Mark E. Higgins, MD
Internal Medicine Physician · San Francisco, CA
Mark E. Higgins, MD is an internal medicine physician with a practice address in San Francisco, California, and NPI 1134193469, issued on Feb 14, 2006. Check the license (California A60868, as entered in NPPES) on the Medical Board of California; the Medicare figures below come from public CMS files.
- Name
- Mark E. Higgins
- Credential
- MD
- Primary taxonomy
- Internal Medicine Physician 207R00000X
- License number
- A60868 CA
Self-reported in NPPES; status is on the state search - Practice location
- 45 Castro St Ste 421, San Francisco, CA 94114
- Phone
- (415) 600-4900
- Enumerated
- Feb 14, 2006
- Record last updated
- Dec 4, 2025
- Fax
- (415) 369-1314
- Medicaid ID
- 00A608680 CA
- Medicare enrollment
- Enrolled (PECOS I20070828001066); accepts Medicare assignment
- Medical or professional school
- New York Medical College, 1994
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest internal medicine physician records → All 17,696 in California → Look up another NPI →
Also registered at 45 Castro St Ste 421
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Michael Renecle, DOFamily Medicine Physician1902393721
Verify Mark E. Higgins in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersMedical Board of California
Search for license A60868Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
4.1 times the Medicare Part D claims of the average internal medicine physician in 2024
13,068 Medicare Part D claims for 603 beneficiaries, against an average of 3,176 among the 108,855 providers of this specialty who prescribed in Part D. Brand-name drugs were 30% of claims. 450 claims were for opioids.
Most prescribed
- Atorvastatin Calcium532 claims
- Biktarvy409 claims
- Acyclovir270 claims
- Descovy254 claims
- Tivicay251 claims
- Rosuvastatin Calcium242 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 MIPS final score for 2023 (Medicare payment program): 85.7 of 100
The Merit-based Incentive Payment System score is reported for this clinician. 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; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $6,033.74
257 payments; by number, the most common kind was food and beverage; the largest payer was ViiV Healthcare Company. The 50,334 providers of this specialty with any payment received $1,303.06 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
- Sutter Bay Medical FoundationSan Francisco, CA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Mark E. Higgins among 17,696 internal medicine physician records in California
Mark E. Higgins, MD is one of 17,696 internal medicine physician records with a practice address in California. 79% 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 5% of them.
- NPI issued2006 · 5% of these records are older, 56% newer
- In a Medicare fileYes · 79% of these records are
- In the CMS Doctors and Clinicians fileYes · 63% of these records are
- Graduated1994 · median 2004 among the 11,065 with a school on file
- Record last updated2025 · 61% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207R00000X and a California practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
1,318 internal medicine physician records list a practice address in San Francisco
They are 1,318 of the 38,143 NPPES records with a practice address in San Francisco, and 17,696 internal medicine physician records in California.
All 17,696 in California → Every provider in San Francisco → Internal Medicine Physician nationwide →
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Common questions
What is Mark E. Higgins, MD's NPI number?
Mark E. Higgins, MD's National Provider Identifier (NPI) is 1134193469, issued on Feb 14, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Mark E. Higgins, MD located?
The NPPES record lists a practice address at 45 Castro St Ste 421, San Francisco, CA, 94114. Phone: (415) 600-4900. Providers update this record themselves, so call before visiting.
How can I verify Mark E. Higgins, MD's license?
NPPES lists California license number A60868, 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 Mark E. Higgins, MD prescribe under Medicare Part D?
In 2024, Mark E. Higgins, MD had 13,068 Medicare Part D claims for 603 beneficiaries; the average among internal medicine physician prescribers was 3,176. Part D covers Medicare prescriptions only.
What is Mark E. Higgins, MD's MIPS final score?
The 2023 MIPS final score is 85.7 of 100. 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.