 12 years: call before relying on the address or phone)
- Fax
- (559) 261-4501
- Medicare enrollment
- Enrolled (PECOS I20080122000388); accepts Medicare assignment
- Medical or professional school
- University Of California, Geffen School Of Medicine, 1983
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest surgery physician records → All 3,118 in California → Look up another NPI →
Also registered at 205 E River Park Cir
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Keith Boone, MDSurgery Physician1265495139
- Julie Carlock, RNFARegistered Nurse First Assistant1174910020
- Wai Lee, M.D.Colon & Rectal Surgery Physician1053334748
- Donald Lewis, M.D.Specialist1033295282
- Pearl Ma, M.D.Surgery Physician1073815767
Verify Kelvin D. Higa in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersMedical Board of California
Search for license G53771Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
2.7 times the Medicare Part D claims of the average surgery physician in 2024
402 Medicare Part D claims for 67 beneficiaries, against an average of 147 among the 20,115 providers of this specialty who prescribed in Part D. Brand-name drugs were 27% of claims.
Most prescribed
- Vancomycin Hcl77 claims
- Ondansetron Hcl57 claims
- Sodium Chloride50 claims
- Omeprazole39 claims
- Prochlorperazine Maleate29 claims
- Celecoxib27 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): 84 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: $40,702.60
31 payments; by number, the most common kind was food and beverage; the largest payer was Medical Device Business Services, Inc. The 17,103 providers of this specialty with any payment received $3,513.80 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
- Community Health PartnersFresno, CA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Kelvin D. Higa among 3,118 surgery physician records in California
Kelvin D. Higa, MD is one of 3,118 surgery physician records with a practice address in California. 75% 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 6% of them.
- NPI issued2006 · 6% of these records are older, 55% newer
- In a Medicare fileYes · 75% of these records are
- In the CMS Doctors and Clinicians fileYes · 61% of these records are
- Graduated1983 · median 2003 among the 1,901 with a school on file
- Record last updated2014 · 59% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208600000X and a California practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Surgery Physician providers in California
There are 3,118 surgery physician records in California.
All 3,118 in California → Every provider in Fresno → Surgery Physician nationwide →
The 8 surgery physician records with the nearest ZIP codes
- Keith Boone, MDFresno, CA 937201265495139
- Mark Cunningham, MDFresno, CA 937201174621593
- Vassi Gardikas, MDFresno, CA 937201881792208
- Mario Gonzalez, M.D.Fresno, CA 937201376557991
- Deborah Gumina, MDFresno, CA 937201679671002
- Dawn Johnson, M.D.Fresno, CA 937201629155692
- Carlos Juarez, M.D.Fresno, CA 937201285664243
- Siew-Ming Lee, MDFresno, CA 937201568559342
Common questions
What is Kelvin D. Higa, MD's NPI number?
Kelvin D. Higa, MD's National Provider Identifier (NPI) is 1356304224, issued on Apr 10, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Kelvin D. Higa, MD located?
The NPPES record lists a practice address at 205 E River Park Cir, Fresno, CA, 93720. Phone: (559) 261-4500. Providers update this record themselves, so call before visiting.
How can I verify Kelvin D. Higa, MD's license?
NPPES lists California license number G53771, as entered by the provider. Search the Medical Board of California at https://www.mbc.ca.gov/License-Verification/default.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Kelvin D. Higa, MD prescribe under Medicare Part D?
In 2024, Kelvin D. Higa, MD had 402 Medicare Part D claims for 67 beneficiaries; the average among surgery physician prescribers was 147. Part D covers Medicare prescriptions only.
What is Kelvin D. Higa, MD's MIPS final score?
The 2023 MIPS final score is 84 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.