NPPES file of Aug 9, 2026

Tomas Rafael Higgins

Internal Medicine Physician · Madisonville, KY

Tomas Rafael Higgins is an internal medicine physician with a practice address in Madisonville, Kentucky, and NPI 1225761216, issued on Jul 6, 2022. Check the license (Kentucky TP823, as entered in NPPES) on the Kentucky Board of Medical Licensure; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1225761216
Name
Tomas Rafael Higgins
Primary taxonomy
Internal Medicine Physician 207R00000X
License number
TP823 KY
Self-reported in NPPES; status is on the state search
Practice location
900 Hospital Dr, Madisonville, KY 42431
Phone
(270) 825-5100
Enumerated
Jul 6, 2022
Record last updated
Jul 6, 2022
Medicare enrollment
Enrolled (PECOS I20220808001767); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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8 nearest internal medicine physician records → All 1,526 in Kentucky → Look up another NPI →

Also registered at 900 Hospital Dr

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Shabeer Abubucker, MDPsychiatry Physician1174620165
  2. Chelsea Adams, APRN, FNP-BCFamily Nurse Practitioner1598213647
  3. Heath Adams, PHARM. D.Pharmacist1689844698
  4. Robert Adams, MBBSEmergency Medicine Physician1922760073
  5. Mohammad Alam, MDStudent in an Organized Health Care Education/Training Program1720928443
  6. Timothy Allran, APRNFamily Nurse Practitioner1538757042

Verify Tomas Rafael Higgins in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersKentucky Board of Medical Licensure
    Search for license TP823    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Kentucky license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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61% fewer Medicare Part D claims than the average internal medicine physician in 2024

1,244 Medicare Part D claims for 257 beneficiaries, against an average of 3,176 among the 108,855 providers of this specialty who prescribed in Part D. 20 claims were for opioids.

  1. Tomas Higgins1,244
  2. Specialty average3,176

Most prescribed

  1. Atorvastatin Calcium110 claims
  2. Clopidogrel63 claims
  3. Eliquis53 claims
  4. Metoprolol Succinate52 claims
  5. Amlodipine Besylate49 claims
  6. Furosemide43 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.

Industry payments in 2024: $16.44

1 payment: food and beverage; the largest payer was Pfizer Inc. The 50,334 providers of this specialty with any payment received $1,303.06 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Tomas Higgins$16.44
  2. Specialty average$1,303.06

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

  1. Baptist Health Deaconess Medical Group IncMadisonville, KY

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Tomas Rafael Higgins among 1,526 internal medicine physician records in Kentucky

Tomas Rafael Higgins is one of 1,526 internal medicine physician records with a practice address in Kentucky. 84% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2022, is newer than 94% of them.

  • NPI issued2022 · 94% of these records are older, 3% newer
  • In a Medicare fileYes · 84% of these records are
  • In the CMS Doctors and Clinicians fileYes · 67% of these records are
  • Graduated1999 · median 2006 among the 1,025 with a school on file
  • Record last updated2022 · 56% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207R00000X and a Kentucky practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Internal Medicine Physician providers in Kentucky

There are 1,526 internal medicine physician records in Kentucky.

All 1,526 in Kentucky → Every provider in Madisonville → Internal Medicine Physician nationwide →

The 8 internal medicine physician records with the nearest ZIP codes

  1. Craig Amundson, M. D.Madisonville, KY 424311548221120
  2. Gabrielle ChamleeMadisonville, KY 424311689314866
  3. Natalia Kovtun, MDMadisonville, KY 424311720184724
  4. Tudor Popescu, MDMadisonville, KY 424311356448005
  5. Adel Dimassi, MDMorganfield, KY 424371538781935
  6. William White, M.D.Morganfield, KY 424371275537243
  7. Kathryn Ekstrom, M.D.Henderson, KY 424201346493400
  8. Zenaida Maddela, M.D.Henderson, KY 424201487662011

Common questions

What is Tomas Rafael Higgins's NPI number?

Tomas Rafael Higgins's National Provider Identifier (NPI) is 1225761216, issued on Jul 6, 2022. An NPI identifies a provider in billing; it is not a license.

Where is Tomas Rafael Higgins located?

The NPPES record lists a practice address at 900 Hospital Dr, Madisonville, KY, 42431. Phone: (270) 825-5100. Providers update this record themselves, so call before visiting.

How can I verify Tomas Rafael Higgins's license?

NPPES lists Kentucky license number TP823, 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 Tomas Rafael Higgins prescribe under Medicare Part D?

In 2024, Tomas Rafael Higgins had 1,244 Medicare Part D claims for 257 beneficiaries; the average among internal medicine physician prescribers was 3,176. Part D covers Medicare prescriptions only.

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.

Written with AI tools from the named public files; every figure is computed from those files (how it is made).

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.