Tomas Rafael Higgins
NPI 1225761216ActiveIndividual· Internal Medicine· Madisonville, KY
Internal Medicine with Baptist Health Deaconess Medical Group Inc, practicing in Madisonville, Kentucky. In 2024 Medicare paid $95,308 for 359 patients, and Part D covered 1,244 of their prescriptions, 89% of them generic. Ceribell, Inc. reported $70.55 in payments in 2025, mostly food and beverage. Lists Baptist Health Deaconess Madisonville and 3 other hospitals as hospital affiliations.
Overview
| NPI | 1225761216 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jul 6, 2022 |
| Last updated in NPPES | Jul 6, 2022 |
| Certified by provider | Jul 6, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | TP823 | KY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Internal Medicine (KY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 359 |
|---|---|
| Services billed | 1,183 across 13 procedure codes |
| Paid by Medicare | $95,308 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,244 · 1,782 30-day fills |
|---|---|
| Patients | 257 |
| Total drug cost | $88,456 |
| Generic share | 89% of claims |
Education and affiliations
| Graduation year | 1999 |
|---|---|
| Medicare specialty | Internal Medicine |
Medical group
- Baptist Health Deaconess Medical Group IncDawson Springs, KY · 246 clinicians
Hospital affiliations
- Baptist Health Deaconess MadisonvilleMadisonville, KY
- Deaconess Hospital IncEvansville, IN
- Jennie Stuart Medical CenterHopkinsville, KY
- Owensboro Health Muhlenberg Community HospitalGreenville, KY
Industry payments (Open Payments)
- 2025$70.55 · 1 payment from 1 company
- 2024$16.44 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Ceribell, Inc. | $70.55 | 1 |
What the 2025 payments were for
- Food and Beverage$70.55 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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