NPI registry status
Active
2026 NPPES data Medical Physician Assistant NPI 1659528974 PA-C
Verify on CMS → Peter Higgins, PA-C
Medical Physician Assistant in Cherry Hill, New Jersey.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 40,694 in Medical Physician Assistant, 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
9K
Medicare Part D claims · 798 beneficiaries · Medical Physician Assistant avg: 1K
Generic prescribing
89%
generic claims · 10% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
84/100
▲ 1 pts above national avg 83.5 · Above neutral
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Peter Higgins, PA-C reported a CMS MIPS final score of 84/100 - above the 83.5 national average - and filed 9,268 Medicare Part D claims in 2024.
- 84/100
- MIPS score · +1 vs avg
- 9K
- Part D claims, 2024
- 89%
- generic prescribing
- ≥42nd
- pct among measured MIPS (lower-bound band)
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.
Federal trust snapshot
What official records show about Peter Higgins, PA-C
Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1659528974), first enumerated 08/19/2008.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 9,268 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
Reported a CMS MIPS final score of 84/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- Reported
Hospital affiliations
2 CMS Care Compare hospital affiliations on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1659528974 · Medical Physician Assistant
NPI-10 · ENUM-MID · TAX-MID · MIPS-INLINE · RX-MID · BOOK-LIGHT · PHOTO-FINISH
- NPI-10 1659528974
- ENUM-MID 2008
- TAX-MID 41K Medical Physician
- MIPS-INLINE 84/100
- RX-MID 9,268
- BOOK-LIGHT 802 in New Jersey
- PHOTO-FINISH Philip Mechael, PA-C · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Higgins · this p…
Higgins · this provider
84 MIPS pts
- Philip Mechael, …
Philip Mechael, PA-C
84 MIPS pts
- Samara Levin, PA…
Samara Levin, PA-C
84 MIPS pts
- Tyler Brady, PA …
Tyler Brady, PA
84 MIPS pts
- Cesar Garcia, PA…
Cesar Garcia, PA-C
84 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Peter Higgins, PA-C's MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
84 ≥ 42nd percentile 42% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured 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.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Peter Higgins, PA-C sits
This provider among medical physician assistant peers
Across the 7,147 medical physician assistant providers who report both Medicare Part D prescribing and a MIPS quality score, Peter Higgins, PA-C writes more Part D claims than 99% of them and scores higher on MIPS quality than 41% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one medical physician assistant peer from a representative sample of 60; the gold marker is Peter Higgins, PA-C. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Peter Higgins, PA-C?
Near national averagePrimary specialty
Medical Physician Assistant
Medicare Part D claims
9,268 8× vs specialty avg
MIPS final score
84/100 0.5 pts vs avg
Specialty distribution in New Jersey
How Medical Physician Assistant compares to other specialties among New Jersey providers
Medicare quality performance, MIPS
Peter Higgins, PA-C's 2023 MIPS final score plotted against the Medical Physician Assistant national average
- MIPS Final Score
- 84/100
- vs 83.5 national avg · 2023 performance year
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).
Practice Address
Provider Details
| NPI | 1659528974 |
|---|---|
| Specialty | Medical Physician Assistant |
| Credentials | PA-C |
| Gender | Male |
| NPI Issued | 08/19/2008 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
84.0144
Final Score
Measured-score avg: 83.5
68.6752
Quality
76.4864
Cost
98
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Peter Higgins, PA-C 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.
Optum Medical Care OF New Jersey PC
Mount Ephraim, NJ
Virtua Medical Group, PA
Cherry Hill, NJ
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Brand vs generic prescribing mix · Typical
Peter Higgins, PA-C - brand share 10.0%
Medical Physician Assistant average
10% brand-name claims vs 89% generic, on 9,268 2024 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 2024.
