2026 NPPES data Specialist NPI 1609090596 M.D.
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TERRENCE HIGGINS, M.D.

Specialist in LAS VEGAS, Nevada. 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
313
Medicare Part D claims · 64 beneficiaries · Specialist avg: 1K
Generic prescribing
88%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$854.37
31 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: TERRENCE HIGGINS, M.D. is a Specialist ([object Object]) practicing in LAS VEGAS, Nevada with a Medicare Part D prescribing footprint of 313 claims across 64 beneficiaries — 12% brand-name prescribing . Industry payments of $854.37 across 31 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: TERRENCE HIGGINS, M.D. filed 313 Medicare Part D claims in 2023 across LAS VEGAS, Nevada. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

TERRENCE HIGGINS, M.D. at a glance

Quality data not reported

NPI registry status

Active

Issued 04/12/2007

NPI 1609090596

Primary specialty

Specialist

High-volume

69,658 US NPIs in this specialty

Medicare Part D claims

313 79% vs specialty avg

2023 prescription claims

Specialty avg: 1,474

Specialty distribution in Nevada

How Specialist compares to other specialties among Nevada providers

Nevada providers

Specialist share within Nevada

1. Specialist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Specialist share within Nevada

Specialty board-certification context

Estimated specialty board-certified rate — Specialist (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Specialist ABMS/AOA estimate

Est. board-certified rate (Specialist) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Specialist) — ABMS / AOA estimate

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).

TERRENCE HIGGINS, M.D. is a Specialist provider practicing in LAS VEGAS, Nevada, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1609090596. 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.

TERRENCE HIGGINS, M.D. appears in the CMS NPPES registry as a Specialist provider holding M.D. credentials at 8530 W. SUNSET ROAD, LAS VEGAS, NV, 89113, with a listed phone of (702) 822-2100. NPI 1609090596 was issued on 04/12/2007. 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 313 prescription claims written by this provider, covering 64 Medicare beneficiaries and totaling roughly $7K in drug spend, split 12% brand-name and 88% generic by claim count, with an opioid prescribing rate of 12.8%. 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.

Specialist is a high-volume specialty nationwide, with 69,658 enrolled providers across 55 states and an average of 1,474 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

8530 W. SUNSET ROAD
LAS VEGAS, NV 89113

Provider Details

NPI 1609090596
Specialty Specialist
Credentials M.D.
Gender Male
NPI Issued 04/12/2007

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 TERRENCE HIGGINS, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$854

Largest payer

ABBVIE INC.

Most common payment type

Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program

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

TERRENCE HIGGINS, M.D. — brand share 12.0%
Specialty average (est.)

12% brand-name claims vs 88% generic, on 313 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.

313
Total Claims
$7K
Total Drug Cost
64
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
323
Total Day Supply
3,074
Brand vs Generic
12% brand / 88% generic
Brand Drug Cost
$4K
Generic Drug Cost
$3K
Opioid Claims
40 (12.8% rate)
Antibiotic Claims
79

Patient Demographics

Average Patient Age
71.1 years
Avg HCC Risk Score
0.81

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Ondansetron Hcl
41
Cephalexin
40
Prednisolone Acetate
27
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
22
Diazepam
20
Acyclovir
17
Ciprofloxacin Hcl
17
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
16
Alprazolam
14

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

Specialist Overview

How TERRENCE HIGGINS, M.D. fits within the Specialist landscape nationally.

69,658
Specialist Providers in US
55
States with Specialist
1,474
Avg Claims per Provider

TERRENCE HIGGINS, M.D.'s 313 claims are below the specialty average of 1,474.

Nearby Specialist Providers in Nevada

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

Compare Specialist nationally: see state-by-state distribution →

Frequently Asked Questions

What is TERRENCE HIGGINS, M.D.'s specialty?
TERRENCE HIGGINS, M.D. specializes in Specialist and practices in LAS VEGAS, Nevada. Credentials: M.D..
How much does TERRENCE HIGGINS, M.D. prescribe under Medicare Part D?
In 2023, TERRENCE HIGGINS, M.D. wrote 313 Medicare Part D claims totaling $7K in drug costs for 64 beneficiaries.
Where is TERRENCE HIGGINS, M.D. located?
TERRENCE HIGGINS, M.D. is located at 8530 W. SUNSET ROAD, LAS VEGAS, NV, 89113. Phone: (702) 822-2100.
What is TERRENCE HIGGINS, M.D.'s NPI number?
TERRENCE HIGGINS, M.D.'s National Provider Identifier (NPI) is 1609090596, issued on 04/12/2007.
Does TERRENCE HIGGINS, M.D. prescribe more brand-name or generic drugs?
TERRENCE HIGGINS, M.D.'s prescribing is 12% brand-name and 88% generic drugs by claim count, with $4K in brand drug costs.
Does TERRENCE HIGGINS, M.D. prescribe opioids?
Yes, TERRENCE HIGGINS, M.D. had 40 opioid claims in 2023 with an opioid prescribing rate of 12.8%.
How many Specialist providers are there in the US?
There are 69,658 Specialist providers across 55 states in the US. The average Specialist provider writes 1,474 Medicare Part D claims per year.
What drugs does TERRENCE HIGGINS, M.D. prescribe most often?
Based on 2023 Medicare Part D data, TERRENCE HIGGINS, M.D.'s most frequently prescribed drugs include Ondansetron Hcl, Cephalexin, Prednisolone Acetate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does TERRENCE HIGGINS, M.D. accept Medicare?
TERRENCE HIGGINS, M.D. appears in CMS Medicare data with 313 Part D claims and 64 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify TERRENCE HIGGINS, M.D.'s credentials?
TERRENCE HIGGINS, M.D.'s NPI is 1609090596 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.
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