NPPES file of Aug 9, 2026

Matthew Higgs, M.D.

Sports Medicine (Family Medicine) Physician · Houston, TX

Matthew Higgs, M.D. is a sports medicine (family medicine) physician with a practice address in Houston, Texas, and NPI 1588828800, issued on Jul 16, 2008. Check the license (Texas N6352, 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
1588828800
Name
Matthew Higgs
Credential
M.D.
Primary taxonomy
Sports Medicine (Family Medicine) Physician 207QS0010X
License number
N6352 TX
Self-reported in NPPES; status is on the state search
Practice location
1045 Gemini St, Houston, TX 77058
Phone
(281) 335-1111
Enumerated
Jul 16, 2008
Record last updated
Dec 28, 2020 (not updated in 6 years: call before relying on the address or phone)
Medicare enrollment
Enrolled (PECOS I20120622000224); accepts Medicare assignment
Medical or professional school
Texas Tech University Health Science Center School Of Medicine, 2008
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 1045 Gemini St

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

  1. Carl Hart, FNP-CFamily Nurse Practitioner1366637852
  2. Crysta Hollins, PAPhysician Assistant1851158083

Verify Matthew Higgs in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersTexas Medical Board
    Search for license N6352
    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

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4% fewer Medicare Part D claims than the average sports medicine (family medicine) physician in 2024

825 Medicare Part D claims for 427 beneficiaries, against an average of 855 among the 2,237 providers of this specialty who prescribed in Part D. 110 claims were for opioids.

  1. Matthew Higgs825
  2. Specialty average855

Most prescribed

  1. Meloxicam269 claims
  2. Methylprednisolone149 claims
  3. Prednisone84 claims
  4. Diclofenac Potassium79 claims
  5. Tramadol Hcl63 claims
  6. Acetaminophen-Codeine29 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): 6.2 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.

  1. Qualityout of 100 · 30% of the final score0.0
  2. Costout of 100 · 30%20.6
  3. Promoting interoperabilitynot scored (reweighted)
  4. Improvement activities0 of 40 points · 15%0.0

Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $1,242.62

46 payments; by number, the most common kind was food and beverage; the largest payer was Amgen Inc. The 1,218 providers of this specialty with any payment received $781.49 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Matthew Higgs$1,242.62
  2. Specialty average$781.49

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. Marston Shaun Holt MD PAHouston, TX

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

Matthew Higgs among 198 sports medicine (family medicine) physician records in Texas

Matthew Higgs, M.D. is one of 198 sports medicine (family medicine) 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 2008, is newer than 29% of them.

  • NPI issued2008 · 29% of these records are older, 66% newer
  • In a Medicare fileYes · 88% of these records are
  • In the CMS Doctors and Clinicians fileYes · 75% of these records are
  • Graduated2008 · median 2013 among the 149 with a school on file
  • Record last updated2020 · 38% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207QS0010X and a Texas practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Sports Medicine (Family Medicine) Physician providers in Texas

There are 198 sports medicine (family medicine) physician records in Texas.

The 8 sports medicine (family medicine) physician records with the nearest ZIP codes

  1. David Wallace, D.O.Houston, TX 770581437349479
  2. Joel Rodriguez, M.D.Houston, TX 770551952780140
  3. Trieu-Mi Dao, MDHouston, TX 770651275113375
  4. Anupsinh ChauhanHouston, TX 770701982341962
  5. Jeremy Fleeks, MDHouston, TX 770701518452911
  6. Magen Luhn, MDHouston, TX 770701790312833
  7. Steven Munassi, DOHouston, TX 770701639874076
  8. Ijeoma Nwaeze, MDHouston, TX 770701477547826

Common questions

What is Matthew Higgs, M.D.'s NPI number?

Matthew Higgs, M.D.'s National Provider Identifier (NPI) is 1588828800, issued on Jul 16, 2008. An NPI identifies a provider in billing; it is not a license.

Where is Matthew Higgs, M.D. located?

The NPPES record lists a practice address at 1045 Gemini St, Houston, TX, 77058. Phone: (281) 335-1111. Providers update this record themselves, so call before visiting.

How can I verify Matthew Higgs, M.D.'s license?

NPPES lists Texas license number N6352, 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 Matthew Higgs, M.D. prescribe under Medicare Part D?

In 2024, Matthew Higgs, M.D. had 825 Medicare Part D claims for 427 beneficiaries; the average among sports medicine (family medicine) physician prescribers was 855. Part D covers Medicare prescriptions only.

What is Matthew Higgs, M.D.'s MIPS final score?

The 2023 MIPS final score is 6.2 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.