Thomas S. Higgins, MD
Otolaryngology Physician · Louisville, KY
Thomas S. Higgins, MD is an otolaryngology physician with a practice address in Louisville, Kentucky, and NPI 1750543237, issued on Jun 26, 2008. Check the license (Kentucky TP529, as entered in NPPES) on the Kentucky Board of Medical Licensure; the Medicare figures below come from public CMS files.
- Name
- Thomas S. Higgins
- Credential
- MD
- Primary taxonomy
- Otolaryngology Physician 207Y00000X
- License number
- TP529 KY
Self-reported in NPPES; status is on the state search - Practice location
- 6420 Dutchmans Pkwy Ste 380, Louisville, KY 40205
- Phone
- (502) 894-8441
- Enumerated
- Jun 26, 2008
- Record last updated
- Feb 3, 2022
- Fax
- (502) 894-4453
- Medicare enrollment
- Enrolled (PECOS I20120710000391); accepts Medicare assignment
- Medical or professional school
- University Of Louisville School Of Medicine, 2006
- Entity
- Type 1 · individual
8 nearest otolaryngology physician records → All 149 in Kentucky → Look up another NPI →
Also registered at 6420 Dutchmans Pkwy Ste 380
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Elizabeth Burckardt, MDOtolaryngology Physician1588081749
- Christopher Harryman, MDOtolaryngology Physician1063049534
- Sean Miller, M.D.Otolaryngology Physician1093978355
Verify Thomas S. Higgins in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersKentucky Board of Medical Licensure
Search for license TP529Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
83% more Medicare Part D claims than the average otolaryngology physician in 2024
992 Medicare Part D claims for 237 beneficiaries, against an average of 541 among the 8,339 providers of this specialty who prescribed in Part D. Brand-name drugs were 7% of claims. 27 claims were for opioids.
Most prescribed
- Fluticasone Propionate137 claims
- Prednisone113 claims
- Azelastine Hcl102 claims
- Doxycycline Hyclate80 claims
- Ipratropium Bromide65 claims
- Cefuroxime48 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 MIPS final score for 2023 (Medicare payment program): 100 of 100
The Merit-based Incentive Payment System score is reported for this clinician. 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; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $58,302.82
71 payments; by number, the most common kind was food and beverage; the largest payer was Genzyme Corporation. The 6,429 providers of this specialty with any payment received $1,922.50 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 one group practice
- Ent Care Centers PLLCJeffersonville, IN
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Thomas S. Higgins among 149 otolaryngology physician records in Kentucky
Thomas S. Higgins, MD is one of 149 otolaryngology physician records with a practice address in Kentucky. 82% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2008, is newer than 65% of them.
- NPI issued2008 · 65% of these records are older, 29% newer
- In a Medicare fileYes · 82% of these records are
- In the CMS Doctors and Clinicians fileYes · 70% of these records are
- Graduated2006 · median 2004 among the 105 with a school on file
- Record last updated2022 · 60% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207Y00000X and a Kentucky practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Otolaryngology Physician providers in Kentucky
There are 149 otolaryngology physician records in Kentucky.
All 149 in Kentucky → Every provider in Louisville → Otolaryngology Physician nationwide →
The 8 otolaryngology physician records with the nearest ZIP codes
- Kenneth Balcombe, M.D.Louisville, KY 402051720084262
- Elizabeth Burckardt, MDLouisville, KY 402051588081749
- Marion Eyre, MDLouisville, KY 402051093763583
- Christopher Harryman, MDLouisville, KY 402051063049534
- Sean Miller, M.D.Louisville, KY 402051093978355
- Mark Severtson, M.D.Louisville, KY 402051861499576
- Kenneth Silk, M.D.Louisville, KY 402051396742193
- Sameet Sohi, MDLouisville, KY 402051154507903
Common questions
What is Thomas S. Higgins, MD's NPI number?
Thomas S. Higgins, MD's National Provider Identifier (NPI) is 1750543237, issued on Jun 26, 2008. An NPI identifies a provider in billing; it is not a license.
Where is Thomas S. Higgins, MD located?
The NPPES record lists a practice address at 6420 Dutchmans Pkwy Ste 380, Louisville, KY, 40205. Phone: (502) 894-8441. Providers update this record themselves, so call before visiting.
How can I verify Thomas S. Higgins, MD's license?
NPPES lists Kentucky license number TP529, as entered by the provider. Search the Kentucky Board of Medical Licensure at https://web1.ky.gov/GenSearch/LicenseSearch.aspx?AGY=5. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Thomas S. Higgins, MD prescribe under Medicare Part D?
In 2024, Thomas S. Higgins, MD had 992 Medicare Part D claims for 237 beneficiaries; the average among otolaryngology physician prescribers was 541. Part D covers Medicare prescriptions only.
What is Thomas S. Higgins, MD's MIPS final score?
The 2023 MIPS final score is 100 of 100. 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.