NPI registry status
Active
2026 NPPES data Interventional Cardiology Physician NPI 1700866142 M.D.
Verify on CMS → Peter Higgins, M.D.
Interventional Cardiology Physician in Lewiston, Maine.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 3,400 in Interventional Cardiology 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.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
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
79.4/100
▼ 4 pts below national avg 83.1 · Above neutral
Industry payments
$61.32
1 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Peter Higgins, M.D. reported a CMS MIPS final score of 79.4/100 - below the 83.1 national average - and filed 409 Medicare Part D claims in 2023.
- 79.4/100
- MIPS score · -4 vs avg
- 409
- Part D claims, 2023
- 84%
- generic prescribing
- Likely
- board-certified (heuristic)
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.
Peter Higgins, M.D.'s MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
79 30th percentile higher than 30% of 477,587 scored providers
Each bar is a band; taller bars hold more scored providers. 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 Merit-based Incentive Payment System (MIPS) · 2023
Where Peter Higgins, M.D. sits
This provider among interventional cardiology physician peers
Across the 1,386 interventional cardiology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Peter Higgins, M.D. writes more Part D claims than 11% of them and scores higher on MIPS quality than 35% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one interventional cardiology physician peer from a representative sample of 60; the gold marker is Peter Higgins, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
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).
What does the federal data show about Peter Higgins, M.D.?
Near national averagePrimary specialty
Interventional Cardiology Physician
Medicare Part D claims
409 86% vs specialty avg
MIPS final score
79.4/100 3.7 pts vs avg
Specialty distribution in Maine
How Interventional Cardiology Physician compares to other specialties among Maine providers
Medicare quality performance, MIPS
Peter Higgins, M.D.'s 2023 MIPS final score plotted against the Interventional Cardiology Physician national average
- MIPS Final Score
- 79.4/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Interventional Cardiology Physician) - 79.4/100 vs national avg 83.1
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).
Peter Higgins, M.D. appears in the CMS NPPES registry as an 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.
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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 79.4/100 for the 2023 performance year (Quality 57.7), compared with the national average of 83.1.
Interventional Cardiology Physician is a narrow specialty nationwide, with 3,400 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
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.
According to CMS billing records, Peter Higgins, M.D. is affiliated with 3 Medicare-billing facilities, 2 of which carry a CMS Hospital overall star rating.
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%
Interventional Cardiology Physician average
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.
What Peter Higgins, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Metoprolol Succinate
Metoprolol Succinate
47 claims
- Rosuvastatin Calcium
Rosuvastatin Calcium
39 claims
- Losartan Potassium
Losartan Potassium
36 claims
- Amlodipine Besylate
Amlodipine Besylate
23 claims
- Ezetimibe
Ezetimibe
22 claims
- Spironolactone
Spironolactone
21 claims
- Atorvastatin Calcium 17
Atorvastatin Calcium
17 claims
- Eliquis 17
Eliquis
17 claims
| 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.
3,400
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.
Dr. William Dietz
M.D.
Scarborough, ME
Bryce Einhorn
Lewiston, ME
Dr. Andrew Eisenhauer
MD
Lewiston, ME
Dr. Mirle Kellett
M.D.
Scarborough, ME
Dr. Lila Martin
MD,MPH
Scarborough, ME
Compare Interventional Cardiology 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 Maine medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Interventional Cardiology 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.
Healthcare Guides
Learn more about finding, verifying, and understanding healthcare providers.
How to Find a Doctor
Step-by-step guide to choosing a provider
Verify Credentials
Check NPI, board certification & license status
Medical Specialties Explained
Who treats what and how specialties differ
Understanding Medicare Claims Data
What prescribing data reveals about a provider
In-Network vs Out-of-Network
How insurance networks affect your costs
Telehealth Guide
Virtual care options and coverage in 2026
Explore Maine
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 79.4/100 (Quality: 57.7). 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 3,400 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
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.
- 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
Compiled from official public sources by the PlainDoctor editorial team.
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.