Melany Higgins, MD
Internal Medicine Physician in Denver, Colorado.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 172,858 in Internal Medicine Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Source: CMS Medicare Part D Prescriber Public Use File, 2023
What the federal data shows
Melany Higgins, MD filed 282 Medicare Part D claims in 2023 as a Internal Medicine Physician in Denver, Colorado, prescribing 87% generic.
- 282
- Part D claims, 2023
- 87%
- generic prescribing
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Melany Higgins, MD's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
282 49th percentile higher than 49% of 1,370,886 prescribers
Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
Source CMS Medicare Part D Prescriber Public Use File · 2023
Melany Higgins, MD practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Melany Higgins, MD?
Quality data not reportedPrimary specialty
Medicare Part D claims
Specialty distribution in Colorado
How Internal Medicine Physician compares to other specialties among Colorado providers
Internal Medicine Physician ranks #17 among Colorado's specialties (1.9% of in-state providers)
Each bar is a specialty's share of the Colorado provider total, by primary NUCC taxonomy. The highlighted bar is Internal Medicine Physician; the long tail of smaller specialties is omitted for legibility.
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Internal Medicine Physician. Verify directly:
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Melany Higgins, MD appears in the CMS NPPES registry as a Internal Medicine Physician provider holding MD credentials at 2550 S PARKER RD, Denver, CO, 80014, with a listed phone of (303) 338-4545. NPI 1598892176 was issued on 02/28/2007.
Medicare Part D records for calendar year 2023 show 282 prescription claims written by this provider, covering 52 Medicare beneficiaries and totaling roughly $13K in drug spend, split 13% brand-name and 87% generic by claim count.
Internal Medicine Physician is a high-volume specialty nationwide, with 172,858 enrolled providers across 56 states and an average of 2,716 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline.
Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist, always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.
Practice Address
Provider Details
| NPI | 1598892176 |
|---|---|
| Specialty | Internal Medicine Physician |
| Credentials | MD |
| Gender | Female |
| NPI Issued | 02/28/2007 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm Melany Higgins, MD's current license status, disciplinary history, and board certifications with the Colorado Medical Board in Colorado before relying on this page for a clinical or care decision.
How we sourced this profile
Profile fields combine the CMS NPPES monthly snapshot (provider directory, taxonomy, and address) with calendar-year 2023 Medicare Part D and MIPS public-use files when records are present. NPI 1598892176 is the unique 10-digit identifier CMS uses to link Higgins across every Medicare, Medicaid, and HIPAA-covered transaction. Read full methodology →
Brand vs generic prescribing mix · Typical
13% brand-name claims vs 87% generic, on 282 2023 Medicare Part D claims.
The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
Prescribing Breakdown
- 30-Day Fills
- 367
- Total Day Supply
- 8,227
- Brand vs Generic
- 13% brand / 87% generic
- Brand Drug Cost
- $4K
- Generic Drug Cost
- $9K
Patient Demographics
- Average Patient Age
- 79.1 years
- Avg HCC Risk Score
- 2.95
- Gender Split
- 50% female / 50% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Melany Higgins, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Levothyroxine Sodium
Levothyroxine Sodium
24 claims
- Atorvastatin Calcium
Atorvastatin Calcium
17 claims
- Enoxaparin Sodium
Enoxaparin Sodium
14 claims
- Fluoxetine Hcl
Fluoxetine Hcl
13 claims
- Latanoprost
Latanoprost
13 claims
- Levetiracetam
Levetiracetam
12 claims
- Metformin Hcl
Metformin Hcl
12 claims
- Quetiapine Fumarate
Quetiapine Fumarate
12 claims
| Drug | Claims |
|---|---|
| Levothyroxine Sodium | 24 |
| Atorvastatin Calcium | 17 |
| Enoxaparin Sodium | 14 |
| Fluoxetine Hcl | 13 |
| Latanoprost | 13 |
| Levetiracetam | 12 |
| Metformin Hcl | 12 |
| Quetiapine Fumarate | 12 |
| Baclofen | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Internal Medicine Physician Overview
How Melany Higgins, MD fits within the Internal Medicine Physician landscape nationally.
Melany Higgins, MD's 282 claims are below the specialty average of 2,716.
Nearby Internal Medicine Physician Providers in Colorado
Other clinicians with the same primary specialty enrolled in Colorado, drawn from the same CMS NPPES roster as Higgins.
Compare Internal Medicine Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Colorado medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Internal Medicine Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
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Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology