2026 NPPES data Interventional Cardiology Physician NPI 1700866142 M.D.
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PETER HIGGINS, M.D.

Interventional Cardiology Physician in LEWISTON, Maine. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
409
Medicare Part D claims · 118 beneficiaries · Interventional Cardiology Physician avg: 3K
Generic prescribing
84%
generic claims · 16% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
79.3772/100
▼ 4 pts below national avg 83.1 · [object Object]
Industry payments
$61.32
1 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: PETER HIGGINS, M.D. is a Interventional Cardiology Physician ([object Object]) practicing in LEWISTON, Maine with a Medicare Part D prescribing footprint of 409 claims across 118 beneficiaries — 16% brand-name prescribing . Their CMS MIPS Final Score of 79.3772/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $61.32 across 1 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: PETER HIGGINS, M.D. reported a CMS MIPS final score of 79.3772 out of 100, below the 83.1 national average, and filed 409 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

PETER HIGGINS, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 3 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

PETER HIGGINS, M.D. at a glance

Near national average

NPI registry status

Active

Issued 01/20/2006

NPI 1700866142

Primary specialty

Interventional Cardiology Physician

Niche

3,382 US NPIs in this specialty

Medicare Part D claims

409 86% vs specialty avg

2023 prescription claims

Specialty avg: 2,984

MIPS final score

79.3772/100 3.7227999999999923% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Maine

How Interventional Cardiology Physician compares to other specialties among Maine providers

Maine providers

Interventional Cardiology Physician share within Maine

1. Interventional Cardiology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Interventional Cardiology Physician share within Maine

Medicare quality performance — MIPS

PETER HIGGINS, M.D.'s 2023 MIPS final score plotted against the Interventional Cardiology Physician national average

Near national average
MIPS Final Score
79.3772/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Interventional Cardiology Physician) — 79.3772/100 vs national avg 83.1

0%100%National avg83%79.4%
MIPS final score (Interventional Cardiology Physician) — 79.3772/100 vs national avg 83.1

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).

PETER HIGGINS, M.D. is a Interventional Cardiology Physician provider practicing in LEWISTON, Maine, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1700866142. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

PETER HIGGINS, M.D. appears in the CMS NPPES registry as a Interventional Cardiology Physician provider holding M.D. credentials at 60 HIGH ST, LEWISTON, ME, 04240, with a listed phone of (207) 795-3900. NPI 1700866142 was issued on 01/20/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what HIGGINS most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 409 prescription claims written by this provider, covering 118 Medicare beneficiaries and totaling roughly $85K in drug spend, split 16% brand-name and 84% generic by claim count. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 79.3772/100 for the 2023 performance year (Quality 57.662), compared with the national average of 83.1.

Interventional Cardiology Physician is a narrow specialty nationwide, with 3,382 enrolled providers across 53 states and an average of 2,984 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

60 HIGH ST
LEWISTON, ME 04240

Provider Details

NPI 1700866142
Specialty Interventional Cardiology Physician
Credentials M.D.
Gender Male
NPI Issued 01/20/2006

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

79.3772
Final Score
Avg: 83.1
57.662
Quality
99
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where PETER HIGGINS, M.D. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

CENTRAL MAINE MEDICAL CENTER
★★★★☆ 4/5
TOPSHAM, ME
Acute Care Hospitals
CMS CCN: 200024
BRIDGTON HOSPITAL
★★★☆☆ 3/5
BRIDGTON, ME
Critical Access Hospitals
CMS CCN: 201310
RUMFORD HOSPITAL
RUMFORD, ME

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for PETER HIGGINS, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$61

Largest payer

Edwards Lifesciences Corporation

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Brand vs generic prescribing mix · Typical

PETER HIGGINS, M.D. — brand share 16.0%
Specialty average (est.)

16% brand-name claims vs 84% generic, on 409 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.

409
Total Claims
$85K
Total Drug Cost
118
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,058
Total Day Supply
31,537
Brand vs Generic
16% brand / 84% generic
Brand Drug Cost
$75K
Generic Drug Cost
$10K

Patient Demographics

Average Patient Age
74.1 years
Avg HCC Risk Score
1.56
Gender Split
39% female / 61% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Metoprolol Succinate
47
Rosuvastatin Calcium
39
Losartan Potassium
36
Amlodipine Besylate
23
Ezetimibe
22
Spironolactone
21
Atorvastatin Calcium
17
Eliquis
Apixaban
17
Metoprolol Tartrate
15
Xarelto
Rivaroxaban
15

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Interventional Cardiology Physician Overview

How PETER HIGGINS, M.D. fits within the Interventional Cardiology Physician landscape nationally.

3,382
Interventional Cardiology Physician Providers in US
53
States with Interventional Cardiology Physician
2,984
Avg Claims per Provider

PETER HIGGINS, M.D.'s 409 claims are below the specialty average of 2,984.

Nearby Interventional Cardiology Physician Providers in Maine

Other clinicians with the same primary specialty enrolled in Maine, drawn from the same CMS NPPES roster as HIGGINS.

Compare Interventional Cardiology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is PETER HIGGINS, M.D.'s specialty?
PETER HIGGINS, M.D. specializes in Interventional Cardiology Physician and practices in LEWISTON, Maine. Credentials: M.D..
How much does PETER HIGGINS, M.D. prescribe under Medicare Part D?
In 2023, PETER HIGGINS, M.D. wrote 409 Medicare Part D claims totaling $85K in drug costs for 118 beneficiaries.
What is PETER HIGGINS, M.D.'s Medicare quality score?
PETER HIGGINS, M.D. has a CMS MIPS Final Score of 79.3772/100 (Quality: 57.662). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is PETER HIGGINS, M.D. located?
PETER HIGGINS, M.D. is located at 60 HIGH ST, LEWISTON, ME, 04240. Phone: (207) 795-3900.
What is PETER HIGGINS, M.D.'s NPI number?
PETER HIGGINS, M.D.'s National Provider Identifier (NPI) is 1700866142, issued on 01/20/2006.
Does PETER HIGGINS, M.D. prescribe more brand-name or generic drugs?
PETER HIGGINS, M.D.'s prescribing is 16% brand-name and 84% generic drugs by claim count, with $75K in brand drug costs.
How many Interventional Cardiology Physician providers are there in the US?
There are 3,382 Interventional Cardiology Physician providers across 53 states in the US. The average Interventional Cardiology Physician provider writes 2,984 Medicare Part D claims per year.
What drugs does PETER HIGGINS, M.D. prescribe most often?
Based on 2023 Medicare Part D data, PETER HIGGINS, M.D.'s most frequently prescribed drugs include Metoprolol Succinate, Rosuvastatin Calcium, Losartan Potassium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does PETER HIGGINS, M.D. accept Medicare?
PETER HIGGINS, M.D. appears in CMS Medicare data with 409 Part D claims and 118 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify PETER HIGGINS, M.D.'s credentials?
PETER HIGGINS, M.D.'s NPI is 1700866142 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

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.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
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