9,268
Total Claims
$777K
Total Drug Cost
798
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 20,861.833
- Total Day Supply
- 608,722
- Brand vs Generic
- 10% brand / 89% generic
- Brand Drug Cost
- $621K
- Generic Drug Cost
- $150K
- Opioid Claims
- 433 (4.7% rate)
- Antibiotic Claims
- 159
Patient Demographics
- Average Patient Age
- 73.0 years
- Avg HCC Risk Score
- 1.08
- Gender Split
- 44% female / 56% male
- Age Distribution
- <65: 75, 65-74: 390, 75-84: 243, 85+: 90
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Peter Higgins, PA-C prescribes most
Top Medicare Part D drugs by claim count, 2024
- Atorvastatin Calcium
Atorvastatin Calcium
630 claims
- Levothyroxine Sodium
Levothyroxine Sodium
320 claims
- Lisinopril
Lisinopril
314 claims
- Amlodipine Besylate
Amlodipine Besylate
276 claims
- Omeprazole 250
Omeprazole
250 claims
- Metoprolol Succinate 243
Metoprolol Succinate
243 claims
- Metformin Hcl 224
Metformin Hcl
224 claims
- Losartan Potassium 172
Losartan Potassium
172 claims
| Drug | Claims |
|---|---|
| Atorvastatin Calcium | 630 |
| Levothyroxine Sodium | 320 |
| Lisinopril | 314 |
| Amlodipine Besylate | 276 |
| Omeprazole | 250 |
| Metoprolol Succinate | 243 |
| Metformin Hcl | 224 |
| Losartan Potassium | 172 |
| Zolpidem Tartrate | 166 |
| Montelukast Sodium | 164 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Medical Physician Assistant Overview
How Peter Higgins, PA-C fits within the Medical Physician Assistant landscape nationally.
40,694
Medical Physician Assistant Providers in US
55
States with Medical Physician Assistant
1,139
Avg Claims per Provider
Peter Higgins, PA-C's 9,268 claims are above the specialty average of 1,139.
Nationwide Medical Physician Assistant peers with similar MIPS or enrollment year
Two federal-record peer sets for Higgins, both outside New Jersey so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (84 here).
Same NPPES enumeration year (2008)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Medical Physician Assistant Providers in New Jersey
Other clinicians with the same primary specialty enrolled in New Jersey, drawn from the same CMS NPPES roster as Higgins.
One of 802 Medical Physician Assistant providers enrolled in New Jersey, 5 are shown here.
Peder Aakjar
Clifton, NJ
Salma Abdalla
Bayonne, NJ
Mohamed Aboelenin
PA-C
Union, NJ
Sean Adair
PA-C
Linwood, NJ
Busayo Adewale
PA
Somerset, NJ
Compare Medical Physician Assistant nationally: see state-by-state distribution →
Frequently Asked Questions
What is Peter Higgins, PA-C's specialty? ▼
Peter Higgins, PA-C specializes in Medical Physician Assistant and practices in Cherry Hill, New Jersey. Credentials: PA-C.
How much does Peter Higgins, PA-C prescribe under Medicare Part D? ▼
In 2024, Peter Higgins, PA-C wrote 9,268 Medicare Part D claims totaling $777K in drug costs for 798 beneficiaries.
What is Peter Higgins, PA-C's Medicare quality score? ▼
Peter Higgins, PA-C has a CMS MIPS Final Score of 84/100 (Quality: 68.7, Cost: 76.5). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Peter Higgins, PA-C located? ▼
Peter Higgins, PA-C is located at 1 BRACE RD STE B2, Cherry Hill, NJ, 08034. Phone: (856) 354-2232.
What is Peter Higgins, PA-C's NPI number? ▼
Peter Higgins, PA-C's National Provider Identifier (NPI) is 1659528974, issued on 08/19/2008.
Does Peter Higgins, PA-C prescribe more brand-name or generic drugs? ▼
Peter Higgins, PA-C's prescribing is 10% brand-name and 89% generic drugs by claim count, with $621K in brand drug costs.
Does Peter Higgins, PA-C prescribe opioids? ▼
Yes, Peter Higgins, PA-C had 433 opioid claims in 2024 with an opioid prescribing rate of 4.7%.
How many Medical Physician Assistant providers are there in the US? ▼
There are 40,694 Medical Physician Assistant providers across 55 states in the US. The average Medical Physician Assistant provider writes 1,139 Medicare Part D claims per year.
What drugs does Peter Higgins, PA-C prescribe most often? ▼
Based on 2024 Medicare Part D data, Peter Higgins, PA-C's most frequently prescribed drugs include Atorvastatin Calcium, Levothyroxine Sodium, Lisinopril. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Peter Higgins, PA-C accept Medicare? ▼
Peter Higgins, PA-C appears in CMS Medicare data with 9,268 Part D claims and 798 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Peter Higgins, PA-C's credentials? ▼
Peter Higgins, PA-C's NPI is 1659528974 with credentials PA-C. 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 (2024). 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 August 2026 (NPPES) / 2024 (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
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 August 2026.