NPPES file of Aug 9, 2026

Laine Higa, OD

Optometrist · Philadelphia, PA

Laine Higa, OD is an optometrist with a practice address in Philadelphia, Pennsylvania, and NPI 1407262520, issued on Jul 9, 2014. Check the license (Pennsylvania OEG002927, as entered in NPPES) with the Pennsylvania board that licenses this profession; 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
1407262520
Name
Laine Higa
Credential
OD
Primary taxonomy
Optometrist 152W00000X
License number
OEG002927 PA
Self-reported in NPPES; status is on the state search
Practice location
1200 W Godfrey Ave, Philadelphia, PA 19141
Phone
(215) 276-6000
Enumerated
Jul 9, 2014
Record last updated
Jul 9, 2014 (not updated in 12 years: call before relying on the address or phone)
Fax
(215) 276-1329
Medicare enrollment
Enrolled (PECOS I20140822001157); accepts Medicare assignment
Medical or professional school
Illinois College Of Optometry At Chicago, 2014
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.
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Also registered at 1200 W Godfrey Ave

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

  1. Maria Adriaansen, O.DOptometrist1508428194
  2. Robert Africano, ODOptometrist1265817720
  3. Gwenn Amos, ODOptometrist1598850349
  4. Sarah Appel, ODOptometrist1760499834
  5. Maria Armandi, ODOptometrist1699885657
  6. Nikhil Bansal, ODOptometrist1215538061

Verify Laine Higa in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Pennsylvania board licenses this profession
    Search for license OEG002927
    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
Find the Pennsylvania 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.

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54% more Medicare Part D claims than the average optometrist in 2024

426 Medicare Part D claims for 141 beneficiaries, against an average of 277 among the 33,128 providers of this specialty who prescribed in Part D. Brand-name drugs were 77% of claims.

  1. Laine Higa426
  2. Specialty average277

Most prescribed

  1. Tyrvaya96 claims
  2. Xiidra86 claims
  3. Restasis67 claims
  4. Cyclosporine22 claims
  5. Prednisolone Acetate22 claims
  6. Latanoprost20 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): 95.2 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 score100.0
  2. Costout of 100 · 30%84.2
  3. Promoting interoperabilitynot scored (reweighted)
  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: $629.76

13 payments; by number, the most common kind was food and beverage; the largest payer was Sun Pharmaceutical Industries Inc. The 34,453 providers of this specialty with any payment received $769.99 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Laine Higa$629.76
  2. Specialty average$769.99

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. Valley Eye Professionals LLCHuntingdon Valley, PA

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

Laine Higa among 2,640 optometrist records in Pennsylvania

Laine Higa, OD is one of 2,640 optometrist records with a practice address in Pennsylvania. 72% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2014, is newer than 74% of them.

  • NPI issued2014 · 74% of these records are older, 24% newer
  • In a Medicare fileYes · 72% of these records are
  • In the CMS Doctors and Clinicians fileYes · 60% of these records are
  • Graduated2014 · median 2004 among the 1,588 with a school on file
  • Record last updated2014 · 69% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 152W00000X and a Pennsylvania practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Optometrist providers in Pennsylvania

There are 2,640 optometrist records in Pennsylvania.

The 8 optometrist records with the nearest ZIP codes

  1. Sarah Appel, ODPhiladelphia, PA 191411760499834
  2. De Gaulle Chigbu, ODPhiladelphia, PA 191411730197518
  3. Connie Chronister, ODPhiladelphia, PA 191411992713762
  4. Stanley Hatch, ODPhiladelphia, PA 191411720077902
  5. Stephanie Holt, O.D.Philadelphia, PA 191411366450157
  6. Helene Kaiser, ODPhiladelphia, PA 191411972511624
  7. Kelly Malloy, ODPhiladelphia, PA 191411598773384
  8. Shital ManiPhiladelphia, PA 191411427033406

Common questions

What is Laine Higa, OD's NPI number?

Laine Higa, OD's National Provider Identifier (NPI) is 1407262520, issued on Jul 9, 2014. An NPI identifies a provider in billing; it is not a license.

Where is Laine Higa, OD located?

The NPPES record lists a practice address at 1200 W Godfrey Ave, Philadelphia, PA, 19141. Phone: (215) 276-6000. Providers update this record themselves, so call before visiting.

How can I verify Laine Higa, OD's license?

NPPES lists Pennsylvania license number OEG002927, as entered by the provider. Search the Pennsylvania board that licenses this profession; the NPPES record confirms identity only.

How much does Laine Higa, OD prescribe under Medicare Part D?

In 2024, Laine Higa, OD had 426 Medicare Part D claims for 141 beneficiaries; the average among optometrist prescribers was 277. Part D covers Medicare prescriptions only.

What is Laine Higa, OD's MIPS final score?

The 2023 MIPS final score is 95.2 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.