Patrick M. Higgins, MD
Ophthalmology Physician · Bloomfield, NJ
Patrick M. Higgins, MD is an ophthalmology physician with a practice address in Bloomfield, New Jersey, and NPI 1285642470, issued on Aug 3, 2006. Check the license (New Jersey 25MA06558600, as entered in NPPES) on the New Jersey State Board of Medical Examiners; the Medicare figures below come from public CMS files.
- Name
- Patrick M. Higgins
- Credential
- MD
- Primary taxonomy
- Ophthalmology Physician 207W00000X
- License number
- 25MA06558600 NJ
Self-reported in NPPES; status is on the state search - Practice location
- 1255 Broad St, Bloomfield, NJ 07003
- Phone
- (973) 707-5632
- Enumerated
- Aug 3, 2006
- Record last updated
- Jun 9, 2023
- Fax
- (973) 707-7349
- Medicaid ID
- 8255105 NJ
- Medicare enrollment
- Enrolled (PECOS I20070628000201); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest ophthalmology physician records → All 631 in New Jersey → Look up another NPI →
Also registered at 1255 Broad St
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Lauren Angioletti, M.D.Ophthalmology Physician1023017357
- Gina Barra, MA, LPCProfessional Counselor1134367915
- Amanda Cielesz, AU.D.Audiologist1437535374
- Charles Cummins, O.D.Optometrist1396702296
- Tatiana Dea, APNFamily Nurse Practitioner1194354126
- Kevin Dishon, PT, DPTPhysical Therapist1518375617
Verify Patrick M. Higgins in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersNew Jersey State Board of Medical Examiners
Search for license 25MA06558600Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
11% fewer Medicare Part D claims than the average ophthalmology physician in 2024
1,352 Medicare Part D claims for 406 beneficiaries, against an average of 1,518 among the 16,459 providers of this specialty who prescribed in Part D.
Most prescribed
- Prednisolone Acetate271 claims
- Latanoprost163 claims
- Polymyxin B Sul-Trimethoprim114 claims
- Dorzolamide-Timolol110 claims
- Ketorolac Tromethamine109 claims
- Prolensa49 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): 90.8 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.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $839.35
19 payments; by number, the most common kind was food and beverage; the largest payer was Regeneron Healthcare Solutions, Inc. The 13,221 providers of this specialty with any payment received $4,535.02 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 2 group practices
- Eye Centers OF America LLCBloomfield, NJ
- NY Retina Eye Care, PLLCSuffern, NY
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Patrick M. Higgins among 631 ophthalmology physician records in New Jersey
Patrick M. Higgins, MD is one of 631 ophthalmology physician records with a practice address in New Jersey. 85% 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 18% of them.
- NPI issued2006 · 18% of these records are older, 30% newer
- In a Medicare fileYes · 85% of these records are
- In the CMS Doctors and Clinicians fileYes · 72% of these records are
- Graduated1993 · median 1993 among the 454 with a school on file
- Record last updated2023 · 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 207W00000X and a New Jersey practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
12 ophthalmology physician records list a practice address in Bloomfield
They are 12 of the 723 NPPES records with a practice address in Bloomfield, and 631 ophthalmology physician records in New Jersey.
All 631 in New Jersey → Every provider in Bloomfield → Ophthalmology Physician nationwide →
The 8 ophthalmology physician records with the nearest ZIP codes
- Lauren Angioletti, M.D.Bloomfield, NJ 070031023017357
- Lee Angioletti, M.D.Bloomfield, NJ 070031881693059
- Devang Bhoiwala, M.D.Bloomfield, NJ 070031043674229
- Anthony Damato, MDBloomfield, NJ 070031356457923
- Jonathan Ditkoff, M.D.Bloomfield, NJ 070031386600823
- Herbert Glatt, M.D.Bloomfield, NJ 070031730259623
- Joshua Gould, M.D.Bloomfield, NJ 070031043238876
- Justin Gutman, M.D.Bloomfield, NJ 070031972823763
Common questions
What is Patrick M. Higgins, MD's NPI number?
Patrick M. Higgins, MD's National Provider Identifier (NPI) is 1285642470, issued on Aug 3, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Patrick M. Higgins, MD located?
The NPPES record lists a practice address at 1255 Broad St, Bloomfield, NJ, 07003. Phone: (973) 707-5632. Providers update this record themselves, so call before visiting.
How can I verify Patrick M. Higgins, MD's license?
NPPES lists New Jersey license number 25MA06558600, as entered by the provider. Search the New Jersey State Board of Medical Examiners at https://newjersey.mylicense.com/verification/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Patrick M. Higgins, MD prescribe under Medicare Part D?
In 2024, Patrick M. Higgins, MD had 1,352 Medicare Part D claims for 406 beneficiaries; the average among ophthalmology physician prescribers was 1,518. Part D covers Medicare prescriptions only.
What is Patrick M. Higgins, MD's MIPS final score?
The 2023 MIPS final score is 90.8 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.