NPPES file of Aug 9, 2026

Luke James Higgins, M.D., PH.D.

Diagnostic Radiology Physician · Baltimore, MD

Luke James Higgins, M.D., PH.D. is a diagnostic radiology physician with a practice address in Baltimore, Maryland, and NPI 1316264328, issued on Apr 29, 2010. Check the license on the Maryland Board of Physicians; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1316264328
Name
Luke James Higgins
Credential
M.D., PH.D.
Primary taxonomy
Diagnostic Radiology Physician 2085R0202X
License numbers
25MA12786200 NJ
83026 CT
277384 MA
27076 WV
Self-reported in NPPES; status is on the state search
Practice location
3001 S Hanover St, Baltimore, MD 21225
Phone
(410) 350-3565
Enumerated
Apr 29, 2010
Record last updated
Apr 27, 2026
Fax
(410) 354-0186
Medicare enrollment
Enrolled (PECOS I20181214000085); may accept Medicare assignment
Medical or professional school
Stanford University School Of Medicine, 2010
Telehealth
Offers telehealth (CMS)
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 3001 S Hanover St

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

  1. Elizabeth Adegboyega-PanoxOrthopaedic Surgery Physician1982618658
  2. Ethel Adeloye, M.D.Pediatrics Physician1558325415
  3. Nebiyu Adenaw, M.D.Diagnostic Radiology Physician1225458557
  4. Olakunle Adenugba, NPPsychiatric/Mental Health Nurse Practitioner1780397190
  5. Wefag Ahmed, M.DInternal Medicine Physician1407387137
  6. Haneen Aibak, MDInternal Medicine Physician1932362076

Verify Luke James Higgins in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersMaryland Board of PhysiciansCheck 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 Maryland 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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67% fewer Medicare Part D claims than the average diagnostic radiology physician in 2024

17 Medicare Part D claims, against an average of 51 among the 2,711 providers of this specialty who prescribed in Part D.

  1. Luke Higgins17
  2. Specialty average51

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.

Industry payments in 2024: $146.41

7 payments; by number, the most common kind was food and beverage; the largest payer was Inari Medical, Inc. The 8,048 providers of this specialty with any payment received $2,488.38 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Luke Higgins$146.41
  2. Specialty average$2,488.38

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through 9 group practices

  1. Advanced Radiology SolutionsOrleans, MA
  2. Coastal Imaging LLCSalem, MA
  3. Geisinger ClinicOrleans, MA
  4. Geisinger-HM Joint Venture LLCJamaica Plain, MA
  5. Midstate Radiology Associates LLCOrleans, MA
  6. Physicians OF Cape Cod HospitalHyannis, MA
  7. Umass Memorial Medical Group IncMilford, MA
  8. Umass Memorial Radiology Phys ServOrleans, MA
  9. Virtual Radiologic Professionals LLCOrleans, MA

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

Luke James Higgins among 877 diagnostic radiology physician records in Maryland

Luke James Higgins, M.D., PH.D. is one of 877 diagnostic radiology physician records with a practice address in Maryland. 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 2010, is newer than 67% of them.

  • NPI issued2010 · 67% of these records are older, 30% newer
  • In a Medicare fileYes · 72% of these records are
  • In the CMS Doctors and Clinicians fileYes · 69% of these records are
  • Graduated2010 · median 2003 among the 604 with a school on file
  • Record last updated2026 · 57% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 2085R0202X and a Maryland practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

493 diagnostic radiology physician records list a practice address in Baltimore

They are 493 of the 35,183 NPPES records with a practice address in Baltimore, and 877 diagnostic radiology physician records in Maryland.

The 8 diagnostic radiology physician records with the nearest ZIP codes

  1. Nebiyu Adenaw, M.D.Baltimore, MD 212251225458557
  2. Senayet Agonafer, M.D.Baltimore, MD 212251477849412
  3. Barun Aryal, M.D.Baltimore, MD 212251003201450
  4. Sheila Boateng, MDBaltimore, MD 212251497175889
  5. Mohsen Gharib, MDBaltimore, MD 212251114917820
  6. William Higgins, MDBaltimore, MD 212251578559522
  7. Zhi Huang, MDBaltimore, MD 212251689808552
  8. Chad Reihm, M.D.Baltimore, MD 212251407296098

Common questions

What is Luke James Higgins, M.D., PH.D.'s NPI number?

Luke James Higgins, M.D., PH.D.'s National Provider Identifier (NPI) is 1316264328, issued on Apr 29, 2010. An NPI identifies a provider in billing; it is not a license.

Where is Luke James Higgins, M.D., PH.D. located?

The NPPES record lists a practice address at 3001 S Hanover St, Baltimore, MD, 21225. Phone: (410) 350-3565. Providers update this record themselves, so call before visiting.

How can I verify Luke James Higgins, M.D., PH.D.'s license?

Search the Maryland Board of Physicians at https://www.mbp.state.md.us/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Luke James Higgins, M.D., PH.D. prescribe under Medicare Part D?

In 2024, Luke James Higgins, M.D., PH.D. had 17 Medicare Part D claims; the average among diagnostic radiology physician prescribers was 51. Part D covers Medicare prescriptions only.

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.